Moles are small spots and dark raised areas on the skin that many patients like to have removed for cosmetic reasons. Dr. Kiener frequently removes moles for his patients. While dermatologists can remove moles, many patients prefer to have it done by a plastic surgery – particularly if the moles are on the face. This is because plastic surgeons have special training that helps them minimize scarring.
Most moles are benign, which means they are harmless, but some turn into skin cancer. The main indication that there might be a problem with a mole is a change in its appearance. Therefore, before removal, Dr. Kiener examines the moles to determine if they should be biopsied. If that is the case, a specimen is taken and tested in the laboratory to make sure there are no cancer cells present. If skin cancer is found, further treatment will be needed unless the entire tumor was removed.
What can be accomplished by Mole Removal?
Mole removal with a plastic surgeon like Dr. Kiener involves restoring a normal appearance by eliminating the dark spots and minimizing a scar.
How does Roseville Facial Plastic Surgery Approach Mole Removal?
There are different methods for removing moles. The shave and cautery technique involves using a small knife to remove most of the tissue flush with the skin. A cauterization method “burns” the tissue. These are the techniques that dermatologists usually use. I prefer to remove the entire lesion and place several sutures to repair the area. The shave and cautery methods often leave an area of white discoloration, and the lesions often grow back if they were not completely removed.
If skin cancer is found, a dermatologist will most likely perform Mohs micrographic surgery on the area. In this procedure, a small number of cells are removed and tested under a microscope. More cells are then removed until no more cancer cells are found. This method prevents the removal of more skin than is absolutely necessary to eliminate the cancer cells. This method is especially useful where tissue is very precious, such as the eyelid, lip, and nose.
If a large area of tissue needs to be removed, reconstructive surgery with a plastic surgeon may be necessary. Dr. Kiener does this kind of work, which may involve skin grafting, or movement of nearby skin to close the defect.
What is Recovery Like After Mole Removal?
In most cases, there is no recovery required after mole removal. You should be able to continue with your normal activities immediately.
As a plastic surgeon, mole care involves both removing the mole and making sure the skin looks as good as possible after that removal. If skin cancer is found, I can also perform reconstruction, if necessary, after the cancer has been removed.Dr. David J. Kiener, M.D.
We recommend you clean the area of the procedure twice daily with hydrogen peroxide and apply a small amount of antibiotic ointment such as Bacitracin. Sutures are commonly removed about five days after they are put in.
Everyone heals differently, so you may have some after-effects, such as mild bruising, swelling, or tenderness. It is unlikely that you will require pain medication. We will follow up with you, as necessary, to make sure that you are healing properly and will provide instructions for scar prevention. We generally recommend a silicone-based scar gel to be used after initial healing to minimize scarring.