Mole is a collection of cells that produce pigments, they are totally different from the pigments themselves. Therefore to removal moles, we need to remove these cells. The aim of this procedure is to remove as much mole cells while destroying as little normal skin cells as possible. This approach results in rapid healing and minimal scarring.
Basically anyone can burn away the mole cells and at the same time destroy such a large amount of normal tissue that the skin is unable to heal completely and there is consequently a scar. I know of several beauticians using electrocautery to burn the moles away. They charge very cheaply but there is a very high risk of either scarring or incomplete removal as the electrocautery technique results in ablation that is too non-specific eventhough the machine is indeed very cheap. There is also a chemical burning method in the beauty industry, this may possibility be even more non-specific and worst.
For precise ablation, we use Laser – CO2 laser. This technique allows us to provide very high precision burning of the mole tissue, leaving as much normal tissue as possible, so that the mole will not recur and the healing will be fast and risk of scarring low. Nonetheless, we still see very small recurrence of the mole in about 10% of moles and a small risk of scarring.
Surgical Mole Removal
When the mole is very large, raised and occupies a large percentage of the skin layer, even with precise ablation of the mole tissue, too little normal tissue is left and there is an almost 100% risk of developing a scar. In such cases, we will elect to do surgical mole removal. The removal of the mole tissue is done surgically and the remaining gap in the skin is sutured back to leave a linear wound. If this wound is small, the healing tends to be very good.
After a week, we will remove the sutures and allow the wound to heal. It takes up to 1-2 months for the redness along the wound to clear gradually. This is a minor procedure done under local anaethesia and we usually close the wound in 2-4 stitches. There is minimal pain during the procedure except when doing the local anaethesia injection. Most patients do not need to take leave and they go about their usual routine with only some antibiotic cream applied to the wound. The risk of a scar is still there, but this would be the best way to remove large mole with the best outcome.
Never allow anyone to use any other method if the mole is large as it will most surely result in a permanent depressed scar. Otherwise, if you can live with the mole still being present just smaller then it’s ok to use just any ablative methods.
|Last Updated ( Tuesday, 09 December 2014 02:35 )|
Mole RemovalDonald Ng