FAQs

Excision

Surgical procedure to cut through the full thickness of the skin and remove a lesion.

Dr Chris Miller
Answered by Dr Chris Miller
Accredited skin cancer doctor

MBBS, MA (Virtual Comm), Grad Cert Hlth Info, Grad Dip Comp Inf Sci

Raised moles can be removed in several ways, including radiofrequency surgery, shave excision, excision with stitches and cryotherapy (freezing). Removing a mole, whether flat or raised, should be done by a skin cancer doctor or dermatologist to reduce the risk of missing a diagnosis of skin cancer.

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Moles can be removed from the face using surgical excision, laser surgery, radiofrequency surgery, shave excision, or cryotherapy. A qualified and experienced skin cancer doctor should perform the procedure, as they can rule out skin cancer before proceeding with treatment.

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A flat mole is a type of pigmented skin growth that is typically benign (non-cancerous). If a flat mole needs to be removed, there are several methods that may be used, including surgical excision with stitches, shave excision, and laser ablation. New or changing flat moles must be examined by an experienced skin cancer doctor or dermatologist, as some pigmented flat moles can potentially be melanoma, a potentially serious skin cancer.

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Mole removal usually leaves a scar. The extent of the scarring depends on the size and location of the mole and the method used to remove it.

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The cost of mole removal in Australia can vary widely depending on many factors, such as the type, size and location of the mole, the method used to remove it, and whether the "mole" is actually a skin cancer.

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Doctors use multiple methods to remove moles and other skin lesions. The method varies according to the likely diagnosis, size and type of skin lesion, location on the body and patient preferences including cost and minimisation of scarring risk. Common methods include surgical excision with stitches, cryotherapy, radiofrequency surgery, shave excision, laser/IPL and electrocautery.

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After mole removal, the skin surface is normally water resistant after 3 days. There may be a crust or scab over the wound for 1-3 weeks, and when it separates the skin should normally be intact and level wth the surrounding skin. There may be redness in the area as further skin strengthening occurs. This usually persists for several months to a year.

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Mole removal is safe. Serious medical complications are rare, and most problems following mole removal resolve in days or weeks.

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A mole can come back after removal, usually if some mole tissue is left in place during the mole removal procedure. This can occur for various reasons, such as insufficient treatment width, depth or duration.

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You can have a mole removed while you are pregnant. This would normally be done for medical rather than cosmetic reasons (i.e. the mole resembles a skin cancer and should be removed as soon as possible).

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You can wash your hair after mole removal as long as the area is kept as dry as possible for 3 days. If stitches are in place, the area should not be completely submerged in water.

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Removing moles does not usually prevent melanoma. Some moles can develop into melanoma, but this is unusual for normal moles and even the most odd-looking moles. The best medical intervention for reducing the risk of melanoma in people with many moles is regular full-body skin checks by an accredited skin cancer doctor, possibly with regular mole mapping photography of the whole body to check for suspicious changes in the skin.

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Removing moles does not usually prevent skin cancer. The most common skin cancers (basal and squamous cell carcinomas) and most melanomas grow from areas of normal skin. A small number of melanomas develop in pre-existing moles, but it's usually not possible to predict which moles will develop into melanoma, so removing moles doesn't tend to reduce the risk of future melanoma.

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Moles usually grow back after removal because the entire mole hasn't been completely removed. This can happen for several reasons including removing inadequate margins during excision, not treating deep enough into the skin during radiofrequency surgery or shave biopsy, and not enough treatments or very gentle settings in laser or IPL treatment. It's not dangerous for a mole to reappear after treatment, although if there's any possibility that the "mole" was really a skin cancer, re-treatment is usually recommended.

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