Why Isn't My Skin Healing After Mole Removal? Expert Advice

After mole removal, the tissue does not regenerate?

Doctor, my mole is raised.
A few years ago, I underwent laser mole removal, and the beautician said my mole was too large and needed to be removed in two sessions.
After the first session, I was told to wait for the tissue to heal before going for the second session.
However, after the first treatment, I developed a deep indentation that hasn't healed, so I didn't go for the second session.
Now, the indentation is still there and quite deep.
Should I still go for the second treatment? If I want to fill in the indentation at a beauty clinic, is that possible? Will it be smooth?

Fei Bi, 40~49 year old female. Ask Date: 2017/02/12

Dr. Wu Yuxin reply Dermatology

Without actually seeing the lesion, it is impossible to make a definitive diagnosis.
If it is causing significant distress, please seek medical attention as soon as possible.

Reply Date: 2017/02/12

More Info

When it comes to skin healing after mole removal, especially in cases where the mole was large and required multiple treatments, there are several factors to consider. Based on your description, it seems that after your first laser treatment, you were left with a significant indentation or "dimple" in the skin where the mole was removed. This is not uncommon, particularly with larger moles, as the healing process can vary greatly from person to person.

Understanding the Healing Process
1. Healing Timeline: After a mole removal, the skin typically goes through several stages of healing. Initially, there may be swelling and redness, which can last for a few days to weeks. As the skin heals, new tissue forms, and the area may appear raised or indented. In some cases, especially with deeper removals, the skin may take longer to heal, and the indentation may remain for an extended period.

2. Scar Formation: The body’s response to injury involves scar formation. If the mole was removed deeply, the resulting scar may not fill in completely, leading to a dimpled appearance. Factors such as skin type, age, and overall health can influence how well the skin heals and how noticeable the scar becomes.

Should You Consider a Second Treatment?
Given that you have a significant indentation after the first treatment, it may be beneficial to consult with a dermatologist or a qualified medical professional who specializes in skin treatments. They can assess the area and determine if a second laser treatment or another method is appropriate. Here are some considerations:
- Consultation: A dermatologist can evaluate the depth of the indentation and the surrounding skin. They may recommend waiting longer to see if the skin fills in naturally or suggest a second treatment if they believe it will help.

- Options for Treatment: If a second laser treatment is deemed appropriate, it may help to smooth out the area. Alternatively, there are other cosmetic procedures, such as fillers or microneedling, that can improve the appearance of the indentation. Fillers can provide immediate volume to the area, while microneedling can stimulate collagen production, potentially improving the skin's texture over time.

Can You Use Cosmetic Treatments?
If you are considering cosmetic treatments at a beauty salon, it’s crucial to ensure that the procedures are performed by licensed professionals who understand the nuances of skin healing. Some options might include:
- Dermal Fillers: These can be injected into the indentation to provide volume and smoothness. However, the results are temporary and may require maintenance.

- Microneedling: This procedure can help improve the texture of the skin by promoting collagen production. It may take several sessions to see significant improvement.

- Chemical Peels or Laser Treatments: These can also be used to improve the overall appearance of the skin and may help with the indentation.

Conclusion
In summary, if your skin has not healed properly after mole removal, it is advisable to consult with a dermatologist for a thorough evaluation. They can provide tailored advice on whether a second treatment is necessary and what options are available to improve the appearance of the indentation. Avoiding self-treatment or unverified cosmetic procedures is essential to ensure the best outcome for your skin health. Remember, patience is key in the healing process, and professional guidance can help you achieve the best results.

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