Mole Removal and Skin Concerns in Sensitive Areas - Dermatology

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Mole removal and genital moles?


I recently had two superficial moles removed, and the wounds healed in about three days.
However, they reappeared in less than a week.
Now, two weeks have passed; can I go for another removal since the wounds seem to be fully healed? Additionally, I've read online that moles in the genital area have a higher risk of becoming malignant.
I have many moles in my genital area, including on the penis, scrotum, and anus.
Which specialist should I see, or is it unnecessary to consult a doctor? Also, I'm wondering if the moles on my penis can be removed through circumcision.

Sam, 20~29 year old female. Ask Date: 2020/07/18

Dr. Wu Yuxin reply Dermatology


The first question should be directed to your attending physician, as they are the most familiar with your condition.
Regarding the second question, it is unfounded to say that most moles on the genital area are likely to undergo changes.
If the mole on the penis is located on the foreskin, theoretically, it can be removed through a circumcision procedure.

Reply Date: 2020/07/18

More Info


When it comes to mole removal and skin concerns in sensitive areas, it's essential to approach the situation with caution and informed decision-making. Based on your description, it seems you have had some experience with mole removal, and you're considering further action due to the recurrence of the moles. Let's break down your concerns and provide some guidance.


Mole Removal and Recurrence
Mole removal can be performed through various methods, including excision, laser removal, and cryotherapy. The choice of method often depends on the mole's characteristics, such as its size, depth, and location. If your moles have returned within a week after removal, it could be due to several reasons:
1. Incomplete Removal: Sometimes, if the mole is not entirely removed, it can regrow. This is particularly common with deeper moles.

2. Skin Regeneration: The skin can regenerate in a way that mimics the appearance of the mole, especially if the surrounding skin is irritated or healing.

If the area appears healed and you are considering another removal, it is advisable to consult with a dermatologist first. They can assess the area and determine whether it is safe to proceed with another removal. It’s crucial to ensure that the skin has fully healed to avoid complications such as infection or scarring.


Concerns About Moles in Sensitive Areas
Regarding the presence of moles in sensitive areas such as the genital region, it is wise to be vigilant. Moles in these areas can have different implications, and while many moles are benign, some can change over time and may require monitoring or removal. Here are some steps you can take:
1. Consult a Dermatologist: A dermatologist specializes in skin conditions and can evaluate your moles for any signs of abnormality. They can perform a thorough examination and may recommend a biopsy if there are concerns about the moles' characteristics.


2. Monitor Changes: Keep an eye on your moles for any changes in size, shape, color, or texture. The ABCDE rule (Asymmetry, Border, Color, Diameter, Evolving) is a helpful guideline for identifying potentially problematic moles.

3. Consider a Urologist: Since you mentioned moles on the penis and scrotum, a urologist may also be appropriate, especially if you have concerns about the moles in relation to urinary or reproductive health.


Surgical Options
Regarding the idea of removing moles during a circumcision procedure, this is not typically standard practice. While it may be possible to remove moles during such a procedure, it is essential to discuss this with a qualified urologist or dermatologist. They can provide insight into the feasibility and safety of combining these procedures.


Conclusion
In summary, while it may be tempting to remove moles quickly, especially if they are bothersome, it is crucial to prioritize safety and proper medical evaluation. Consulting with a dermatologist or urologist will provide you with the best course of action tailored to your specific situation. They will help ensure that any moles are appropriately assessed and removed if necessary, minimizing the risk of recurrence and complications. Always prioritize your health and well-being by seeking professional advice before proceeding with any medical procedures.

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