Common Questions About Mole Removal: Surgery Options and Recovery - Plastic Surgery

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Some questions about mole removal?


Doctor, I have a congenital mole on my hand (located just above the wrist in line with my thumb).
It is round, flat, and about one centimeter in size.
I find it aesthetically unpleasing and it tends to attract attention.
Additionally, I am concerned about the possibility of other changes.
I would like to know if it is possible to have it surgically removed.
What type of surgery would be most suitable? What is the approximate cost of the surgery? How many days does it typically take to recover after the procedure? If the surgery does not go well, will it return to its original state? Since I live in Changhua County, could you recommend a suitable medical facility for consultation? Which department should I visit? Thank you for your assistance.

Adi, 20~29 year old female. Ask Date: 2003/07/17

Dr. Luo Qihua reply Plastic Surgery


Answer: The removal of a common mole, if it is for cosmetic reasons, is considered a cosmetic procedure and will require out-of-pocket payment.
However, if the mole shows changes such as bleeding or enlargement, there may be a possibility of malignancy, in which case it is covered by health insurance.
Surgical methods include laser removal, excisional surgery, or electrosurgery.
You can consult a plastic surgeon at a large teaching hospital for management.

Reply Date: 2003/07/17

More Info


When it comes to mole removal, there are several important considerations regarding the surgical options, recovery, and potential outcomes. Here’s a comprehensive overview to address your questions.


Surgical Options for Mole Removal
1. Excisional Surgery: This is the most common method for removing moles, especially if there is a concern about potential malignancy. The mole is cut out along with a small margin of surrounding skin. This method is often used for larger moles or those that may have atypical features.

2. Shave Excision: This technique involves shaving the mole off the skin's surface. It is typically used for raised moles and is less invasive than excisional surgery. However, it may not remove the mole entirely, which could lead to recurrence.

3. Laser Removal: This method uses focused light to break down the pigment in the mole. It is less invasive and can be effective for flat moles, but it may not be suitable for all types of moles, especially those that require deeper removal.

4. Cryotherapy: This involves freezing the mole with liquid nitrogen, causing it to fall off. It is generally used for superficial moles and may not be appropriate for deeper or atypical moles.


Recovery Time
The recovery time after mole removal can vary based on the method used:
- Excisional Surgery: Recovery typically takes about 1-2 weeks. Stitches may be required, and it’s essential to keep the area clean and dry. You may experience some swelling and discomfort, which can be managed with over-the-counter pain relievers.

- Shave Excision: Recovery is usually quicker, often within a few days, as this method is less invasive. The area may scab over but should heal without stitches.

- Laser Removal: Recovery is generally quick, with minimal downtime. The treated area may appear red and swollen for a few days.


Potential Outcomes
1. Success Rate: Most mole removal procedures are successful, and the area typically heals well. However, there is always a risk of scarring, which can vary based on individual healing processes and the technique used.

2. Recurrence: If a mole is not completely removed, there is a chance it may grow back. Excisional surgery has the lowest recurrence rate compared to other methods.

3. Complications: While complications are rare, they can include infection, excessive bleeding, or an allergic reaction to anesthesia. Following post-operative care instructions is crucial to minimize these risks.


Cost Considerations
The cost of mole removal can vary widely based on the location, the complexity of the procedure, and whether it is performed in a clinic or hospital setting. In Taiwan, the price for mole removal can range from NT$3,000 to NT$10,000 or more, depending on the method used and the healthcare facility. It’s advisable to check with local clinics or hospitals for specific pricing.


Where to Seek Treatment
In Changhua County, you can visit a dermatology clinic or a plastic surgery department in a hospital for mole removal. Dermatologists specialize in skin conditions and are well-equipped to evaluate and remove moles safely. You may want to look for reputable medical centers or hospitals in your area and schedule a consultation.


Conclusion
If you are concerned about the appearance of your mole or its potential for changes, it is advisable to consult with a dermatologist. They can assess the mole, discuss the most appropriate removal method, and provide guidance on post-operative care. Remember to ask about the risks, benefits, and expected outcomes of the procedure during your consultation to make an informed decision.

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