Mole Removal: Healing, Concerns, and Skin Reactions

Mole removal

Hello Dr.
Huang,
I have a few questions for you:
1.
I underwent carbon dioxide laser treatment for a mole on January 9th, and it has been over a month since then.
Currently, there is a depression and redness at the wound site.
I am still applying artificial skin; is that okay, or would it be better to use medical tape? What can I do to smooth out the depression?
2.
The mole was originally small, but after the treatment, it seems to have gotten larger.
It appears to be scabbed over, but when touched, it feels like it is integrated with the skin.
Is this normal?
3.
The doctor used a jade laser to treat my spots, but the spots, which were originally very faint, have now become darker.
I didn't want to have the treatment, but the doctor insisted on doing it.
I have lost confidence in that doctor and am unsure what to do.
Will my spots fade over time? Is it possible that my skin type is prone to hyperpigmentation?
Thank you.

Mi Mi, 30~39 year old female. Ask Date: 2005/02/18

Dr. Huang Ruiyun reply Dermatology

1.2.
I apologize for not being able to see you in person, which prevents me from making an accurate assessment.
3.
Hyperpigmentation may take 3 to 12 months to fade.
Please pay attention to sun protection, and it would be more effective to obtain a depigmenting cream from a dermatologist's clinic for faster results.

Reply Date: 2005/02/18

More Info

When it comes to skin healing after mole removal, particularly using methods like CO2 laser treatment, there are several important factors to consider regarding healing, skin reactions, and post-treatment care.
1. Healing Process and Wound Care: After CO2 laser treatment, it is common for the treated area to appear red and possibly form a depression or indentation as it heals. This is part of the normal healing process. The use of artificial skin or silicone gel sheets can be beneficial in promoting healing and minimizing scarring. These products can help maintain moisture and protect the area from external irritants. If you are currently using artificial skin, it is generally acceptable to continue doing so, as long as it is not causing irritation. However, if you feel more comfortable switching to a medical adhesive tape designed for sensitive skin, that can also be a good option. The key is to keep the area protected and moist to promote optimal healing.

2. Changes in Size and Appearance of the Mole: It is not uncommon for a treated mole to appear larger or more prominent initially after treatment. This can happen due to swelling or the formation of a scab, which may give the illusion of increased size. As the healing progresses, the area should gradually return to a more normal appearance. If the mole seems to be healing in a way that is concerning, such as remaining raised or not flattening out, it is advisable to follow up with your dermatologist for an evaluation.

3. Post-Laser Treatment Skin Reactions: Regarding the darkening of previously light spots after laser treatment, this phenomenon is known as post-inflammatory hyperpigmentation (PIH). It occurs when the skin reacts to injury or inflammation, leading to an increase in melanin production in the affected area. This is particularly common in individuals with darker skin tones or those who are prone to hyperpigmentation. While it can be distressing, many cases of PIH will fade over time, but this can take several weeks to months. To help manage this, it is crucial to protect the area from sun exposure, as UV rays can exacerbate pigmentation issues. Using a broad-spectrum sunscreen with a high SPF is essential.

If you have lost confidence in your current dermatologist due to your experiences, it may be beneficial to seek a second opinion from another qualified dermatologist. They can provide a fresh perspective on your treatment and healing process, and they may suggest alternative treatments or interventions to help with your concerns.

In summary, continue to care for your skin as advised, monitor the healing process, and do not hesitate to seek further medical advice if you have concerns about the healing of your mole removal site or the appearance of your skin. Remember, patience is key in the healing process, and with proper care, many skin issues can improve over time.

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