Post-Mole Removal Concerns: Healing, Follow-Up, and Skincare Tips

Concerns After Mole Removal Surgery

Dear Dr.
Lu,
It has been three weeks since my laser mole removal (on my face), and my friend who underwent the same procedure has already had her scabs fall off, but mine have not yet fallen off.
I returned for a follow-up appointment one week post-procedure, and the doctor at the Veterans General Hospital advised me to continue applying medication.
I would like to ask you the following questions:
1.) Do I need to pay another $350 for a follow-up appointment?
2.) I am very concerned about post-inflammatory hyperpigmentation, but since the scabs have not fallen off, I can only wear a hat and use an umbrella.
Is it safe to apply sunscreen directly on the scabs?
3.) My moles have an average diameter of 3mm, and the scabs post-procedure are either black or large.
Is this a normal phenomenon?
4.) The doctor at the Veterans General Hospital mentioned that there is no need for artificial skin dressing.
Is this true? However, I have heard various opinions from friends.
Thank you very much for your response.

Kathy, 20~29 year old female. Ask Date: 2005/03/10

Dr. Lu Daokuan reply Plastic Surgery

Laser mole removal typically does not achieve complete clearance in one session.
The speed of scabbing post-procedure can vary significantly due to several factors, including individual constitution, differences in laser energy, and the depth and size of the pigmented lesions.
Whether a follow-up visit is necessary should be discussed thoroughly with your treating physician.
The decision to apply artificial skin also depends on the condition of the wound; applying it before scabbing can lead to fluid leakage, so it is best to wait until the area is slightly dry before applying.
Ideally, it should be applied until the scar is not prominent.

Reply Date: 2005/03/10

More Info

After mole removal, particularly through laser treatment, it is common to have concerns regarding the healing process, follow-up care, and skincare. Here are some insights and recommendations based on your questions:
1. Follow-Up Appointments: It is generally advisable to follow up with your dermatologist if you have concerns about your healing process. If your mole removal site has not yet healed or if you notice any unusual changes, it may be worth the investment to see your doctor again. The cost of the consultation can be justified if it provides peace of mind and ensures proper healing. Your dermatologist can assess the area, provide tailored advice, and determine if any further treatment is necessary.

2. Sun Protection: Protecting the healing skin from sun exposure is crucial to prevent hyperpigmentation (darkening of the skin) and scarring. While it is best to avoid applying products directly on the scab, if you need to apply sunscreen, choose a gentle, mineral-based sunscreen that is safe for sensitive skin. You can apply it around the scabbed area, but be cautious not to disturb the scab itself. If the scab is still intact, wearing a wide-brimmed hat and seeking shade is a good practice until it falls off naturally.

3. Scab Appearance: The appearance of the scab can vary significantly depending on the individual and the specifics of the mole removal procedure. It is normal for scabs to appear dark or large, especially if the mole was deeper or larger. The healing process can take time, and patience is essential. Scabs serve as a protective barrier for the underlying skin as it heals, so it is important not to pick at them, as this can lead to scarring or infection.

4. Use of Artificial Skin: Your dermatologist's advice against using artificial skin (such as silicone sheets or gels) may be based on the nature of your specific case. In many instances, the natural healing process is sufficient, and artificial skin may not be necessary. However, if you have concerns about scarring or if the area is particularly sensitive, discussing the potential benefits of using such products with your dermatologist could be beneficial. They can provide guidance based on your individual healing progress.

Additional Skincare Tips Post-Mole Removal:
- Gentle Cleansing: Use a mild, fragrance-free cleanser to wash the area. Avoid scrubbing or using exfoliants until the area has fully healed.

- Moisturization: Keeping the area moisturized can aid in the healing process. Use a gentle, hypoallergenic moisturizer to prevent dryness and promote healing.

- Avoid Irritants: Stay away from harsh skincare products, including those containing retinoids, acids, or fragrances, until the area is fully healed.

- Monitor for Signs of Infection: Watch for increased redness, swelling, pain, or discharge from the site, which could indicate an infection. If you notice any of these symptoms, seek medical attention promptly.

- Patience is Key: Healing can take several weeks, and everyone's skin heals at its own pace. Avoid comparing your healing process to others, as individual factors such as skin type, age, and overall health can influence recovery.

In conclusion, while it is normal to have concerns after mole removal, following your dermatologist's advice and taking proper care of the healing area can help ensure a smooth recovery. If you have ongoing concerns or if the healing process does not progress as expected, do not hesitate to reach out to your healthcare provider for further evaluation and guidance.

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