Dealing with Recurring Moles After Laser Removal: What to Do? - Plastic Surgery

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Concerns Regarding Laser Mole Removal


About a month ago, I underwent laser mole removal surgery on my face, targeting five moles that were approximately 0.1-0.2 cm beneath the skin.
However, I recently noticed that all the areas where the moles were removed have completely recurred, both large and small.
While I understand that recurrence is normal, I’ve observed that they are now darker and more prominent than before the laser treatment, which is quite shocking to me.
Doctor, what should I do? Is there a way to remove them all at once? I really don’t want to spend more money and time on this, and it’s frustrating that they have become so much darker and more noticeable than they were before!

mxy, 20~29 year old female. Ask Date: 2005/04/18

Dr. Lu Daokuan reply Plastic Surgery


The energy of the laser does not penetrate deeply, which is why laser mole removal often requires 2-3 sessions to see results; therefore, it is not considered a recurrence.
Additionally, the areas treated with laser energy may temporarily darken.
Your symptoms are considered normal, and your concerns may stem from a lack of understanding of this treatment.
If you are looking for a more definitive removal, it would be advisable to consult a plastic surgeon.

Reply Date: 2005/04/18

More Info


Dealing with recurring moles after laser removal can be frustrating, especially when they seem to return darker and more pronounced than before. Here’s a comprehensive overview of what you can do and what to consider moving forward.


Understanding Mole Recurrence
First, it’s essential to understand that while laser treatments can effectively reduce or remove moles, they do not guarantee that the mole will not return. The recurrence can occur due to several reasons:
1. Incomplete Removal: If the mole was not entirely removed during the laser procedure, it might regrow. Laser treatments primarily target the pigment in the mole but may not always eliminate the entire mole structure.

2. Skin Type and Healing: Individual skin types react differently to laser treatments. Some people may experience hyperpigmentation, where the skin becomes darker in the treated area, especially if there is a history of keloid formation or if the skin is prone to pigmentation changes.

3. Sun Exposure: Post-treatment sun exposure can exacerbate pigmentation issues. If the area is not adequately protected from UV rays, it can lead to darker spots.


What to Do Next
1. Consult a Dermatologist: The first step is to consult with a dermatologist who can evaluate the recurrence of the moles. They can assess whether the moles are indeed the same ones that were treated or if they are new growths. A professional evaluation is crucial for determining the best course of action.

2. Consider Alternative Treatments: If laser removal did not yield the desired results, other options might be available:
- Surgical Excision: This method involves cutting out the mole entirely and is often more effective for complete removal. It may leave a scar, but it can be a more definitive solution.

- Cryotherapy: This involves freezing the mole with liquid nitrogen, which can be effective for certain types of moles.

- Topical Treatments: Some topical treatments may help lighten the pigmentation, but these should be used under the guidance of a dermatologist.

3. Sun Protection: If you haven’t already, start using a broad-spectrum sunscreen with at least SPF 30 on the treated areas. This will help prevent further darkening and protect your skin from UV damage.

4. Monitor Changes: Keep an eye on the moles. If they change in size, shape, or color, or if they become itchy or bleed, seek medical attention promptly, as these could be signs of skin cancer.

5. Lifestyle Adjustments: Maintain a healthy skincare routine that includes gentle cleansing and moisturizing. Avoid harsh scrubs or treatments that could irritate the skin.


Preventing Future Issues
To minimize the chances of recurrence in the future, consider the following:
- Regular Skin Checks: Schedule regular check-ups with a dermatologist to monitor your skin for any new moles or changes in existing ones.

- Educate Yourself: Learn about the types of moles and skin lesions, as well as the signs of potential skin cancer. Early detection is key.

- Healthy Lifestyle: A balanced diet rich in antioxidants, staying hydrated, and avoiding smoking can contribute to overall skin health.


Conclusion
While it can be disheartening to see moles return after laser removal, there are steps you can take to address the issue. Consulting with a dermatologist is crucial to determine the best treatment options tailored to your skin type and the specific characteristics of the moles. Remember to protect your skin from the sun and monitor any changes closely. With the right approach, you can manage the recurrence effectively and maintain healthy skin.

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