Moles: When to See a Dermatologist for Removal - Dermatology

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Mole


Hello, Dr.
Hong: I have a mole on my back, about the size of a red bean, which I've had since childhood.
Recently, I've noticed it has grown larger and is painful.
I would like to have it removed.
Should I make an appointment with a surgeon or a dermatologist? Can the surgery be performed on the same day as the consultation?

Xiao Qing, 30~39 year old female. Ask Date: 2005/12/26

Dr. Hong Zhengsheng reply Dermatology


Hello, Hsiao-Ching: Whether it's surgery or dermatology, we are very happy to address your concerns.
As for whether surgery can be performed immediately, it will depend on the surgeon's schedule.
Wishing you health and happiness.
Thank you for using "Taiwan e-Hospital" to ask your questions; "Taiwan e-Hospital" cares about your health.

Reply Date: 2005/12/26

More Info


When it comes to moles, especially those that change in size, shape, color, or become painful, it is crucial to consult a dermatologist. In your case, since you have a mole on your back that has recently increased in size and is causing discomfort, it is advisable to see a dermatologist for a thorough evaluation.
Dermatologists specialize in skin conditions, including moles and other skin lesions. They can assess whether the mole exhibits any concerning features that may warrant further investigation, such as a biopsy. If the mole is deemed suspicious, the dermatologist can discuss the best course of action, which may include removal.

Regarding your question about whether to see a surgeon or a dermatologist, it is generally recommended to start with a dermatologist. They can evaluate the mole and determine if it needs to be removed and whether it can be done in their office or if a referral to a surgical specialist is necessary. Many dermatologists are equipped to perform minor surgical procedures, including mole removal, in their clinics. However, if the mole requires more extensive surgical intervention, they will refer you to a qualified surgeon.

As for whether you can have the procedure done on the same day as your appointment, this depends on several factors, including the dermatologist's assessment of the mole, their clinic's policies, and whether they have the necessary resources available. Some dermatologists may offer same-day procedures for straightforward cases, while others may require a follow-up appointment for the actual removal.

It is essential to monitor any changes in your moles. The ABCDE rule is a helpful guideline for identifying potentially problematic moles:
- Asymmetry: One half of the mole does not match the other.

- Border: The edges are irregular, ragged, or blurred.

- Color: The color is not uniform and may include shades of brown, black, or other colors.

- Diameter: The mole is larger than 6mm (about the size of a pencil eraser).

- Evolving: The mole is changing in size, shape, or color.

If your mole fits any of these criteria, it is even more critical to seek medical advice promptly.

In summary, you should schedule an appointment with a dermatologist to evaluate your mole. They will provide guidance on whether removal is necessary and discuss the appropriate steps moving forward. If removal is indicated, they will inform you about the procedure, potential risks, and aftercare. Remember, early detection and intervention are key to addressing any skin concerns effectively.

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