Large Moles: When to Consider Removal and What to Expect - Dermatology

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When it comes to understanding large moles, particularly those that are raised and have irregular shapes, it is essential to approach the situation with caution and awareness of the potential implications. Based on your description of the mole on your chest, which is approximately the size of a red bean, raised, and irregularly shaped, there are several factors to consider regarding its removal and what to expect during the process.

Firstly, it is reassuring to hear that a dermatologist has previously evaluated the mole and deemed it non-cancerous. However, it is always wise to seek a second opinion if you have concerns about its appearance or if it has changed over time. Changes in size, shape, color, or texture can sometimes indicate a need for further evaluation, even if a previous assessment was benign.

Regarding the removal of the mole, you may consider consulting with a plastic surgeon or a dermatologist who specializes in skin surgery. Plastic surgeons are well-equipped to handle the cosmetic aspects of mole removal, ensuring minimal scarring and optimal aesthetic results. Dermatologists can also perform excisions and may be more familiar with the specific characteristics of skin lesions. It is advisable to choose a provider who has experience in mole removal to ensure the best outcome.

The procedure for mole removal is typically straightforward and can often be done in an outpatient setting. Depending on the size and depth of the mole, the removal may take anywhere from 15 minutes to an hour. Local anesthesia is usually administered to numb the area, so you should not feel pain during the procedure. After the mole is excised, the surgeon will close the incision with sutures, which may be dissolvable or require removal after a week or so.

Post-operative care is crucial for optimal healing. After the procedure, you should expect some swelling and redness around the incision site, which is normal. It is essential to keep the area clean and dry, and you may be advised to apply a topical antibiotic ointment to prevent infection. Avoid exposing the area to direct sunlight for several weeks, as UV exposure can lead to hyperpigmentation or scarring. Your surgeon will provide specific instructions on how to care for the wound and when to return for a follow-up appointment.

In terms of recovery time, most people can return to their normal activities within a few days, although strenuous activities should be avoided for at least a week to allow the incision to heal properly. Complete healing of the skin may take several weeks, and the final appearance of the scar may take months to fully develop.

In summary, while your mole has been previously assessed as non-cancerous, your desire for removal is valid, especially if it causes you concern or discomfort. Consulting with a qualified plastic surgeon or dermatologist will provide you with the necessary guidance and care for the procedure. Remember to follow post-operative instructions closely to ensure a smooth recovery and optimal results. If you notice any changes in the mole or have further concerns, do not hesitate to reach out to your healthcare provider for additional evaluation.