Should You See a Dermatologist or Plastic Surgeon for Mole Removal? - Dermatology

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Mole removal: Dermatology or Plastic Surgery?


Doctor, I have a "black" mole on my arm and neck, each approximately 5mm in diameter and protruding about 2mm.
They are quite unsightly.
If I want to remove them purely for cosmetic reasons, should I see a dermatologist or a plastic surgeon? Or should I first see a dermatologist to confirm whether they are malignant or benign before switching to a plastic surgeon?

123, 30~39 year old female. Ask Date: 2010/04/23

Dr. Huang Ruiyun reply Dermatology


Hello: You can directly schedule an appointment with the plastic surgery department to arrange for surgical excision.
Both areas will leave scars, with the scar on the arm being more noticeable than the one on the neck.
Wishing you a smooth procedure.

Reply Date: 2010/04/23

More Info


When it comes to mole removal, the decision on whether to see a dermatologist or a plastic surgeon can depend on several factors, including the characteristics of the mole, your medical history, and your aesthetic goals. In your case, since you have two moles on your arm and neck that are approximately 5mm in diameter and 2mm in height, it is essential to approach this matter with caution.

Firstly, it is advisable to start with a visit to a dermatologist. Dermatologists are specialists in skin conditions and are trained to evaluate moles for any signs of malignancy. During your consultation, the dermatologist will assess the moles visually and may perform a dermatoscopic examination, which allows for a more detailed view of the mole's structure. If there are any concerning features, such as asymmetry, irregular borders, multiple colors, or changes in size, the dermatologist may recommend a biopsy to determine whether the mole is benign or malignant.

If the dermatologist confirms that the moles are benign and there are no signs of skin cancer, you can then discuss removal options. Many dermatologists also perform cosmetic procedures, including mole removal, using techniques that minimize scarring. They can provide you with information on the best methods for removal, which may include excision, shave removal, or laser treatment, depending on the mole's characteristics and your skin type.

If your primary concern is cosmetic and you are looking for a more aesthetically pleasing result, you may also consider consulting a plastic surgeon. Plastic surgeons specialize in reconstructive and cosmetic procedures and can offer advanced techniques for mole removal that focus on minimizing scarring and achieving the best possible cosmetic outcome. They can also provide options for skin resurfacing or other procedures that may enhance the overall appearance of the area after mole removal.

In summary, the best approach is to start with a dermatologist to ensure that the moles are safe to remove. If they are benign and you are satisfied with their assessment, you can then decide whether to proceed with the removal through the dermatologist or seek a plastic surgeon for potentially more advanced cosmetic techniques.
Additionally, it is important to consider that any surgical procedure carries risks, including infection, scarring, and changes in pigmentation. Therefore, it is essential to discuss these risks with your healthcare provider and ensure that you have realistic expectations regarding the outcomes of the procedure.

In conclusion, begin with a dermatologist for an evaluation of your moles. If they are benign and you wish to proceed with removal for cosmetic reasons, you can then choose to work with either the dermatologist or a plastic surgeon based on your preferences and the complexity of the procedure. Always prioritize safety and thorough evaluation in your decision-making process.

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