Mole Excision: Key Questions Before Your Surgery - Dermatology

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When preparing for a mole excision surgery, it’s essential to have a clear understanding of the procedure and what to expect both before and after the surgery. Here are some key considerations and answers to your questions:
1. Will the mole grow back after excision?
After a mole is surgically removed, it is generally not expected to grow back if the entire mole, including its roots, is excised properly. However, there is a small chance that a portion of the mole could remain, leading to regrowth. If there are concerns about the mole being atypical or having any potential for malignancy, it might be wise to have a dermatologist evaluate it before the surgery. This evaluation can help determine if any additional tests or precautions are necessary.

2. Will the excision be covered by health insurance, and what are the costs?
Whether the procedure is covered by health insurance can depend on various factors, including the reason for the excision (e.g., cosmetic vs. medical necessity). If the mole is suspected to be cancerous or atypical, it is more likely to be covered. Costs can vary widely based on the facility, the complexity of the procedure, and whether anesthesia is required. It’s advisable to get a detailed estimate from the hospital or clinic, including any potential additional costs for pathology if the excised tissue is sent for examination.

3. What is the typical duration of the surgery and recovery?
Mole excision is usually a quick outpatient procedure, often taking about 30 minutes to an hour, depending on the size and location of the mole. Recovery from local anesthesia is typically swift, and you may be able to go home shortly after the procedure. The total time spent at the facility, including pre-operative preparations and post-operative monitoring, might be around 1-2 hours. It’s important to have someone available to assist you if needed, especially if you feel unsteady after the anesthesia.

4. Are there any special precautions to take before and after the surgery?
Generally, no fasting is required before the procedure if local anesthesia is used. However, it’s crucial to follow any specific instructions provided by your surgeon. Post-surgery, you should keep the area clean and dry, avoid sun exposure, and follow any wound care instructions provided. Given your history of keloid formation (蟹足腫), it’s important to monitor the surgical site for any abnormal healing and report any concerns to your doctor promptly.

5. Post-operative care and monitoring:
After the surgery, you should keep the incision site clean and dry. Avoid soaking the area in water (like swimming or baths) until it has fully healed. Watch for signs of infection, such as increased redness, swelling, or discharge. If you notice any unusual changes or if the area becomes painful, contact your healthcare provider. Additionally, since you have a history of allergies and immune issues, ensure that you communicate this to your healthcare team, as they may need to consider this in your post-operative care.

In summary, it’s essential to have open communication with your healthcare provider regarding any concerns or questions you may have about the procedure. Understanding the process, potential costs, and post-operative care will help you feel more prepared and at ease as you approach your mole excision surgery.