MOLE REMOVAL

Mole or Melanocytic nevus is due to extra collection of melanin pigment at a spot. Normally melanocytes are the cells which secrete Melanin that is responsible for normal pigmentation of our body.

Mole is formed when melanocytes secrete extra melanin therefore giving it dark black/brown colour.

A simple rule of ABCD can tell you a lot about the Mole.

A : Assymetry of Mole.

If the pre-existing mole has become assymetric or if there is any recent change in shape.

B : Border

Border can be raised or irregular in case of melanoma/skin cancer.

C: Colour of Mole

If it has changed or you can identify 2 or 3 more shades in an earlier normal looking mole.

D: Diameter.

If there is any recent or rapid increase in diameter of mole then it can help in early diagnosis.

• ABCD can help in early detection and you should see your doctor who will take your complete history and do a proper physical examination.
• UV rays or Sun exposure is directly linked to skin cancer but there are multiple factors which a doctor can ask in clinical history.
• Biopsy is the proven method to diagnose clinical nature pf Mole/ Melanocytic Nevi.

Biopsy can be done in 3 different ways:

1. Shave Biopsy: A razor blade is used to shave it off and mole is sent for histopathology.
2. Punch Biopsy: A small tool is used to punch out the mole.
3. Excision biopsy: Mole is excised or cut with blade and the site is closed with stitches to heal.

Gold standard is Excision biopsy as it accurately tells you about character and depth of Mole and whether it’s cancerous or not.

Excision biopsy is a highly specialized procedure as it is important to remove the right extent of mole along with giving a cosmetically pleasing scar that hides well and is not visible with time.

• An elliptical incision is marked around the mole in the direction of skin lines to make the scar imperceptible.
• Fine stitches are used which are removed in 5-6 days.

Not every mole needs to be excised.

After thorough clinical examination, plastic surgeon suggests all the options.

Some of the other non-surgical options are Laser treatment and Plasma Pen which is gaining popularity nowadays.

Plasma Pen is the latest technology that converts Plasma energy into electrical energy.

It is a handheld device that is used to cause micro burns on mole under high magnification so that surrounding tissue is protected.

A scab is formed, which is shed off after 4-5 days.

• There might be swelling in initial 2-3 days which subsides completely in a week.
• In case of excision, stitches are removed on 5th or 6th day.
• Laser or Plasma Pen might require 2-3 sessions spaced 3 weeks apart as it depends on the depth of mole.

• Scar is well hidden under natural creases and it heals well over time.
• You are prescribed Scar treatment Protocol after stitches are removed.
• In case of laser and Plasma pen generally there is no visible scar.

Though Mole excision is simple and straightforward procedure. There can be complications if done by untrained person.

Scar, Stitch line infection, Hematoma, Normal tissue burn, Post inflammatory Hyperpigmentation are some of the complications that can occur.