Clear Skin and Hair Laser Center

Mole Removal

Mole Removal

Moles are growth on the skin that is usually pink, tan, brown, or black moles can appear anywhere on the skin or alone or in groups. Most moles appear in early childhood and during the first 30 years of a person’s life.

Moles occur when melanocytes in the skin grow in a cluster instead of being spread throughout the skin sun exposure in childhood causes an increase in the number of moles. Most adults have 10 to 40 moles.

Genetic predisposition and abnormal exposure to the sun play an important role. Hormonal changes during puberty and pregnant women can provoke melanocyte to develop moles.

Most moles are harmless, but in rare cases they become cancerous. However, monitoring of the existing moles and sudden multiple new eruptions is an important step detecting skin cancer, called malignant melanoma.

Most moles do not require treatment except for those cosmetically undesired, but in some cases require removal of the mole.

DO’s and Don’ts for moles with higher risk groups:

DO
DON'T
Do use water-proof sunscreen with SPF 50+
Do not overexpose to sun between 9 am to 4 pm
Do use physical sun protection using wide-brimmed hats and protective clothing
Do not get tanned
Do regular examination of existing mole once in 4 months
Do not get the skin burns
Do stay in shade or indoor as  you ages
Do not go to parlor for UV tanning
Do monitor the sun un-exposed area once in month
Do not ignore the change in color, height, size or shape of the mole
Do consult dermatologist if sudden and multiple new eruptions of moles appear
Do not ignore if the moles tend to itch or become tender

Types of Moles

Congenital mole Congenital moles are present at birth and are caused by melanocyte cells in the dermis-epidermis. These moles vary in size from small, medium, or giant. The giant congenital mole can turn cancerous as they ages to adult life.

•Acquired mole or Common mole

Acquired moles are those that you develop later in life. Most of these are brown to dark brown and are found in people regularly exposed to the sun. These are dome-shaped smooth, pigmented with a distinct shape, and 3-6 mm in diameter. These moles are less likely or not likely to turn into cancer. Mostly they develop lighter skin since they have lower levels of melanin.

Acquired moles or nevi are further differentiated depending on the location of involvement:

Junctional Melanocytic Nevi: Here the melanocytes accumulate or proliferate between the epidermis and dermis to form these moles. They are raised, uniformly pigmented with a diameter of 2-6mm, and have regular borders.

Compound Nevi: Here the melanocyte proliferates in the epidermis and migrates into the dermis with the maturation of the cells in the deep dermis. They are round or oval with slightly raised in the central part and have flattened distinct borders.  

Intradermal Nevi: They are located in the dermis and proliferate in deeper skin; hence they are not as pigmented as junctional or compound nevi. They are formed as we age and are flesh-colored, dome-shaped papule or nodule.

•Atypical mole: also called a dysplastic nevus. Atypical moles are often odd or irregular shapes, larger than a pencil end or eraser, and appear blurry with mixed color (brown, red, and pink). They are either raised or flat and look like melanoma. However, it is not melanoma but has a higher risk of forming melanoma or cancer. They can appear anywhere on the body, often seen on the trunk. Higher risk of getting melanoma with atypical mole:

· Four or more atypical moles.

· History of having melanoma

· First-degree relative or parents having melanoma ( brother, sister, or child) 

Mole removal treatments performed in our Clear skin laser centre are:

1. Surgical Excision is done to remove the congenital nevi or larger nevi which requires closure of the wound.

2. Surgical shave with a sterile blade to remove superficial nevi like junctional nevi.

3. Radiosurgery by Ellman is the best and reasonable price treatment to remove the mole and is done by reputed skin professionals.

Laser mole removal includes:

1. Co2 & Er.YAG Lasers is performed to remove the compound or intradermal nevi

2. Q Switch Nd-YAG Laser can be performed to remove tiny and superficial moles like junctional nevi

As most of the time moles do not require skin biopsy and or removal.

Intervention treatment either skin biopsy or removal of a mole is required for the following conditions:

· Cosmetic undesired normal moles can be removed with the biopsy punch or surgical excision or radiofrequency device or CO2 laser.

· Suspicious (could be skin cancer) like abnormal or atypical moles are not malignant, and may or may not need to be removed. If removed, proper stitches to be done and regular check-ups are required.

· Malignant moles or melanoma: These are cancerous moles and must be removed immediately. Surgical excision has to be performed. 

· Regular examination of moles and sun-exposed skin on a monthly or quarter yearly basis, as of risk factors.

· Avoid suntan parlor 

To Prevent Rather Than Cure

· Using sunscreens with SPF 50

· Using wide-brimmed hats

· Using sun-protective clothing (shirts, long sleeves, long pants)

· Avoiding overexposure to the sun from 10 a.m. to 4 p.m

· Seeking shade and staying indoors as age increases

· Monitor your moles by examining your skin carefully, including areas of skin not exposed to the sun, on a monthly basis

· Avoid tanning and do not use UV tanning booths

· Avoid burning

Risk factors of moles;

· Moles that are likely to be cancerous are those that look different than other existing moles or those that first appear after age 30. Change moles color, height, size, or shape noticed.

· They may also bleed, ooze, itch, or become tender or painful.

Everything you need to know about Mole

Types of Moles

•Congenital mole

Congenital moles are present at birth and are caused by melanocyte cells in the dermis-epidermis. These moles vary in size from small, medium, or giant. The giant congenital mole can turn cancerous as they ages to adult life.

•Acquired mole or Common mole

Acquired moles are those that you develop later in life. Most of these are brown to dark brown and are found in people regularly exposed to the sun. These are dome-shaped smooth, pigmented with a distinct shape, and 3-6 mm in diameter. These moles are less likely or not likely to turn into cancer. Mostly they develop lighter skin since they have lower levels of melanin.

Acquired moles or nevi are further differentiated depending on the location of involvement:

Junctional Melanocytic Nevi: Here the melanocytes accumulate or proliferate between the epidermis and dermis to form these moles. They are raised, uniformly pigmented with a diameter of 2-6mm, and have regular borders.

Compound Nevi: Here the melanocyte proliferates in the epidermis and migrates into the dermis with the maturation of the cells in the deep dermis. They are round or oval with slightly raised in the central part and have flattened distinct borders.  

Intradermal Nevi: They are located in the dermis and proliferate in deeper skin; hence they are not as pigmented as junctional or compound nevi. They are formed as we age and are flesh-colored, dome-shaped papule or nodule.

•Atypical mole: also called a dysplastic nevus. Atypical moles are often odd or irregular shapes, larger than a pencil end or eraser, and appear blurry with mixed color (brown, red, and pink). They are either raised or flat and look like melanoma. However, it is not melanoma but has a higher risk of forming melanoma or cancer. They can appear anywhere on the body, often seen on the trunk. Higher risk of getting melanoma with atypical mole:

· Four or more atypical moles.

· History of having melanoma

· First-degree relative or parents having melanoma ( brother, sister, or child) 

Let us know how to differentiate a ‘regular mole’ from an irregular mole or dysplastic or cancerous mole.

             
            Regular mole or Benign mole                                                
Dysplastic or Cancerous mole
Appear  anywhere on your skin & below age of 20
Appear anywhere on your skin, preferably trunk & after 30
Smooth surface and  asymptomatic
Associated with itch or ooze or pain
Dark brown or black  
Mixed color - brown, red and pink.
Symmetrical in shape
Asymmetric shape
Regular Border and or distinct
Irregular border or ill-defined border
Evenly pigmented
Uneven pigmentation
Size 2-6mm
Size exceeding 6mm
Darken during puberty, pregnancy or with time
Evolving or change in shape, size, surface and color
Usually harmless & does not require removal, except cosmetic desire to remove       
Careful monitoring and need an early intervention to remove

The above table clearly differentiates the malignant change in a mole and a need for a doctor visit. Most moles are benign and harmless. Older people have a higher risk. Unusual changes in a mole or pigmented spots as ages into adulthood need for a check-up or doctor visit.

The main risk factor with a mole is Melanoma, a type of skin cancer developing from a mole.

Let us know a few high risks of getting melanoma in a mole are:

· Congenital mole: Born with large size mole > 5 cms, could potentially turn cancerous as the child ages in early adulthood.

· Atypical or dysplastic nevi or irregular mole: Having unusual-looking moles with a dark brown center and lighter uneven borders and even called ‘halo moles’ due to its characteristic appearance. Few types of atypical moles are genetically predisposed to form melanoma

· Large number of moles: Having more than 50 regular moles on your body or 20 moles on their arms, are prone to develop malignant melanoma and must take preventive measures. The higher numbers of moles in a woman have a direct link with the risk of breast cancer.

However, people born with several moles or unusual looking moles or large mole at birth have a higher risk of melanoma.

Let us know a few of the preventive measures in higher-risk groups:

· Sun protection: 

Physical by using wide-brimmed hats, and protective clothing (long sleeves or pants) 

Chemical by using water-proof sunscreens with SPF 50+ 

· Avoid overexposure to the sun between 9 a.m. to 4 p.m. 

· Regular examination of moles and sun-exposed skin on a monthly or quarter yearly basis, as of risk factors.

· Avoid suntan parlor 

Intervention treatment either skin biopsy or removal of a mole is required for the following conditions:

Most moles do not require skin biopsy and or removal.

·Cosmetic undesired normal moles can be removed with the biopsy punch or surgical excision or radiofrequency device or CO2 laser.

·Suspicious (could be skin cancer) like abnormal or atypical moles are not malignant, and may or may not need to be removed. If removed, proper stitches to be done and regular check-ups are required.

·Malignant moles or melanoma: These are cancerous moles and must be removed immediately. Surgical excision has to be performed.

 

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