Many patients reach the decision that they would like to have a mole removed for personal or cosmetic reasons. At our clinics we are more than happy to consult with you regarding this and then perform a minor surgical procedure there and then if the Consultant is happy to do so – and of course if the patient is too.
Moles can be skin coloured, a mixture of skin and brown pigment, or brown containing hairs. Skin coloured moles can be safely removed from the skin by a technique called shave excision. This involves injection of a local anaesthetic followed by gentle shaving using a specialised blade called a Dermablade®. After 7-10 days of healing the skin gradually returns to normal skin colour. The Consultant team all have training in this technique and can provide good cosmetic results with rapid healing. Hairy moles and dark pigmented moles are better excised and stitched. We can provide advice on both of these techniques that are available at our clinics.
All of our clinics based around Sussex in Worthing, Brighton and Hove offer mole removal. More information about the procedure can be found below, but if you would like to book an appointment or if you have any further questions then please Contact Us to speak to a member of our team.
What should I consider when choosing a clinic for mole removal?
The most important factor to consider is whether the mole is clinically safe for removal. This comes down to the expertise of the Clinician performing the procedure and their expertise within Dermatology. All of our surgical procedures are performed by our specialist Dermatology Doctors. Most of our doctors also work in the NHS around Sussex and Surrey, where they regularly see and treat NHS patients with suspicious lesions and skin cancer.
Skin coloured moles are perfectly safe to remove and generally don’t require any further analysis once they have been appropriately diagnosed. However, moles which are not skin coloured or that contain pigment usually do require histopathology to rule out certain forms of skin-cancer. This requires an additional fee per mole to cover the cost of the laboratory analysis by a Consultant Histopathologist. If any Histopathology is required following your surgery, we will write to you and your doctor to confirm the results and to reassure you. Sending specimens off for histology is part of our standard practice at the clinic.
Types of Moles
Skin Coloured Moles (Intra-Dermal Naevi)
Skin coloured moles can usually be safely removed with an excellent cosmetic outcome, because the skin cells are superficial and there is a minimal risk of pigment returning.
Pigmented or Hairy Moles (Compound Naevi)
Pigmented moles may be flat, raised or hairy. They are far more difficult to treat because the skin cells are deeper in the skin and unless the cells are removed completely they can reoccur or scar. The only effective way to treat these types of moles is surgical excision with stitches or methods that cause scarring of the skin. The cosmetic outcome is far more variable and it is important not to commit to treatment unless the clinical results can produce a scar that is better than the original mole. This can be difficult to achieve even with state-of-the-art surgical equipment or lasers, but our doctors will be able to discuss the potential outcomes with you during your consultation to decide if the mole is clinically appropriate to remove or not.
Cosmetic Result and Removal Techniques Used
Skin coloured moles can be carefully shaved from the surface of the skin using a procedure called a shave excision. After a small injection of local anaesthetic, our doctor will carefully shave off the mole level to the skin surface using specialised surgical curved razor blade called a Dermablade. She will then seal the skin surface using a radiofrequency cautery device called a Hyfrecator or a drying chemical called Driclor. The resulting wound is similar to a graze and will heal in the vast majority of cases to give an excellent cosmetic result. Our doctors are highly experienced at performing this procedure and most patients are extremely pleased with the results. Laboratory analysis is generally not required for skin coloured moles, but if your mole is pigmented or if the doctor feels it is appropriate then we may need to send it for analysis, which would incur and additional fee.
Pigmented or hairy moles are generally more difficult to remove and require surgical excision with stitches. This is performed under local anaesthetic by our specialist doctors, who will surgically excise the mole. Once excised, the moles generally require laboratory analysis by a Consultant Histopathologist to confirm the diagnosis, and this is typically included within the fee. Our doctors are both highly experienced at diagnosing skin lesions and regularly manage patients with skin cancer within the NHS as part of the Medical Clinics Group.
Risk of Side-Effects
Mole removal by Shave Excision is generally a very safe procedure and any side-effects are usually temporary. Over 90% of shaved moles heal with few complications. Potential side-effects may include a white scar at the site of surgery, brown pigmentation at the base of the mole, and regrowth of the mole. Up to 5% will regrow and may require further surgery longer-term. Results are generally better with smaller moles that are skin coloured with no pigment. Very rarely a raised scar may develop called a hypertrophic or a keloid scar. The risk on the face is extremely low. On the trunk or the shoulder, the risk may increased to 1 in 500 cases treated. We are always happy to review patients if they have any concerns post-treatment.
How long does it take to heal?
The Hyfrecater seals surface blood vessels and this leaves a wound that is similar to a graze. The wound will typically take 7-10 days to heal and may be red for a few weeks before leaving normal skin or occasionally small white flat mark. The skin may ooze or be sore immediately following the procedure, but most patients can return to work on the same day.
Does the procedure hurt?
Patients may feel some slight discomfort from the initial local anaesthetic injection, but the procedure itself is painless and quick, usually taking less than twenty minutes to complete. Afterwards the wound may be sore for 7-10 days whilst it heals so we recommend that you apply Vaseline to the wound to keep it moist 3-4 time daily and avoid picking any scabs.
How many moles can be removed a the time of the procedure?
Many patients have multiple facial moles and it is possible to treat several at a time. However, it can sometimes be preferable to remove one or just a small number of moles to assess your individual wound healing.
Is mole removal permanent?
The vast majority of moles treated by shave excision will result in an excellent scar and only 3-5% of moles will re-grow longer-term. If re-growth does occur then it will usually take several years, however occasionally this re-growth can occur earlier.
Can this procedure be performed on the NHS?
The removal of moles and skin-tags is not available in the NHS for most patients since the procedure is considered purely cosmetic. Only moles and skin-tags which have suspicious features or are likely to be cancerous are removed under the national health system in the UK. If you have any concerns regarding your moles then it is important to get it checked out by a doctor immediately, particularly if you notice any changes in shape, size, border or colour.
How safe is it to remove moles?
There is no risk of skin cancer in moles that are removed by shave excision for cosmetic purposes. Our doctors are both highly experienced and have with specialist training in Dermatology. If during your examination one or more of your moles is found to be suspicious then we will be able to advise you regarding the lesion and can arrange an appointment with a Consultant Dermatologist for removal.
What to expect…
Having a mole removed can be a bit daunting for many patients, but there really isn’t anything to worry about as the procedure is very quick and the majority of patients are delighted with the final result.
All you need to do is to pickup the phone and Contact Us to book an appointment with our doctor. Then on the day of your visit you will have a consultation with the doctor who will be able to examine your moles for you, explain the procedure in detail and discuss all the potential side-effects and results with you. Then, if you are happy to go ahead the procedure you simply have a quick injection of local anaesthetic to numb the area and our doctor will perform the excision. You will typically be walking out of the clinic within 20-30 minutes and will leave with an aftercare advice sheet to give you advice on how to look after your wound until it heals, but if you have any questions following treatment then you can always phone the clinic for advice.
How much does it cost?
We specialise in the treatment of patients with multiple lesions and offer extremely competitive rates compared to private hospitals. The typical cost of skin-tag removal is dependent on the number of skin tags removed. The typical cost of mole removal varies depending on the colour of the moles and the need for laboratory analysis. There are two types of procedure which we use for mole removal, shave or surgical excision.
Skin coloured Moles
A shave excision is usually performed on skin-coloured moles. We use a sharp razor blade to shave the moles off in a quick procedure, additional moles can be removed during one appointment for a reduced price if you are self-funding. Please be aware that if any moles are pigmented then an additional histopathology fee will be required to cover the cost of laboratory analysis by a Consultant Histopathologist.
Pigmented moles may require removal by surgical or shave excision. Following removal, the mole will need to be examined in a laboratory by a Consultant Histopathologist. The prices for surgical excision includes a histopathology fee, as we send all of our pigmented moles off for laboratory analysis to confirm their benign nature. Additional moles can be removed during one appointment for a reduced price per mole removed however this may occur an additional histopathology free for self-funding patients.