Surgical Excision of a Mole
A surgical excision of a mole cuts out the mole down to the subcutaneous fat to remove the lesion in its entirety. With larger moles that are more than 8mm in diameter, the excision may be extended into a more elliptical shape to ensure a seamless closure.
The SkinnySurgical Excision of a Mole
- avg. recovery
About the Procedure
A surgical excision of a mole, also called a “full-thickness excision", removes unwanted growths down to the subcutaneous fat. By removing the mole from deep within the skin, the growth should to return and be permanently removed. While a punch excision also removes moles down to the subcutaneous fat, the cylindrical tool used cuts out portions of the skin into perfect circles and is only suitable for growths smaller than 8mm. If a punch excision was used for a growth larger than 8mm, issues with closure become more apparent with the circular shape of the cut not allowing for good alignment, creating excess skin when sutured. A surgical excision of a mole typically only requires a local anesthetic. Once the area is thoroughly cleansed and numbed, the unwanted growth will be removed down to the subcutaneous fat. The incision will be closed with sutures and covered with a protective bandage.
The goal of a surgical excision of a mole is to remove benign-appearing moles.
What to Expect
The only guaranteed method of permanently removing a mole is by surgical excision. This technique is usually reserved for larger moles, greater than 8mm in diameter. Here is a quick guide for what to expect before, during, and after a surgical excision of a mole.
- No extensive preparation
- Wear SPF daily and avoid sun exposure
A surgical excision of a mole typically only requires a local anesthetic. Once the area is thoroughly cleansed and numbed, the unwanted growth will be removed down to the subcutaneous fat. The incision will be closed with sutures and covered with a protective bandage.
Most patients are comfortable in public as soon as 5-7 days after a surgical removal of a facial mole. The affected area will likely be red and slightly raised for 1-2 months. Avoid sun exposure for 1 year to ensure optimal scar healing as well as wear a broad spectrum SPF daily.
The ideal candidate for surgical mole excision wants to remove a benign appearing mole that is larger than 8mm.
Not Recommended For
Surgical excision of a mole is not recommended for patients with suspicious moles who have not consulted with a dermatologist to determine if the mole is cancerous.
Side effects of a surgical excision of a mole are minimal and may include redness, swelling, and a potential scar. Improper care postoperatively could also cause an infection in the treated area.