Surgical excision is touted as the best mole removal procedure & highly recommended when you have a mole that is deep-rooted, or skin tag or a tumor. In the surgical procedure, horizontal cuts are made to excise the unwanted skin growth. In case your dermatologist suspects the growth as cancerous they will recommend sending the excised growth to a laboratory first for testing and histological examination.
The surgical procedure is safe and is performed under a good dose of local anesthesia causing the person to feel very little or no pain. Very simple tools are used such as razor for excising the growth and electrode feather, which seals off any open capillaries. The wound is sealed up with stitches.
Surgical excision mole removal is performed in three different ways: punch biopsy, shave excision, and excisional surgery. In the punch biopsy method, a special device is employed skillfully to extract out a cylinder-shaped piece of skin. The technique is mostly used for small sized moles.
Shave excision is majorly employed for a mole that is raised above the skin. In this procedure, a local anesthetic is applied, and then the surgeon proceeds to shave down the surface of the mole with a scalpel. Excisional surgery is a very special procedure that is applied on moles which are either malignant or flat.
Flat moles are very difficult to remove. Similarly, malignant moles harbor the chances of becoming metastatic. In this procedure, the surgeon cuts out the mole completely and closes the wound with stitches.
A couple of videos we found on YouTube that clearly demonstrates how a surgical excision is performed.
Punch excision mole removal
Surgical excision with stitches
Possibility of scar and Healing Time
At the end of shave excision of moles, the laser treated area is exposed to electrosurgical feathering that is precisely used to seal off nicked capillaries, if any, to prevent any further bleeding. Electrosurgical feathering also helps in preventing scarring as it blends the edges of the wound with your surrounding skin, and removes any unwanted cells. Alternatively, aluminum chloride hexahydrate is also applied is stop blood leaking from any wounds post the completion of the procedure.
Immediately after surgery, the excision site must be kept dry for 24 hours. After excision mole removal surgery it is advised to not expose the excision site to direct sunlight as it slows down the healing process. Moreover, sunburns will work to exacerbate the scar and darken it permanently.
The scar should be allowed to dry. Also, the doctor’s recommendation on aftercare procedures must be followed such as applying antibiotic ointment to promote fast wound healing or changing bandage after regular intervals to keep the wound dry or using a sterile bandage to cover the wound and protect it from rubbing against clothes. The aftercare procedure is designed to lower the risk of infection and promote quicker healing.
In some instances, doctors do recommend painkillers such as acetaminophen or ibuprofen. With surgical methods of mole removal, the healing process can be slow. In such instances, it is important to apply silicone gel or petroleum-based ointments topically.
What types of moles is it used for?
Surgical excision is mostly done on raised moles, moles with deep roots or any other mole that is suspected cancerous.
1. Surgical excision is by far the best mole removal procedure for deep-rooted, flat or raised moles that are suspected melanoma. No other procedure including laser mole removal method is effective in removing raised or deep-rooted moles.
2. It is the only procedure that is effective for removing a variety of skin lesions such as skin tags, warts, tumors, benign and malignant moles.
1. Although shave removal is less invasive, a full-thickness skin excision requires sutures or stitches that leaves the possibility of a deep scar. On the other hand, shave excision produces a less noticeable scar.
2. Infection, however, rare is caused by negligence in performing aftercare procedures.
3. Re-growth of tumor in shave procedure if possible, the chances are rare. In such cases consult the best surgeons.
Shave mole removal is mostly performed on superficial or flat moles. It is less invasive and thus less expensive. It costs in the range of $150-250. Excisional surgery is more invasive, used to treat large and deep moles. Depending on the complexity of procedure which is determined by the size and location of the mole the cost can vary between $200 to $450. Here’s a detailed article on other mole removal procedures and their subsequent cost.
Surgical procedures ability to remove a mole completely with absolutely zero chances of coming back is what makes it the best & most recommended mole removal procedure. And working with a skilled medical expert can ensure minimal scarring and best healing results.
Image Source: Auroraclinics Youtube Channel