Welcome Back! For this week’s blog topic on ‘Non-Laser procedures to remove mole’ we will be discussing the Shave Excision procedure, which is quite a simple procedure done not only to remove the moles, but other unwanted skin-growths (tumors and lesions) as well. However, here in this blog we will only concentrate on mole removal. The mole removal is done with a sharp razor, which is then soothed with an ointment (usually antibiotic) to quicken the healing process. At times an electrode is utilized to clean the edges so as to make the procedure scar-less.
The procedure is generally performed with local anesthesia, which makes it completely pain-less. After the procedure, the dermatologist will send the growth to a laboratory to figure out the nature of the growth (malignant or benign).
How Is a Shave Excision Performed?
As mentioned above, the Shave excision is done under local anesthesia that guarantees patient’s comfort and that he/she will not feel any pain during the procedure.
Generally the procedure remains same for small or big moles, which include –
- Injecting the area with an anesthetic or numbing medicine. The injected analgesic assists with the procedure on the grounds that the sedative causes the mole to rise above the skin level, making the removal a bit easy.
- Cutting the growth off with a sharp razor by making multiple even cuts. The patient may feel a pushing sensation during this, yet will not feel pain.
- Performing electrosurgical feathering, done by utilizing an electrode (small dermal loop) to smooth (feather) the edges of the wound. Electrosurgical feathering helps expel the residual mole cells. It additionally minimizes scarring (blending the wound edges with the surrounding skin).
- Applying chemical (generally aluminum chloride hexa-hydrate) to stop the bleeding episode.
- Cleaning the wound and applying anti-biotic ointment for safeguarding the wound from infection and faster healing.
- Last step is covering the area with a bandage (sterilized).
The patient may have a burning sensation or discomfort at the place of mole for which the dermatologists prescribe pain-killers. Another important thing is ‘scarring’. The scar will be red for a couple of weeks, yet it will get lighter with time. Be patient as healing will take time.
The patient should apply any one of the following to lighten the scar –
- Topical silicone gel or sheets
- Petroleum-based ointments
- Vitamin A cream
It is important that the wound is protected against the direct sunlight, as sunburn can permanently damage or darken the wound.
Call your dermatologist if there is excessive scarring (scarring that is hard, dome-shaped or raised).