Day of mole excision

Overview

A mole excision is a minor surgical procedure to remove a mole from your skin. It is usually done to check if a mole is cancerous or for cosmetic reasons. The day of the procedure involves a simple in-office visit.

Yes, mole excisions are very common. Many people have moles removed each year for medical or cosmetic reasons.

It affects anyone with a mole that needs to be checked – typically adults, but sometimes children and older adults as well. People with many moles or a family history of skin cancer are more likely to need one.

Symptoms

Common symptoms

• The mole itself – it may be raised, flat, dark, or irregular in shape.
• When a mole is suspicious, your doctor may recommend removing it even if it doesn’t cause any symptoms.

Symptoms in children

• Children rarely need mole excision, but if a mole changes in size, colour, or shape, a doctor may suggest removal.

Symptoms in older adults

• Older adults may have moles that change over time. Any new or changing mole should be checked.

Causes

Main causes

• A mole is removed because it looks suspicious for skin cancer (melanoma or other skin cancers).
• Some people choose removal for cosmetic reasons if the mole is bothersome or easily irritated.

Risk factors

• Having many moles, especially atypical or irregular ones.
• Family or personal history of skin cancer.
• Excessive sun exposure or sunburns in the past.

When to see a doctor

See a doctor urgently if:

• If your mole changes in size, shape, or colour suddenly.
• If the mole becomes painful, bleeds, or itches persistently.

Book a routine appointment if:

• If you notice a new mole that looks different from others (the ‘ugly duckling’ sign).
• If you want a mole removed for cosmetic reasons – schedule a routine appointment.

Diagnosis

Your doctor will examine the mole carefully, often using a special magnifying tool called a dermatoscope. If the mole looks suspicious, they may recommend removing it.

Tests that may be done

• A skin biopsy – the removed mole is sent to a lab to be checked under a microscope.

What to expect at your appointment

During the procedure, the area is numbed with a small injection. The doctor cuts out the mole and a small border of healthy skin, then closes the wound with stitches. You will feel no pain, only pressure. The whole thing usually takes about 20 minutes.

Treatment

The main treatment is the excision itself. After the mole is removed, the wound is closed and heals over a few weeks. No other treatment is typically needed.

Self-care at home

• Keep the wound clean and dry for the first 24 to 48 hours.
• Follow your doctor’s instructions on caring for the stitches.
• Do not pick at the scab or stitches – let them fall out on their own.
• Avoid swimming or soaking the wound until it heals.

Medical treatments

If the lab results show the mole is cancerous, your doctor will discuss further treatment options. This may include a wider excision (removing more skin around the area) or other therapies. No specific drugs are mentioned here; follow your doctor’s advice.

When is surgery considered?

The mole excision itself is the surgical procedure. For most people, this is done once. If the mole is cancerous, a second surgery might be needed to remove a wider area.

Living with this condition

After excision, you will have a small wound. Most people can return to normal activities the next day, but avoid heavy lifting or strenuous exercise until the stitches are out.

Lifestyle tips

• Protect your skin from the sun to prevent new suspicious moles.
• Check your skin regularly for any changes in moles.
• Wear sunscreen and protective clothing when outdoors.

Diet and exercise

A balanced diet rich in fruits and vegetables can help your skin heal. Gentle exercise like walking is fine, but avoid activities that stretch the wound area until it heals.

Mental health and emotional wellbeing

Waiting for lab results can be stressful. It is normal to feel anxious. Talk to family or friends, or ask your doctor for support resources. Remember, most moles are benign (not cancer).

Prevention

Most moles cannot be prevented, but you can reduce your risk of skin cancer by protecting your skin from too much sun. Avoid sunbeds and sunburns.

Screening programmes

Regular skin checks by a doctor are recommended, especially if you have many moles or a family history of skin cancer. Check your own skin monthly for any changes.

Complications

If left untreated

• If a suspicious mole is left untreated, it could be a skin cancer that may grow and spread. That is why removal is important.
• Infection, scarring, or bleeding after the procedure – these are usually mild and treated easily.

Long-term outlook

The outlook is very good. Most moles are harmless. If the mole is cancerous, early removal often cures it. With proper care, the wound heals well, and scarring fades over time.

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