Birthmarks

 

 

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The most common aesthetic procedure

It usually involves benign, small or large, pigmented or non-pigmented spots or pimples. A mole in the face can be attractive, like the tache de beauté, but can also be in the way and give a stern look on the face. Removal of a mole under local anesthesia is the most commonly performed and smallest cosmetic surgery procedure, but it often has surprising results.

1. Moles, birthmarks and neavi

Moles are actually birthmarks without pigment. The medical term for a mole with or without pigment is neavus. Usually they are there for many years and do not change. A mole can grow, itch and bleed, or appear in a few months up to a year. There is the possibility of skin cancer and in this case the physician will refer you to the dermatologist or plastic surgeon.

In my practice I evaluate moles or pimples carefully beforehand. In case of an irritated skin or suspected skin cancer I will treat accordingly by the applicable rules. 

A lipoma or exostosis on the forehead I will remove by applying an endoscopical forehead lift.

2. The treatment

There are several ways to remove moles and pimples without or with minimal scarring: shaving, punching, cutting and laser. I will shave if possible, or use cutting and stitching if the scar can be placed in one of the natural lines of the face. If the mole or pimple is suspicious for skin cancer it will be cut with a margin all around, it will then be checked microscopically. 

3. After the treatment

Shaving requires no sutures. A scrape is made, that will form a scab, which falls off after one to two weeks. The remaining pink spot then needs a few months to color to the normal skin tone. For procedures where I do use sutures, these should be removed after one week. The final result will show a few months later.

Dr. Erik J.F. Timmenga