If it is a raised “mole” that you have had for a long time, unchanged, then it may be a benign melanocytic nevus best managed by shave biopsy and hyfrecation to base. This will give you a tissue diagnosis and will leave the mole site with a flat white round mark that, at worst, looks like an acne scar rather than an excisional scar. No stitches! And, at best, it is utterly invisible once fully healed.
Of course, this means the “roots” of the lesion, if you like, are still there, but this is inconsequential once we know the tissue diagnosis is benign.
This approach is quick, cheap, safe, and leaves a better scar than any formal full-thickness surgical excision no matter who would perform the latter.
If, of course, the tissue biopsy result is something else, you've lost nothing by having the rest of the lesion excised in the formal way a week or two after the initial shave biopsy.
All sorts of facial skin lesions get called “moles”. For all I know you might have a seborrheic keratosis, a keratoacanthoma, a lentigo, a syringoma, a pore of Winer, or a melanoma.
I've had patients call each of these a “mole” at one point or another.
So, you first need a diagnosis of your particular “mole”, and that will come, definitively, in the sending of the removed lesion to the path lab for microscopic examination.
And, ideally, your doctor would have a range of treatment strategies at his or her disposal in order that any lesion is treated optimally.
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