How is Mole Removal Done?

Dr. Parvin Shafa | September 22, 2025

Thinking about getting a mole removed but not sure what you’re signing up for? You’re not alone. Whether it’s a mole that’s changed recently or one that just bugs you every time you look in the mirror, knowing what actually happens during removal can ease your nerves.

Here’s the real deal on mole removal – no scary medical terms, just what you need to know.

Why People Remove Moles

Some moles need to go for health reasons, others are just annoying. Here’s when removal makes sense:

Medical red flags:

The mole changed size, shape, or color
It bleeds, itches, or hurts
Irregular edges or multiple colors
Your doctor thinks it looks suspicious

Personal reasons:

It’s ugly and you hate it
Clothing or jewelry catches on it
Gets nicked when shaving
Just tired of looking at it

The important thing? Let a dermatologist check it first. They can tell if it’s something to worry about or just a cosmetic annoyance.

The Three Ways Dermatologists Remove Moles

Shave Removal (Most Popular)

This is what most people get for raised moles that look normal:

Doctor numbs the spot with a shot
Uses a scalpel to shave the mole off flush with your skin
Stops any bleeding
Bandages it up – no stitches needed

Heals like a scraped knee. Takes about 2 weeks.

Full Surgical Removal

For suspicious moles or flat ones, they cut deeper:

Area gets numbed
Scalpel removes the whole mole plus some normal skin around it
Needs stitches to close
Tissue goes to the lab for testing

Takes longer to heal (2-4 weeks) but gives doctors the whole mole to examine.

Punch Removal

Uses a circular punch tool to cut out small moles. Less common but sometimes perfect for tiny spots that need testing.

What Actually Happens During Your Visit

Before:

Doctor looks at your mole under a magnifying light
Explains what method they’ll use and why
Cleans the area

During:

Quick shot to numb it (honestly, this is the worst part)
Actual removal usually takes just a few minutes
They stop any bleeding and bandage you up

After:

Instructions for taking care of it
Follow-up appointment if you got stitches
Results from the lab in about a week if needed

Most people are in and out in 30 minutes.

Healing: The Real Timeline

First Few Days

Keep it clean and dry for 24-48 hours. Some soreness is normal – take Tylenol if you need it.

Week 1-2

Wash gently with soap and water. You might have soreness for up to 4 days. If you got stitches, they come out around day 10-14.

Week 2-4

Most mole removal sites heal in 2-3 weeks. The spot might look pink or darker than your normal skin – that’s temporary.

Months Later

Scar tissue continues to mature and can take months to fully flatten and fade. Most scars become barely noticeable with time.

Taking Care of Your Spot

Keep it simple:

Keep original bandage on for at least 24 hours
After that, wash with mild soap and water daily
Keep it moist with Vaseline or prescribed ointment
Protect from sun exposure

Don’t:

Pick at it or scratch
Soak in baths or pools until healed
Use harsh stuff like peroxide

Will You Have a Scar?

Yes, but probably not as bad as you think. The scar depends on:

Where the mole was (joints and areas that stretch scar more)
How deep they had to cut
Your genetics (some people just scar better)
How well you follow aftercare instructions

Most scars fade dramatically over the first year. Many patients forget where their mole even was.

When to Call Your Doctor

Problems are rare, but call if you see:

Redness spreading beyond the bandaged area
Pus or weird discharge
Red streaks going up your arm or leg
Fever
Wound edges pulling apart

What About Cost?

Insurance usually covers removal when there’s a medical reason – like the mole changed or looks suspicious. For purely cosmetic removal, you’ll pay out of pocket.

Shave removal costs less than surgical removal because it’s quicker and doesn’t need lab testing. Many practices offer package deals if you’re removing multiple moles.

The Bottom Line

Mole removal is routine stuff for dermatologists. The process is safe, effective, and virtually painless. Most people wish they’d done it sooner.

The key is picking an experienced dermatologist who does lots of these procedures. They’ll recommend the right method for your specific mole and situation.

Get That Mole Checked

Stop wondering and start doing something about that mole that’s been bothering you. Whether you’re worried it might be dangerous or just sick of looking at it, we can help.

At Irvine Skin, we remove moles every single day. Our dermatologists will examine your mole, explain your options, and most procedures can be done the same day as your consultation.

Ready to get rid of that mole? Contact us today to schedule your evaluation. We’ll give you straight answers about what needs to be done and what to expect.

Call +1(949) 551-1113 or send us a message to get started. Don’t let a mole keep bothering you when the solution is this straightforward.

FAQs

Q. Which laser is used for mole removal?

Ans – Advanced lasers are often used for cosmetic mole removal when the mole is small, flat, and non-cancerous. The choice of laser depends on factors such as the depth of the mole and the individual’s skin type. Commonly, CO₂ lasers and Er:YAG lasers are considered effective options. However, it is always important to have a medical evaluation first to confirm that the mole is safe for laser removal.

Q. Which mole removal method is the best?

Ans – There is no single “best” method; it depends on the mole. For raised moles, shaving or cautery works well. For deeper moles, surgical excision may be needed. For flat cosmetic moles, lasers can be very effective. We recommend the method based on whether the mole is medical or cosmetic, its location, and patient preference.

Q. Can mole removal cause nerve damage?

Ans – In very rare cases, if a mole lies directly over a nerve and is deeply excised, there can be minor nerve irritation or numbness. However, for most moles, especially superficial ones, this risk is extremely low. Careful evaluation and technique help avoid complications.

Q. Can mole removal cause cancer?

Ans – No, removing a mole does not cause cancer. In fact, removal is often done to check for skin cancer under the microscope. If a mole looks suspicious, we send it for biopsy after removal to ensure it is safe.

Q. Can mole removal be covered by insurance?

Ans – If a mole is suspicious for skin cancer or medically necessary to remove, insurance may cover the procedure. If removal is for cosmetic reasons only, insurance typically does not cover it. At OC MedDerm, we help patients with both medical and cosmetic cases.