Key Takeaway
Monitoring moles for changes is essential for early detection of potential skin cancer risks like melanoma. If a mole shows signs of asymmetry, irregular borders, uneven color, large diameter, or evolution, seek expert medical advice. Removal can be necessary for medical or cosmetic reasons, and professional consultation ensures safe, effective treatment with minimized scarring.
Table of Contents
Many people have moles, and in most cases, they’re completely harmless. But what happens when a mole starts to change in appearance or begins to feel different? Should you be concerned? And more importantly, should you consider having it removed?
In my recent video, I discussed how to monitor your moles for changes and what those changes could mean. This blog expands on that topic and offers practical guidance on when mole removal might be necessary—and why seeking expert medical advice is crucial before making any decisions.
What Is a Mole?
A mole (or nevus) is a small, pigmented growth on the skin. Moles can be present at birth or develop over time. They vary in color, size, and shape, and while most are benign (non-cancerous), some can raise concern due to potential links with skin cancer, especially melanoma.
When Should You Be Concerned About a Mole?
The general rule of thumb when assessing a mole is to follow the ABCDE guideline:
- A – Asymmetry: One half of the mole doesn’t match the other.
- B – Border: Irregular, notched, or blurred edges.
- C – Colour: Uneven colouring or multiple shades (brown, black, red, white, or blue).
- D – Diameter: Larger than 6mm, although melanomas can be smaller.
- E – Evolving: Changes in size, shape, color, or symptoms such as itching, bleeding, or crusting.
If your mole exhibits any of these characteristics—or you notice any new or rapidly changing lesions—it’s essential to have it examined by a qualified medical professional.
Why It’s Important to Seek Medical Advice First
Although mole removal may seem like a minor procedure, it should always be approached carefully. Not every changing mole is cancerous, but some changes could signal early melanoma, which requires immediate and appropriate treatment.
Only a trained healthcare professional—such as a GP, dermatologist, or plastic surgeon—can accurately assess whether a mole is suspicious and whether removal is necessary.
Removal might be advised for medical reasons or for cosmetic concerns, especially if the mole is prominent or causing discomfort.
How Is a Mole Removed?
Mole removal is generally a straightforward procedure performed under local anaesthetic. Techniques include:
- Excision with stitches: The mole and a small margin of surrounding skin are surgically removed, then stitched.
- Shave excision: Raised moles can be shaved flush with the skin surface.
- Laser removal: Typically used for benign, non-suspicious moles.
If there is any suspicion that the mole could be cancerous, the tissue will be sent for histological analysis (biopsy).
What About Scarring?
Understandably, patients are often concerned about scarring. Any procedure that breaks the skin will leave a scar, but as a specialist in aesthetic and reconstructive surgery, my aim is always to minimise scarring and optimise cosmetic outcomes.
With expert technique, scar management, and good aftercare, most scars can be discreet and fade well over time.
Final Thoughts: Pay Attention to Changes
If you notice any changes in your mole—or you are simply concerned—it’s important not to ignore it. Early detection of any suspicious changes can be crucial for your health.
And remember, mole removal can also be done safely for cosmetic reasons if a mole is causing you concern about your appearance or comfort.
Before making any decisions, always consult a qualified and experienced professional who can provide the right advice tailored to your needs.
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FAQs
How do I know if my mole needs removing?
Monitor for changes following the ABCDE guideline: asymmetry, border irregularities, color variations, diameter over 6mm, and evolving characteristics. If in doubt, consult a medical professional.
Is mole removal painful?
Mole removal is usually performed under local anaesthetic, so the procedure itself is not painful. Some minor discomfort may be experienced during healing.
Will removing a mole leave a scar?
Yes, any skin-breaking procedure can leave a scar, but with expert surgical technique and proper aftercare, scarring can often be minimized and fade over time.
Can I remove a mole for cosmetic reasons?
Yes, mole removal can be done for cosmetic purposes if a mole affects your confidence or causes physical discomfort, but it’s still crucial to have it assessed by a medical expert first.
What happens if a removed mole is found to be cancerous?
If histology reveals cancerous cells, further treatment may be needed, including wider excision, dermatology referral, or oncology consultation to ensure complete management.
Mole Removal