Moles, also known as melanocytic naevi, are common skin growths made up of clusters of pigment-producing cells called melanocytes. They can appear anywhere on the body and vary widely in appearance: flat or raised, pigmented or flesh-toned, solitary or multiple.
In most cases, moles are completely harmless. However, if one starts to change in size, shape or colour, or if it becomes irritated, repeatedly traumatised or simply feels cosmetically bothersome, mole removal may be advised or requested.
Any mole removal should be done in a safe, clinical environment, with every excised mole sent for routine histological testing to ensure medical accuracy and peace of mind.
Why might you want or need a mole removal?
There are several reasons patients seek mole removal. These typically include:
- Irritation or repeated trauma (e.g. from clothing, shaving or jewellery)
- Cosmetic concerns, especially if the mole is raised or prominently located
- Change in appearance, such as growth, darkening, asymmetry or itching
- Clinical recommendation, if a mole presents with atypical or suspicious features
Mole Removal Techniques
The right technique will depend on the mole’s type, location, depth and appearance, as well as your desired cosmetic result. We’ll always recommend the most suitable approach for your specific case.
1. Shave Excision
Best suited for raised, benign-looking moles
- The mole is carefully shaved flush with the surface of the surrounding skin
- No stitches are required; the wound heals similarly to a graze
- Results in minimal scarring and quicker recovery
- There is a slightly higher chance of regrowth over time
- This option is ideal for patients looking for a subtle cosmetic improvement with minimal downtime.
2. Ellipse or Punch Excision
Suitable for flat, pigmented or changing moles
- The mole is surgically excised along with a small margin of surrounding tissue
- The area is then closed with sutures to support healing
- Leaves a fine, linear scar that fades and softens over time
- This approach is more definitive and allows full-thickness removal, often preferred for diagnostic reassurance.
What to expect on the day of your mole removal procedure
Consultation and Consent
We’ll discuss the treatment plan with you, photograph the area for your medical records, and confirm informed consent.
Preparation
The treatment site is numbed with a local anaesthetic injection. The skin is then cleansed with antiseptic, and a sterile drape is applied to minimise the risk of infection.
Excision
The mole is removed using either shave or full-thickness surgical techniques, depending on your individual treatment plan. Stitches may be placed where needed, and a sterile dressing applied.
Histological Testing
All excised tissue is sent for laboratory analysis (histopathology) as standard. This ensures that any atypical or abnormal features are identified and reported, which is an essential part of safe mole removal.
The entire procedure usually takes 20-40 minutes, and most patients can return to normal daily activities shortly afterwards.
Mole removal aftercare advice
Proper aftercare helps promote smooth healing and minimises scarring.
- Keep the wound covered and dry for the first 48 hours
- Apply plain Vaseline to the area daily for 7-10 days (or as advised)
- Avoid strenuous activity, swimming or saunas for at least one week (or up to 2 weeks with full thickness excisions)
- Delay contact sports or heavy gym sessions for 2 weeks if sutures are present
- Expect mild bruising or swelling in the first 2-3 days
- Massage the scar gently twice daily once the wound has healed (from 2-4 weeks post-procedure) to support good scar maturation
- Use high-factor SPF daily on the healing area to reduce pigmentation, inflammation, and irritation
If removable stitches have been used, you will need a follow-up to remove them and assess healing.
Is mole removal right for you?
If you’re concerned about a mole’s appearance, find it regularly irritated, or simply want it gone for cosmetic reasons, we can guide you through your options. We are also now taking expressions of interest for mole removal appointments.