Before and after photos
Removal of a large congenital mole on the eyebrow that had been there since birth. This is part one of 2 procedures called a ‘serial excision’ where we remove the mole over 2 sessions as it is too big to do in one go.
The advantages of a ‘serial excision’ are that not only is the scar much smaller but it also allows time for the skin to relax and not distort the surrounding areas before doing a second refinement procedure 6-9 months later to reduce it further.
Removal of a large, dark and prominent mole using surgery excision.
Removal of a large mole by the mouth using ellipse excision surgery and stitches.
A large and uncomfortable mole cyst on the lip removed using ellipse surgery.
A facial mole removed using ellipse excision surgery. The tiny stitches will be removed to leave a very small scar.
Removal of a large mole from the eyebrow using surgical excision technique and small stitches.
Moles that are flat, potentially worrying or not suitable for shave excisions or laser treatments require ellipse excision.
This procedure involves a small painless injection of local anaesthetic under the mole only to numb just that area.
With precision cutting the entire mole is removed in one go. The remaining opening is then brought together with skin stitches that in most cases just simply dissolve away. After the initial wound heals, the result is a tiny line of scar tissue instead of the mole which gradually fades from red to white.
This only takes about 20 minutes and is not painful.
Find out more including surgical mole removal costs for ellipse excisions.
Usually dressing is placed over the wound to protect it for the first week and then moisturising and massaging the wound is recommended to help improve the scar with vitamin e, bio-oil or silicon gels is advised.
Cosmedics recommend Kelo-cote UV silicon scar gel for optimum results. The product has been clinically proven to reduce scarring and protects the healing wound from sunlight so that mole removal can be undertaken at any time of year.
The wound initially starts off red and then gradually fades to a whitish line. This can take around a year.
Very rarely scars can overheal and form keloid or hypertrophic scars which may then require further treatment.
Aftercare for Mole Removal by Ellipse Excision
Following an elliptical excision, the anaesthetic will wear off after 2-3 hours. It often feels a bit tight and sore for the first 1-3 days and simple paracetamol or ibuprofen should help. Increasing pain is a sign of possible infection in which case contact us.
A dressing will have been applied that stays and is kept as dry as possible for the first 3-4 days. If it comes off reapply the steristrips and the dressing provided. If you have stitches that need removing this is normally done at 7-14 days according to what the doctor has instructed.
It is best to steristrip or use micropore tape to support the wound for a further 3-4 weeks if possible to keep the scar as narrow as possible as the skin strength in the scar only regains about 50% of its full strength.
|Moles||Surgery with Stitches Cost||Histology* Cost||Total Cost
The cost of mole removal is totally inclusive of local anaesthetic, dressings and any follow-up required. We recommend histology/testing of moles in all cases*.
Doctor Consultation** £50:
Prices for treatments carried out in the same appointment as the consultation will include the £50 consultation fee (note: same-day procedures are only undertaken where the procedure is deemed appropriate to do so AND the patient understands the full extent of the costs, risks and potential side effects and is consenting to proceed on that knowledge).
* Histology or mole testing – It is our policy that ALL moles are sent for testing for ultimate peace of mind. This involves the mole that is removed is sent to another laboratory where it is examined by a doctor to ensure all the layers of the skin are normal. Very occasionally even moles that look fine after removal can be found to have abnormalities lower down. This microscopic histopathology testing is the only 100% guarantee the mole is normal.
** Doctor consultations are purely for the moles’ patients request to have assessed for removal and do not constitute a full body mole check. This is available as a separate service for a top-to-toe review of your skin and identification of any worrying lesions.
Notes – Prices above are a guide to the costs and the exact price can only be determined once the doctor has examined the mole and advice given as to the best way of removal. Larger and more complex moles are likely to incur a higher fee.
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Ellipse Excision Mole Removal FAQs
Do I have to have my moles histology tested?
Yes, our medical guidelines state that we should send ALL mole specimens for testing, even if they look completely normal. This is the ONLY way to be sure whether a mole is atypical or not; as often moles can look ok on the surface but have abnormalities lower down.
The removed mole lesion/specimen goes to a separate laboratory and is examined under a microscope by an expert. This is an independent service. Results are returned very quickly for your peace of mind.
When can I start scar reduction therapy?
Scar reduction therapy can start once the wound has healed. This is typically around 2 weeks after your treatment.
Please see separate FAQ for directions.
How can I minimise scarring after facial ellipse excision mole removal?
For wounds on the face:
- The optimum regime is applying silicon gel (Dermatix or Kelo-Cote® can be purchased either from the chemist or from Cosmedics) morning and evening
- Once dried, makeup can be applied over the top if preferred
- During the day, gentle massage with moisturizing cream or bio-oil helps soften the scar as well
- This can be done for up to 3 months
How can I minimise scarring after ellipse excision mole removal on the body?
For wounds on the body/limbs:
- Continue to support the wound with steri-strips or micropore tape for 2 months changing them every couple of days as they get worn. The reason for this that even though the wound has healed the wound is only at about 50% of its normal skin strength at this stage so in areas when the skin moves a lot the scar then stretches if it is not supported during these first few months whilst it regains more strength
- After that you can then start the massage with bio-oil or vitamin e cream to help improve the redness of the scar
- We recommend Dermatix or Kelo-Cote® scar gel, which should be applied twice a day. Makeup can be applied over the top once dry
- Massage and silicon scar gel should be continued for 3 months – you can carry on longer if there is still a benefit
Will I need stitches?
Ellipse excision generally does require stitches to bring the edges of the wound together.
We will use dissolving stitches where possible, but in some cases, stitches may need removing by your Doctor/Surgeon. In this case, this would normally be arranged 7-14 days after your procedure.
What should I expect after ellipse excision mole removal?
The following table outlines what to expect ‘day by day’ in terms of aftercare and recovery.
|Timeline/days||What to expect at the wound||What to do|
|1-3||Feels tight, slight swollen, mild discomfort easing off||Keep dressing on
|3-7||Discomfort easing off and mild itch where dressing is||Steristrips
|7-14||Wound heals over and is red minor swelling and redness, small bruising||Steristrips / micropore tape. Stitches removed if needed
|14-28||Fully healed and red line||Steristrips /micropore tape
|1-3 months||Redness fading to pink||Massage with bio-oil or silicon gels. Sunblock if in the sun
|3-9 months||Pink area fading to skin color or slightly lighter and any lumpiness flattening out.||Sunblock if in the sun