Surgical Excision Mole Removal

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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.

Surgical mole removal costs for ellipse excisions start from £450.

Patient Review

“I had a mole that just began getting darker and bigger over 6 months. It was on the side of my cheek so it was difficult to see it changing until it was the size of 20 pence piece.”

“The mole was abnormal and I am so grateful that it has been treated quickly and with very little scarring.”


Treatment Information

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).

Ellipse Excision Prices

Moles Surgery with Stitches Cost Histology* Cost Total Cost
Small from £450 £85 £535
Medium from £600 £85 £685
Complex from £750 £85 £835

Where the moles are smaller, shave excision or laser mole removal may be recommended as an alternative. Prices for this option start at £295.

Further Information

* 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 being 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.


Usually a 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.

What to Expect After Mole Removal Day by Day

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 Reddness fading to pink Massage with biooil 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

Scar reduction therapy

Once the wound has healed which is typically around 2 weeks then scar therapy can start.

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 few months whilst it regains more strength
  • after that you can then start massage with biooil or vitamin e cream or silicon gels to help improve the redness of the scar.

For wounds on the face:

  • optimum regime is applying silicon gel (dermatix or kelocote can be purchased either from the chemist or from Cosmedics) morning and evening
  • once dried makeup can be applied over the top if needed
  • 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.


Before & After

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.

Removal of a large mole from the eyebrow using surgical excision technique and small stitches.

A facial mole removed using ellipse excision surgery. The tiny stitches will be removed to leave a very small scar.

What our patients say



0 thoughts on “Ellipse Excision

  1. Hi
    I have a mole just over my eyebrow, I have had it checked before and doctors have said having it removed would unbalance with my other eyebrow. Would I be able to send you pictures and have your opinion before making an appointment. If you are able to remove I would like to book an appointment straight away. Many thanks

  2. Hi there, i have a mole just behind my left leg, its roughly the size of a an egg, probably bit smaller. im looking to get it removed surgically as i want to eliminate the chances of getting skin cancer. is it possible to book a consultation to speak to a doctor regarding the operation, the costs and the possibility of scarring.

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