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  • It is currently Sun May 19, 2013 9:27 pm

to shave or excise?

This section of the forum is dedicated to discussions on mole removal, Dr. Lam’s philosophy, technique, and results regarding removal of facial moles, nevi, and other facial lesions. (Also see, Scar revision and keloid management forum.)
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Re: to shave or excise?

Postby dr. lam » Mon Jun 18, 2012 9:34 am

ok, good luck then. :)
Samuel M. Lam, M.D., F.A.C.S.
Diplomate, American Board of Facial Plastic & Reconstructive Surgery
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Re: to shave or excise?

Postby Viksarna » Mon Jun 18, 2012 1:26 pm

Good Afternoon Doc,

I have a mole right under my nose on left side. It's been there for almost 20 years now. It's black in color and slightly raised. But now I have decided to get it removed so I was wondering what's the best technique to go for it.

Thanks very much
Viksarna
 
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Re: to shave or excise?

Postby dr. lam » Mon Jun 18, 2012 6:57 pm

i would need to see it.
Samuel M. Lam, M.D., F.A.C.S.
Diplomate, American Board of Facial Plastic & Reconstructive Surgery
Diplomate, American Board of Otolaryngology Head & Neck Surgery
Diplomate, American Board of Hair Restoration Surgery
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Re: to shave or excise?

Postby Viksarna » Mon Jun 18, 2012 9:40 pm

Here u go doctor...thanks for the quick reply...really appreciate it
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Re: to shave or excise?

Postby dr. lam » Mon Jun 18, 2012 10:40 pm

not an easy location. would probably shave and burn it first to shrink the area then try to close primarily going parallel along the nasolabial groove. possibly could go straight to excision too.
Samuel M. Lam, M.D., F.A.C.S.
Diplomate, American Board of Facial Plastic & Reconstructive Surgery
Diplomate, American Board of Otolaryngology Head & Neck Surgery
Diplomate, American Board of Hair Restoration Surgery
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Re: to shave or excise?

Postby Viksarna » Mon Jun 18, 2012 10:53 pm

Thanks for the advice doctor...One of the esthetician here recommended me to go with Electrocautery mole removal...she told me that she will do 2 treatments and it will never come back and is charging 700 dollars....what do u thinks about that?

Thanks again
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Re: to shave or excise?

Postby dr. lam » Tue Jun 19, 2012 5:14 am

as you may have seen in this forum, i believe that electrocautery almost always fails but it might be a few years before it comes back. try it and see. worst case scenario is that it needs to be excised down the road.
Samuel M. Lam, M.D., F.A.C.S.
Diplomate, American Board of Facial Plastic & Reconstructive Surgery
Diplomate, American Board of Otolaryngology Head & Neck Surgery
Diplomate, American Board of Hair Restoration Surgery
dr. lam
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Re: to shave or excise?

Postby FromMelb » Fri Jul 06, 2012 10:49 am

Alright, its been over 2 weeks since my procedure. Chose to shave it using radio frequency.
Is Electrocautery, radio freqency?

So now instead of it being raised, Its gone but still have color under the skin.
I was wondering, will the sun affect it (Worsen/increase the mole growth)?

Thanks :)
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Re: to shave or excise?

Postby dr. lam » Fri Jul 06, 2012 11:11 am

the color probably represents mole that is still there that ultimately will require excision since it will probably come back. the sun should not affect it except it could lead to some hyper pigmentation or darkening temporarily.
s.
Samuel M. Lam, M.D., F.A.C.S.
Diplomate, American Board of Facial Plastic & Reconstructive Surgery
Diplomate, American Board of Otolaryngology Head & Neck Surgery
Diplomate, American Board of Hair Restoration Surgery
dr. lam
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