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SKIN LESIONS AND SCARS

Mole Assessment and Removal

For moles, a diagnostic evaluation is first made. The decision to remove is based on change, questionable findings, irritation or personal request; The need for scarring and pathology is discussed.

PATIENT INFORMATIONAbout 3 minutes readingBack to skin & scar topics
Prof. Dr. Koray Coşkunfırat is in his office in his clinical uniform.
Prof. Dr. Koray Coşkunfırat.

Overview

Most moles are benign and do not need to be removed. However, lesions that are newly formed, look different from other moles, grow, or change color or shape should be examined. Asymmetry, irregular borders, multiple colors, and change over time are helpful in evaluation; Small size alone does not provide assurance. The physician clarifies the diagnosis with dermoscopy and tissue examination when deemed necessary. The approach to a suspicious mole is not determined solely by aesthetic appearance. The removal method is chosen according to the nature of the lesion and the need for pathology. There may be scars in the removed area; The reappearance of a mole requires control. Burning or cutting at home may delay diagnosis.

What is evaluated?

  • How long the mole has been present and its recent changes are questioned.
  • Bleeding, itching, appearance different from other moles and history of skin cancer are evaluated.
  • The need for biopsy is determined by examination and, when necessary, dermoscopy.

Approach and options

  • Unchanging moles with a benign appearance can be monitored with an appropriate follow-up plan.
  • In suspicious lesions, a diagnostic biopsy or surgical removal is planned.
  • Different removal methods can be discussed for raised moles that are definitely considered benign.

Recovery and follow-up

Wound care, dressing and stitch removal requirements vary depending on the method and region. If pathology has been performed, the results must be evaluated with a physician. Sun protection can help reduce scar discoloration. Checking is requested for increased redness, discharge, or bleeding that does not stop; If pigment develops again, examination is required.

Risks and limits

  • Permanent scarring or discoloration
  • Bleeding and infection
  • Partial retention or reappearance of the lesion
  • Delay in diagnosis due to inappropriate method in suspicious lesion

The headings here do not cover all risks. Possible benefits, alternatives and personal risks should be discussed in detail during the examination.

You can ask in the consultation

  • Is it medically necessary to remove this mole or can it be monitored?
  • Will the removed tissue be sent to pathology?
  • When and how will I learn the pathology result?

Resources

Access to sources: September 2026. The content has been prepared for general information purposes.

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PROF. DR. KORAY COŞKUNFIRAT