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Removal of moles with laser

Adrián Ríos , MD

What types of moles are the best candidates for laser-assisted removal?

  • Small and multiple moles, between 1-3 millimeters regardless of the area. The procedure is faster, many times without the need to use anesthesia and scars are avoided.
  • Located in areas of technical difficulty for surgical resection: Auricles, free edge of the eyelids, nasal tip, lip filter, vermillions, eyebrows, etc.
  • Moles on the face. 
  • Pedunculated moles of the trunk. They are superficial, complete resection is not necessary.
  • Need to preserve hair (scalp, beard, mustache).
  • Risk areas for scarring due to closure tension: Ears, eyelids, nasal dorsum.

Why is laser used to cauterize moles?

Most small moles are superficial, which gives a better possibility for an instrument to evaporate the outermost portions of the skin.

On the face, they typically have a dome-like appearance, being more elevated and deep in the center; more superficial and flat at the edges.

The laser technique can be done through vaporization or shaving of the mole. The laser makes it possible to remove them while better visualizing their depth level because it controls micro-bleeding.

In shaving or vaporization techniques, residues of the mole may remain, which are treated months later with touch-ups.

When should you NOT use laser to remove moles?

When malignancy is suspected.

Can you remove giant moles with a laser?

Nevus de conjunción palpebral tratado con láser
Congenital nevus of palpebral conjunction treated for a period of 8 years. Control photograph taken 18 years after treatment

Everything will depend on the healing.

It is only possible to reduce its size with sequential techniques.

Resultado de la vaporización de numerosos lunares en el brazo
Result of vaporization of numerous moles on the arm
Nevus de Meischer del labio superior
Shaving of congenital nevus of the upper lip
Afeitado láser de lunar en la barbilla evitando zonas alopecia cicatricial
Laser shaving of moles on the chin avoiding scarring alopecia areas
La vaporización del láser solo produjo un leve cambio en la textura del bermellón inferior
Laser vaporization only produced a slight change in the texture of the lower vermilion
Con el láser se evitan incisiones deformantes
With the laser, deforming incisions are avoided
Nevus gigante del párpado inferior tratado con láser
Vaporization of congenital nevus of the lower eyelid
Otro ejemplo de la resección de un nevus del borde libre del párpado en donde se evitó la resección quirúrgica
Another example of resection of a nevus from the free edge of the eyelid where surgical resection was avoided
Cicatriz estética posterior al láser
Aesthetic scar after laser
Nótese una pequeña zona con menor pigmentación que se considera es una cicatriz estética. La punta nasal es una con limitación a los afeitados láser. Solo pueden ser tratados los más superficiales
Note a small area with less pigmentation that is considered an aesthetic scar. The nasal tip is one with limitation to laser shaves. Only the most superficial ones can be treated.
El ala nasal solo admite la vaporización de nevus superficiales
The nasal wing only supports the vaporization of superficial nevi
Resultado estético aceptable en la resección con láser de un nevus del ala nasal
Acceptable aesthetic result in laser resection of a nevus of the nasal wing

The nostrils where surgical intervention is more difficult:

Narinas
Recent postoperative laser shaving of nasal naevus. Scab is observed

The auricles that offer special technical difficulties:

lunares en las orejas
Multiple naevi of the auricle treated with laser
Nevus intradérmico por delante del canto interno del ojo derecho vaporizado con láser Erbio-YAG Una pequeña zona despigmentada es apenas notoria en el segundo mes
Intradermal nevus in front of the inner canthus of the right eye vaporized with Erbium-YAG laser A small depigmented area is barely noticeable in the second month
Mácula melanótica del labio tratada con Láseres Erbio-YAG y de dióxido de carbono. Las persistencias locales son frecuentes. Fueron controladas en un periodo de observación de 5 meses.
Melanotic macule of the lip treated with Erbium-YAG and carbon dioxide lasers. Local persistences are frequent. They were controlled over an observation period of 5 months.

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