Philadelphia and Mainline Center of Dermatology and Cosmetic Surgery
- Medical Dermatology
- Popular Treatments+
- More Treatments+
- Actinic Keratosis
- Alopecia Areata
- Basal Cell Cancer
- Brown spots
- Dermatosis P. Nigra
- Dry Skin - Xerosis
- Eczema Atopic Dermatitis
- East Asian Dermatology
- Ethnic Dermatology
- Hemangioma
- Herpes simplex
- Hives - Urticaria
- Hyperhidrosis (Sweat)
- Impetigo
- Keratosis Pilaris
- Lupus
- Melanoma
- Melasma
- Mohs Surgery
- Molluscum
- Nail Fungus
- Poison ivy
- Port Wine Stains
- Rashes
- Seborrheic Keratoses
- Shingles
- Skin Cancer
- Vitiligo
- Cosmetic Dermatology
- Popular Treatments+
- Body Contouring+
- Botox & Fillers+
- Pigmentation, Veins & Redness+
- Hair Treatments+
- Skin Texture & Repair+
- Spa Services+
- Cosmetic Surgeries+
- SHOP
- Gift Cards+
- Skincare Products+
Moles Removal - Patients ask, Dr. Ringpfeil answers
Please feel free to use the blog below to share information about Moles Removal or to ask Dr. Franziska Ringpfeil a question that might be of interest to others.
62 Responses to “Moles Removal”
Alex from Philadelphia says:
January 13, 2024 at 7:31 AMHello, I have a labial melanotic macule that I would liked to be removed. What options do you provide and about how much for each procedure?
Franziska Ringpfeil says:
January 15, 2024 at 8:55 PMThe majority of labial melanocytic macules can be treated with shave removal. Rarely, full excision is needed. Laser is not a customary option in solitary labial lentigos.
If located on the face, shave removal costs between $150 and $250 pending its size and if located in the genital area the removal is between $140 and $240. Excision would range between $210 and $330. Pathology evaluation is mandatory for all melanocytic macules and we will send the specimen to an independent laboratory for confirmation of diagnosis. The fee by the independent laboratory can range between$100 and $300 and is not associated with the anatomic location of the specimen.
Alex from Philadelphia says:
January 16, 2024 at 1:22 AMwith the shave removal option, does this leave a scar on my lip or will it look normal without a noticeable scar?
Franziska Ringpfeil says:
January 16, 2024 at 1:22 AMAll surgical procedures leave a scar yet a scar created by shave removal is usually barely perceptible.
Lulu from South Jersey says:
September 19, 2019 at 1:53 AMHow do you treat cherry angiomas on the body and face?
Franziska Ringpfeil MD. says:
September 28, 2019 at 8:34 PMCherry angiomas that are flat will resolve with one pulsed dye laser treatment in fair skinned individuals. More than one laser treatment is needed for cherry angiomas that are raised. Electrocautery can be used with all skin colors and might be adventagious if the cherry angioma is raised. If a cherry angioma has become substantial it is named hemangioma and for these, shave removal or excision are suitable.
Lu Galvin from South Jersey says:
September 11, 2019 at 1:27 AMI have a few moles, skin tags and cherry angiomas I would like to get rid of. What would the pricing structure be and how do you go about removing cherry angiomas?
Franziska Ringpfeil MD. says:
October 15, 2019 at 4:43 PMMoles can be shave removed or fully excised, skin tags can be snipped off and cherry angiomas are usually lasered to avoid scarring unless they are raised. Please schedule an appointment with one of our dermatologists to learn which options are the right choice for you and to learn about your total cost. The medical consultation is submitted to insurance. elective removal of moles, skin tags or cherry angiomas is an out of pocket service.
Alexis from Philadelphia says:
May 15, 2019 at 9:42 AMHello,
I am looking to get a mole removed that I have on the back of my neck. I was born with it and am not in fear of it being cancerous. Can you remove a mole that I was born with for cosmetic reasons?
Franziska Ringpfeil MD. says:
May 19, 2019 at 6:08 AMMost moles can be removed. Your consultation will address the techniques that are appropriate as well as the extend of a scars should a surgical technique be needed.
K.B from Philadelphia says:
May 11, 2019 at 1:59 AMHow much does mole removal cost
Franziska Ringpfeil MD. says:
May 13, 2019 at 12:45 AMCost for mole removal depends on size and location, shave removal vs full excision.
Example
Shave removal up to 5 mm on face is $150, or 6-10 mm on face is $180 (50% chance of regrowth but best cosmetic outcome)
Excision up to 5 mm on face is $205, or 6-10 mm on face is $250 (does not recur but scar is more visible)
The rate goes up when moles are larger. The charge for mole removal on neck, scalp or remainder of the body is slightly lower than on the face for the same size. When more than one mole is removed on the same day, the highest amount is charged first, and each additional mole at 50% of its charge.
It is state of the art to submit moles for examination by pathology. The pathology laboratory we use is independent and charges $150 for each mole examined. The pathology charge is usually submitted to insurance.
Please set up a consultation with one of our physicians to learn about your options for the location you desire mole removal. Consultation is submitted to insurance as well. If you do not have insurance and the mole is your only concern, consultation should not exceed $115.
Linda from Philadelphia says:
April 30, 2019 at 8:26 AMDo you do laser mole removal
Franziska Ringpfeil MD. says:
April 30, 2019 at 3:49 PMMelanocytic nevi (moles) can be treated by laser. Here in the US, we do not use this technique commonly because lasers cannot reach deeply enough to destroy all pigment and the pigment then returns after 6 months to 2 years. Its use is somewhat limited to large pigmented birthmarks (congenital melanocytic nevi) if they are desired to be cosmetically reduced for a while.
Aimee from Philadelphia says:
March 28, 2019 at 11:26 PMI have moles all over my face, I’m not sure if some are skin tags. What would be the best option to have these removed with leaving such a scar? Is there something to treat the reoccurring growth of facial hair?
Franziska Ringpfeil MD. says:
April 30, 2019 at 1:39 AMYour description is that of dermatosis papulosa nigra. If they are shaped like skin tags, they can be snipped off without leaving a scar. If they are sessile that can be “melted” off the skin. They should be softened by applying a topical medication (retinoid) for 4 weeks. Some people need a pre-treatment regimen to prevent discoloration. Please schedule an appointment to learn about your options for removal and appropriate preparation based on findings.
Dark facial hair can be reduced with laser. Electrolysis can be used for all hair colors and is most efficient when treating sporadic hairs.
Nini from Philadelphia says:
February 22, 2019 at 9:49 PMHi, I have a mole in my face since childhood. 10 years back i removed it with “shave removal” process. Its back now. i m worried about removing it again through excision. Consulted a dermatologist ans she asked me to visit plastic surgeon. Not sure whom to consult now. Thanks
Franziska Ringpfeil MD. says:
April 29, 2019 at 5:06 PMYour mole could be shave removed again or excised. Chance for recurrence is 50% every time a mole is shave removed, including one that has previously been shaved. The fact that your dermatologist referred you to a plastic surgeon suggests that he/she feels not comfortable performing the procedure. There are many dermatologists or plastic surgeon who perform removal of moles very frequently. If you are nearby, you may consider scheduling an appointment with one of our dermatologists for this elective task and than return to your dermatologist for your other medical needs.
Natalie from Philadelphia says:
February 13, 2019 at 11:10 AMHello, I had a laser mole removal on my face about 6 years ago. Sadly, I was left with a significant scar and a mole that partially grew back on the same place. I am interested in removing both the mole and the scar, and was wondering if it is possible? If so, how? Thanks so much in advance for your response!
Franziska Ringpfeil MD. says:
April 29, 2019 at 4:58 PMI recommend that you schedule a consultation with a facial plastic surgeon to learn about your options for excision. If you are nearby, you may seek consultation with Dr TO in our office.
Rosie Gaines from South Jersey says:
October 22, 2018 at 10:00 AMHello,
I have a number of moles all over my body and have been told they are skin tags and hereditary. I had one removed on my hip which was determined it was basil cell carcinoma. I have been trying to find an African American dermatologist because I don’t feel my concerns have been taken seriously and I have never had a really good skin check. Do you accept patients with just Medicare and no secondary insurance?
Thank you
Franziska Ringpfeil MD. says:
December 4, 2018 at 9:26 PMAll of our dermatologists perform full body skin examinations and we accept Medicare.
Question from Philadelphia says:
August 12, 2018 at 10:54 PMI’m a young woman who has had several moles removed that have come back dysplastic. I’m looking to switch providers and wondering if the pathologist you work with for excisions grades the amount of dysplasia? I understand the immediate management is the same for mild or severe dysplasia, but it would offer me peace of mind if I knew they were all only mildly dysplastic, for instance. Thanks!
Franziska Ringpfeil MD. says:
August 23, 2018 at 1:30 AMMost dermatopathologists will grade the degree of atypia of a dysplastic nevus, also known as Clark nevus. Pathologists do not routinely do this. We only work with labs that employ dermatopathologists or pathologists that are trained to sign out like dermatopathologists. Dysplastic nevi with mild or moderate atypia do not usually require any further action. These are jsut the type of nevus your skin is making. Dysplastic nevi with severe atypia (sometimes referred to as “unusual features”) require clearance of margins.
Chelsea from Philadelphia says:
May 8, 2018 at 1:06 AMHey, I have a question pertaining to mole removal, I have a mole(its not huge) just like a dot, and it was formed when I was little because it was once a scar and I kept picking it, I was little I didn’t know it was going to result to being a mole. But anyways it is located about 1 1/2cm under the inner corner of my right eye, and I was wondering is there a way to remove it, if there is, can you inform me.
Franziska Ringpfeil MD. says:
May 15, 2018 at 7:31 PMIt might be possible to excise it. Please set up an in-office consultation with Dr Gonzalez to learn about your options.
Paul from Philadelphia says:
April 24, 2018 at 2:23 AMYou use laser?
Franziska Ringpfeil MD. says:
April 24, 2018 at 3:00 AMAt this time, it is not entirely clear if removal of moles by laser is safe. Here in the US, it is usually performed to specific birthmarks only. Regardless, the experience with lasers on moles in many people who were treated in Korea in this fashion, proves that moles typically show significant repigmentation 6-12 months after laser treatment.
NI ZHANG from Philadelphia says:
February 4, 2018 at 1:06 AMI have several moles on my face, some are little some are big, I want to get rid of most of them. Wondering how much for the moles test? I dont’ want scars left.
Franziska Ringpfeil MD. says:
February 26, 2018 at 5:09 AMIt is not yet possible to remove moles without scars. In many instances, shave removal provides the best option, as the scar is hidden in the cut surface of the mole. Lasers treatment might offer a scar free option, but, at this time, it is not yet appropriate in the elective destruction of “true moles”. Cost of mole removal depends on their size and can range between $130 and $250 per mole on the face. In addition, there is a pathology fee of $130 for each mole. The pathology fee is assessed by an independent dermato-pathology laboratory that we sent our specimen to.
Emily from Philadelphia says:
May 10, 2017 at 6:23 AMHello,
I have a small mole on my right side of my face. There is no color to it and it’s not very noticeable but it really bothers me! I have had it for more than 4 years and I want to have it removed! Will there be any scares if I do so? And I have Independence Blue Cross does that cover the mole removal if not, what is the price range for this service? Thank you in advance!
Franziska Ringpfeil MD. says:
May 13, 2017 at 5:17 PMMole removal of the side if face for aesthetic reasons is usually performed with a tangential shave technique. It leaves a small flat scar in the size of the mole, which is usually barely noticeable. While this technique delivers the best cosmetic result, there is a 50% chance that the mole grows back to its original size. In addition, you must be awaer that moles are made from melanocytes. These are the pigment forming cells over our body. They sometimes produce pigment only in their based deep in the skin or sometimes not at all, making a mole skin colored. However, there is a theoretical chance that with shave removal, brown pigment may be revealed at the cut level. Complete excision of a mole does not allow the mole to regrow nor for its pigment to be exposed, yet it is not commonly used in this location because the linear scar cannot be easily concealed there.
Benny from Philadelphia says:
June 27, 2016 at 6:31 PMHi there,
I have 2 raised moles on my neck and they are sometimes itchy. One of them seems to be growing in size, too. Would my insurance cover the cost of getting the moles removed? Thanks
Franziska Ringpfeil MD. says:
July 17, 2016 at 5:28 AMThe charge for evaluation and for removal of symptomatic (itchy) moles is submitted to insurance. With rare exceptions, insurance usually accepts both evaluation and removal minus any copay, coinsurance or any deductible you might have. You can ask the customer service department of your insurance if you have any such fees contracted with your plan.
Lyn from Other says:
January 15, 2016 at 6:29 AMHello Dr., I am a 27 year old female, and I have several moles on my body, mostly on my back. They do not bother me cosmetically, mainly I am concerned that they might need removed for medical reasons. I had a mole removed as a child, and the process was a bit traumatic, as I wasn’t numbed properly etc. What could I expect to happen if I come into your office for these moles? What would be the process, number of visits, discomfort level of removal or biopsy, etc. ? Thank you.
Franziska Ringpfeil MD. says:
January 20, 2016 at 3:50 AMMost moles will not turn into skin cancer. It is important to have annual full body skin examinations so that your moles can be looked at in context of the sun exposure of your skin and the other moles. The reason for skin checks is detection of melanoma or other skin cancer that might disguise in between moles. A mole that stands out or has changed might be biopsied. Preemptive removal of many moles causes mutilation and is not standard of care.
Kathleen staley from Philadelphia says:
July 5, 2015 at 10:01 PMmy grandson has a mole on his earlobe that’s getting bigger he has keystone first I cannot find a doctor to take it off
Franziska Ringpfeil MD. says:
July 6, 2015 at 4:15 AMYou should be able to find a participating dermatologist by searching on the Keystone First website. If the mole is suspicious or irritated it will be taken off by the dermatologist. If it is considered elective removal. a fee might apply.
John from Philadelphia says:
April 26, 2015 at 7:07 PMHx of thin melanoma (less than 1 mm) many years ago. Have been followed diligently by a melanoma clinic at a major hospital for yearly routine exams. I have about 12 small moles that I’d like to have removed. I’m tired of looking at them and having them tracked. They are in the size range of 3-4 mm. Melanoma clinic has assured me that they are harmless and old moles. They don’t perform such a service as it needs to be done by a private dermatologist. They will only biopsy the ones that are suspicious. I’d like to have these moles removed for both cosmetic and piece of mind. I realize they would have to be sent out for pathology. Can your clinic facilitate the removal of these moles for me? Can they be done in one visit or would it require more than one visit. Thank you.
Franziska Ringpfeil MD. says:
April 28, 2015 at 5:15 PMMole removal even for elective purposes is possible and is usually followed by pathology examination. Please schedule your appointment for surgical consultation so that we can plan the removal. Depending on technique required (shave removal versus full excision), we might be able to schedule the removal in one visit.
Mike from Philadelphia says:
April 25, 2015 at 4:06 PMCan a person just walk in (make appointment first) and have a mole removed without any testing if a person chooses to do that?
Franziska Ringpfeil MD. says:
April 26, 2015 at 2:04 PMIt is highly recommended to have all moles tested by pathology even after elective removal.
Frances from Philadelphia says:
October 4, 2014 at 5:40 AMI have a small, flesh-colored mole on the tip of my nose. It bothers me because it is right on the tip of my nose and often turns pink when I am in the sun or blow my nose. It is not so noticeable to other people but I have been very self conscious of it. What is the best way you would treat something like this? Thank you.
Franziska Ringpfeil MD. says:
October 8, 2014 at 3:33 AMYour description suggests that you could have an angiofibroma. It can be shave removed but this results in a small flat scar and there is a chance that it could return over time. A full excision is not recommended on the tip of the nose because the resulting linear scar is possibly more noticeable that the current spot.
Matilda from Other says:
April 9, 2014 at 4:21 AMI have many flat brown moles that I would like to get removed. Is there any treatment that can achieve this like IPL, CO2, lasers? — Matilda
Franziska Ringpfeil MD. says:
April 9, 2014 at 4:06 PMFlat brown moles could be sun spots, seborrheic keratoses or nevi. the first can be treated with laser or IPL, the second can be frozen or scraped off the skin and the last are excised. Evaluation is needed to be certain of the diagnosis, and to discuss the treatment plan should you want to remove these for cosmetic reason so that you are fully aware of the downtime and appearance of your skin after removal.
Dan from Philadelphia says:
October 7, 2013 at 3:42 AMI have a 4mm in diameter mole right beneath my lower lip, it is a little bit raised and it touches part of my lip, i think it has grow over time. How much would it cost for me to remove this mole? Can u just give me a range? And how much will it cost for the initial consultation visit?
Franziska Ringpfeil MD. says:
October 8, 2013 at 5:55 PMShave removal or complete excision may both be good cosmetic options in this location but examination will allow us to device the best removal plan. If complete excision is not cosmetically advisable, shave removal is the only option. There is a 50% chance for a mole to regrow after shave removal. We currently charge $130 for shave removal or $185 for excision for a mole up to 5 mm in diameter on the face. The initial consultation is usually submitted to your medical insurance. If you do not have insurance, the fee is currently $115.
M from Mainline says:
October 3, 2013 at 1:14 AMI have a large mole on my lower back and want it removed for cosmetic reasons. How much would complete excision cost?
Franziska Ringpfeil MD. says:
October 8, 2013 at 6:30 PMRemoval of large moles in areas of a lot tension and movement, such as the back, rarely results in good cosmetic results. Depending on the size of the mole, an undesirable mole can be primarily excised in an outpatient setting or may require preparation with tissue expanders and subsequent removal by a plastic surgeon in an operating room. Please provide the dimensions of the mole to determine the type of removal. If small enough for outpatient setting, I ca provide pricing.
T from Ardmore says:
May 7, 2013 at 4:41 AMI had two moles removed from a cosmetic place. They use some kind of electro to burn off the mole. It has already been my fourth sessions but a lighter brown spot seems to remain where the mole used to be. I was wondering if there’s any procedure to fix that? (The mole is flat and brown about the size of a pencil eraser). Thank you
Franziska Ringpfeil MD. says:
May 8, 2013 at 7:01 PMMoles are made of pigment producing cells, called melanocytes. Their pigment production status is variable. When shave removal is performed for aesthetic removal of an elevated mole, half of this mole will remain behind and about half of the time the mole will regrow. The scar will be in the cut surface of the mole and is therefore barely visible. However, at the cut level, pigment production can be the same as at the original surface of the mole, stronger or lesser regardless of the technique used for shave removal (burning with radiofrequency or tangential cutting). This cosmetically superior technique should be chosen to reduce the elevation of a mole. This technique is not the right one if the color is greater concern. Complete excision is the only way to guarantee removal of color. The latter results in a visible scar but assures the removal of the mole for life. Laser treatment for moles (melanocytic nevi) is not considered safe at this time.
Tanya H. from Philadelphia says:
January 9, 2013 at 10:56 AMI am an African American female with a large unsightly mole on my right breast in the areola area. I would like to have it permanently removed. I had it removed about five years ago and it has grown back. Is this procedure covered by insurance?
Franziska Ringpfeil MD. says:
January 9, 2013 at 7:16 PMRemoval options depend on the nature of the “mole”. A consultation is essential to make a diagnosis unless you have the pathology report from 5 years ago, when the “mole” was removed. Insurance coverage of a procedure depends most often on the diagnosis, and only sometimes on the technique used.
amy from Bryn Mawr says:
October 22, 2010 at 6:46 AMI have quite a few moles that have been very itchy. I scratch so much and lotions and creams with hydrcortisone in it and nothing is helping. Is it cancer? thought it could be allergic reaction but it’s been 2 weeks.
Dr. Ringpfeil says:
November 4, 2010 at 6:13 PMAn evaluation by your family physician or a dermatologist is needed to make a diagnosis and recommend treatment. The term “mole” means many things to many different people. When many spots are itching on the skin, it is more likely that irritation or an allergic reaction occurred. Franziska Ringpfeil, MD
AGriffin says:
June 25, 2010 at 7:23 PMI think I have Dermatosis Papulosa Nigra. I have read several articles and saw a few pictures of this condition and the moles that I have look and sound similiar to this condition. I have 25-30 small moles that I want removed. My insurance will not cover treatment because this is an elective procedure. How much will removal cost and is there a great chance that I will need more than one treatment to have these moles removed? My moles are small and raised, they appear around my eyes and on my cheek bones.
Dr. Ringpfeil says:
June 25, 2010 at 10:23 PMDermatosis papulosa nigra (DPN) is a benign condition that can sometimes be aesthetically unpleasing. There are several safe and well tolerated methodologies to remove unwanted DPN on all skin types. Contraindications for removal are rare and will be assessed during an in-person examination.
We charge $400 to remove DPNs from one anatomic area, such as the entire face. The charge may be higher if removal of lesions from face AND neck AND/OR chest is desired. The charge may be lower if the total number of growths is less than 15. Usually only one treatment is required and the spots do not grow back once removed. However, when you have DPN, you may occasionally develop a few new spots over years than can also be removed. To date, we are unaware of a preventative treatment.
KM says:
April 26, 2010 at 3:53 AMI was wondering if any of the doctors have experience treating Becker’s Nevus or Keratosis Pilaris with lasers? In doing my research, Q-switched ruby laser (694 nm), Er:YAG laser (n= 11) over a Q-switched Nd:YAG system (n = 11), or a long-pulsed 755-nm alexandrite laser how shown some results for Becker’s Nevus. Are any of the doctors familiar with the treatment and/or fading of these two skin conditions? Thank you.
Dr. Ringpfeil says:
April 26, 2010 at 4:25 AMBecker’s nevi consist of pigment change as well as of hair. Not everyone with a Becker’s nevus shows both features equally. If the pigment is of predominant concern, Becker’s nevi are best treated by Q-switched lasers such as Q-switched ruby in the past, and nowadays with the Q-switched Nd:YAG. They respond well but need a number of treatments to reduce pigment.
The ER:YAG may achieve results but I do not use it for this purpose. In my experience, the long pulsed alexandrite is the best to remove unsightly hair and it may erase some pigment in Becker’ nevus. The 810 nm diode laser can also reduce hair and may even work on some color change but is not the most efficient.
If hair is the most bothersome, we will be able to help you. We do not currently operate the Q-switched Nd:YAG. (The Q-switched ruby technology is great but a bit outdated and I am unaware of anyone reputable still using it.)
Keratosis pilaris is a common trait in 10% of the population. It is not commonly treated by laser. The alexandrite laser is the perfect choice to remove the rough, stubbly hair on the arms and thighs and thereby a lot of the redness resolves. Some type of daily exfoliation with glycolic or lactic acid in from of lotion may still be necessary to reduce the thickening of the skin around the hair follicles. Franziska Ringpfeil, MD
Patient says:
July 17, 2009 at 10:43 PMI want my mole to be checked. I’m kind of scared about it because it’s big and dark. How much does this cost?
Dr. Ringpfeil says:
July 20, 2009 at 2:13 AMThe medical terminology for mole is nevus. A nevus is made up pigment producing cells and may present in many different colors, shapes and sizes. In fact, one individual may have several different populations of nevi. It is important not to only look at a concerning nevus but to put a concerning nevus into perspective by examining the entire integument. If a pigmented spot is indeed unusual in the context of the remaining skin, a biopsy is indicated for microscopic analysis. Health insurances consider both the full body evaluation with a concerning mole as well as possible biopsy a medical benefit.
Franziska Ringpfeil says:
January 15, 2024 at 8:55 PMThe majority of labial melanocytic macules can be treated with shave removal. Rarely, full excision is needed. Laser is not a customary option in solitary labial lentigos.
If located on the face, shave removal costs between $150 and $250 pending its size and if located in the genital area the removal is between $140 and $240. Excision would range between $210 and $330. Pathology evaluation is mandatory for all melanocytic macules and we will send the specimen to an independent laboratory for confirmation of diagnosis. The fee by the independent laboratory can range between$100 and $300 and is not associated with the anatomic location of the specimen.
Alex from Philadelphia says:
January 16, 2024 at 1:22 AMwith the shave removal option, does this leave a scar on my lip or will it look normal without a noticeable scar?
Franziska Ringpfeil says:
January 16, 2024 at 1:22 AMAll surgical procedures leave a scar yet a scar created by shave removal is usually barely perceptible.
Franziska Ringpfeil MD. says:
October 15, 2019 at 4:43 PMMoles can be shave removed or fully excised, skin tags can be snipped off and cherry angiomas are usually lasered to avoid scarring unless they are raised. Please schedule an appointment with one of our dermatologists to learn which options are the right choice for you and to learn about your total cost. The medical consultation is submitted to insurance. elective removal of moles, skin tags or cherry angiomas is an out of pocket service.
Franziska Ringpfeil MD. says:
September 28, 2019 at 8:34 PMCherry angiomas that are flat will resolve with one pulsed dye laser treatment in fair skinned individuals. More than one laser treatment is needed for cherry angiomas that are raised. Electrocautery can be used with all skin colors and might be adventagious if the cherry angioma is raised. If a cherry angioma has become substantial it is named hemangioma and for these, shave removal or excision are suitable.
Franziska Ringpfeil MD. says:
May 19, 2019 at 6:08 AMMost moles can be removed. Your consultation will address the techniques that are appropriate as well as the extend of a scars should a surgical technique be needed.
Franziska Ringpfeil MD. says:
May 13, 2019 at 12:45 AMCost for mole removal depends on size and location, shave removal vs full excision.
Example
Shave removal up to 5 mm on face is $150, or 6-10 mm on face is $180 (50% chance of regrowth but best cosmetic outcome)
Excision up to 5 mm on face is $205, or 6-10 mm on face is $250 (does not recur but scar is more visible)
The rate goes up when moles are larger. The charge for mole removal on neck, scalp or remainder of the body is slightly lower than on the face for the same size. When more than one mole is removed on the same day, the highest amount is charged first, and each additional mole at 50% of its charge.
It is state of the art to submit moles for examination by pathology. The pathology laboratory we use is independent and charges $150 for each mole examined. The pathology charge is usually submitted to insurance.
Please set up a consultation with one of our physicians to learn about your options for the location you desire mole removal. Consultation is submitted to insurance as well. If you do not have insurance and the mole is your only concern, consultation should not exceed $115.
Franziska Ringpfeil MD. says:
April 30, 2019 at 3:49 PMMelanocytic nevi (moles) can be treated by laser. Here in the US, we do not use this technique commonly because lasers cannot reach deeply enough to destroy all pigment and the pigment then returns after 6 months to 2 years. Its use is somewhat limited to large pigmented birthmarks (congenital melanocytic nevi) if they are desired to be cosmetically reduced for a while.
Franziska Ringpfeil MD. says:
April 30, 2019 at 1:39 AMYour description is that of dermatosis papulosa nigra. If they are shaped like skin tags, they can be snipped off without leaving a scar. If they are sessile that can be “melted” off the skin. They should be softened by applying a topical medication (retinoid) for 4 weeks. Some people need a pre-treatment regimen to prevent discoloration. Please schedule an appointment to learn about your options for removal and appropriate preparation based on findings.
Dark facial hair can be reduced with laser. Electrolysis can be used for all hair colors and is most efficient when treating sporadic hairs.
Franziska Ringpfeil MD. says:
April 29, 2019 at 5:06 PMYour mole could be shave removed again or excised. Chance for recurrence is 50% every time a mole is shave removed, including one that has previously been shaved. The fact that your dermatologist referred you to a plastic surgeon suggests that he/she feels not comfortable performing the procedure. There are many dermatologists or plastic surgeon who perform removal of moles very frequently. If you are nearby, you may consider scheduling an appointment with one of our dermatologists for this elective task and than return to your dermatologist for your other medical needs.
Franziska Ringpfeil MD. says:
April 29, 2019 at 4:58 PMI recommend that you schedule a consultation with a facial plastic surgeon to learn about your options for excision. If you are nearby, you may seek consultation with Dr TO in our office.
Franziska Ringpfeil MD. says:
December 4, 2018 at 9:26 PMAll of our dermatologists perform full body skin examinations and we accept Medicare.
Franziska Ringpfeil MD. says:
August 23, 2018 at 1:30 AMMost dermatopathologists will grade the degree of atypia of a dysplastic nevus, also known as Clark nevus. Pathologists do not routinely do this. We only work with labs that employ dermatopathologists or pathologists that are trained to sign out like dermatopathologists. Dysplastic nevi with mild or moderate atypia do not usually require any further action. These are jsut the type of nevus your skin is making. Dysplastic nevi with severe atypia (sometimes referred to as “unusual features”) require clearance of margins.
Franziska Ringpfeil MD. says:
May 15, 2018 at 7:31 PMIt might be possible to excise it. Please set up an in-office consultation with Dr Gonzalez to learn about your options.
Franziska Ringpfeil MD. says:
April 24, 2018 at 3:00 AMAt this time, it is not entirely clear if removal of moles by laser is safe. Here in the US, it is usually performed to specific birthmarks only. Regardless, the experience with lasers on moles in many people who were treated in Korea in this fashion, proves that moles typically show significant repigmentation 6-12 months after laser treatment.
Franziska Ringpfeil MD. says:
February 26, 2018 at 5:09 AMIt is not yet possible to remove moles without scars. In many instances, shave removal provides the best option, as the scar is hidden in the cut surface of the mole. Lasers treatment might offer a scar free option, but, at this time, it is not yet appropriate in the elective destruction of “true moles”. Cost of mole removal depends on their size and can range between $130 and $250 per mole on the face. In addition, there is a pathology fee of $130 for each mole. The pathology fee is assessed by an independent dermato-pathology laboratory that we sent our specimen to.
Franziska Ringpfeil MD. says:
May 13, 2017 at 5:17 PMMole removal of the side if face for aesthetic reasons is usually performed with a tangential shave technique. It leaves a small flat scar in the size of the mole, which is usually barely noticeable. While this technique delivers the best cosmetic result, there is a 50% chance that the mole grows back to its original size. In addition, you must be awaer that moles are made from melanocytes. These are the pigment forming cells over our body. They sometimes produce pigment only in their based deep in the skin or sometimes not at all, making a mole skin colored. However, there is a theoretical chance that with shave removal, brown pigment may be revealed at the cut level. Complete excision of a mole does not allow the mole to regrow nor for its pigment to be exposed, yet it is not commonly used in this location because the linear scar cannot be easily concealed there.
Franziska Ringpfeil MD. says:
July 17, 2016 at 5:28 AMThe charge for evaluation and for removal of symptomatic (itchy) moles is submitted to insurance. With rare exceptions, insurance usually accepts both evaluation and removal minus any copay, coinsurance or any deductible you might have. You can ask the customer service department of your insurance if you have any such fees contracted with your plan.
Franziska Ringpfeil MD. says:
January 20, 2016 at 3:50 AMMost moles will not turn into skin cancer. It is important to have annual full body skin examinations so that your moles can be looked at in context of the sun exposure of your skin and the other moles. The reason for skin checks is detection of melanoma or other skin cancer that might disguise in between moles. A mole that stands out or has changed might be biopsied. Preemptive removal of many moles causes mutilation and is not standard of care.
Franziska Ringpfeil MD. says:
July 6, 2015 at 4:15 AMYou should be able to find a participating dermatologist by searching on the Keystone First website. If the mole is suspicious or irritated it will be taken off by the dermatologist. If it is considered elective removal. a fee might apply.
Franziska Ringpfeil MD. says:
April 28, 2015 at 5:15 PMMole removal even for elective purposes is possible and is usually followed by pathology examination. Please schedule your appointment for surgical consultation so that we can plan the removal. Depending on technique required (shave removal versus full excision), we might be able to schedule the removal in one visit.
Franziska Ringpfeil MD. says:
April 26, 2015 at 2:04 PMIt is highly recommended to have all moles tested by pathology even after elective removal.
Franziska Ringpfeil MD. says:
October 8, 2014 at 3:33 AMYour description suggests that you could have an angiofibroma. It can be shave removed but this results in a small flat scar and there is a chance that it could return over time. A full excision is not recommended on the tip of the nose because the resulting linear scar is possibly more noticeable that the current spot.
Franziska Ringpfeil MD. says:
April 9, 2014 at 4:06 PMFlat brown moles could be sun spots, seborrheic keratoses or nevi. the first can be treated with laser or IPL, the second can be frozen or scraped off the skin and the last are excised. Evaluation is needed to be certain of the diagnosis, and to discuss the treatment plan should you want to remove these for cosmetic reason so that you are fully aware of the downtime and appearance of your skin after removal.
Franziska Ringpfeil MD. says:
October 8, 2013 at 6:30 PMRemoval of large moles in areas of a lot tension and movement, such as the back, rarely results in good cosmetic results. Depending on the size of the mole, an undesirable mole can be primarily excised in an outpatient setting or may require preparation with tissue expanders and subsequent removal by a plastic surgeon in an operating room. Please provide the dimensions of the mole to determine the type of removal. If small enough for outpatient setting, I ca provide pricing.
Franziska Ringpfeil MD. says:
October 8, 2013 at 5:55 PMShave removal or complete excision may both be good cosmetic options in this location but examination will allow us to device the best removal plan. If complete excision is not cosmetically advisable, shave removal is the only option. There is a 50% chance for a mole to regrow after shave removal. We currently charge $130 for shave removal or $185 for excision for a mole up to 5 mm in diameter on the face. The initial consultation is usually submitted to your medical insurance. If you do not have insurance, the fee is currently $115.
Franziska Ringpfeil MD. says:
May 8, 2013 at 7:01 PMMoles are made of pigment producing cells, called melanocytes. Their pigment production status is variable. When shave removal is performed for aesthetic removal of an elevated mole, half of this mole will remain behind and about half of the time the mole will regrow. The scar will be in the cut surface of the mole and is therefore barely visible. However, at the cut level, pigment production can be the same as at the original surface of the mole, stronger or lesser regardless of the technique used for shave removal (burning with radiofrequency or tangential cutting). This cosmetically superior technique should be chosen to reduce the elevation of a mole. This technique is not the right one if the color is greater concern. Complete excision is the only way to guarantee removal of color. The latter results in a visible scar but assures the removal of the mole for life. Laser treatment for moles (melanocytic nevi) is not considered safe at this time.
Franziska Ringpfeil MD. says:
January 9, 2013 at 7:16 PMRemoval options depend on the nature of the “mole”. A consultation is essential to make a diagnosis unless you have the pathology report from 5 years ago, when the “mole” was removed. Insurance coverage of a procedure depends most often on the diagnosis, and only sometimes on the technique used.
Dr. Ringpfeil says:
November 4, 2010 at 6:13 PMAn evaluation by your family physician or a dermatologist is needed to make a diagnosis and recommend treatment. The term “mole” means many things to many different people. When many spots are itching on the skin, it is more likely that irritation or an allergic reaction occurred. Franziska Ringpfeil, MD
Dr. Ringpfeil says:
June 25, 2010 at 10:23 PMDermatosis papulosa nigra (DPN) is a benign condition that can sometimes be aesthetically unpleasing. There are several safe and well tolerated methodologies to remove unwanted DPN on all skin types. Contraindications for removal are rare and will be assessed during an in-person examination.
We charge $400 to remove DPNs from one anatomic area, such as the entire face. The charge may be higher if removal of lesions from face AND neck AND/OR chest is desired. The charge may be lower if the total number of growths is less than 15. Usually only one treatment is required and the spots do not grow back once removed. However, when you have DPN, you may occasionally develop a few new spots over years than can also be removed. To date, we are unaware of a preventative treatment.
Dr. Ringpfeil says:
April 26, 2010 at 4:25 AMBecker’s nevi consist of pigment change as well as of hair. Not everyone with a Becker’s nevus shows both features equally. If the pigment is of predominant concern, Becker’s nevi are best treated by Q-switched lasers such as Q-switched ruby in the past, and nowadays with the Q-switched Nd:YAG. They respond well but need a number of treatments to reduce pigment.
The ER:YAG may achieve results but I do not use it for this purpose. In my experience, the long pulsed alexandrite is the best to remove unsightly hair and it may erase some pigment in Becker’ nevus. The 810 nm diode laser can also reduce hair and may even work on some color change but is not the most efficient.
If hair is the most bothersome, we will be able to help you. We do not currently operate the Q-switched Nd:YAG. (The Q-switched ruby technology is great but a bit outdated and I am unaware of anyone reputable still using it.)
Keratosis pilaris is a common trait in 10% of the population. It is not commonly treated by laser. The alexandrite laser is the perfect choice to remove the rough, stubbly hair on the arms and thighs and thereby a lot of the redness resolves. Some type of daily exfoliation with glycolic or lactic acid in from of lotion may still be necessary to reduce the thickening of the skin around the hair follicles. Franziska Ringpfeil, MD
Dr. Ringpfeil says:
July 20, 2009 at 2:13 AMThe medical terminology for mole is nevus. A nevus is made up pigment producing cells and may present in many different colors, shapes and sizes. In fact, one individual may have several different populations of nevi. It is important not to only look at a concerning nevus but to put a concerning nevus into perspective by examining the entire integument. If a pigmented spot is indeed unusual in the context of the remaining skin, a biopsy is indicated for microscopic analysis. Health insurances consider both the full body evaluation with a concerning mole as well as possible biopsy a medical benefit.
Alex from Philadelphia says:
January 16, 2024 at 1:22 AMwith the shave removal option, does this leave a scar on my lip or will it look normal without a noticeable scar?
Franziska Ringpfeil says:
January 16, 2024 at 1:22 AMAll surgical procedures leave a scar yet a scar created by shave removal is usually barely perceptible.
Franziska Ringpfeil says:
January 16, 2024 at 1:22 AMAll surgical procedures leave a scar yet a scar created by shave removal is usually barely perceptible.