Mole Removal in Singapore - why remove them?
People have been preoccupied with facial moles since ancient times. Having a mole (or moles) was considered a sign of evil in medieval Europe - witches and devil-worshippers were often shown with prominent moles. A mole was also thought to be marks of beauty during the 17th to 18th century. In modern-day Singapore however, a mole with hairs and protrusions are once again considered an aesthetic defect.
A mole (or moles) is formed when clusters of melanocytes - cells that produce colour (pigment) on the skin. Usually circular or oval, they may be flat or raised, smooth or rough, pigmented or skin coloured, and may even contain hairs.
Many people in Singapore want to have mole removal done because
- they are worried about skin cancer
- they feel self-conscious about the mole
Proper mole removal by a medical professional is essential.
Unqualified practitioners such as spa or facial consultants often produce scarring, incomplete removal or can miss important diagnoses like skin cancer!
Why do I develop moles in Singapore?
Many of my patients ask me why they develop moles, especially patients that develop them later in life. The truth is that for most patients, moles are developed in early childhood or sometime during the first 25 years of a person's life. It is common for patients to develop around 25 moles over their entire life.
As the years pass, these moles change slowly in shape and size, developing a different colour or becoming raised. Some moles might change while some might remain the same throughout your life.
Moles occur when the skin cells in an area on your skin grow into a cluster rather than being spread around the skin. These are specific cells called melanocytes, which give skin pigments their dark colour. The biggest factors as to whether or not moles darken are hormones, genetic predisposition and sun exposure. Hence, pregnant women, teenagers tend to have a higher chance of moles appearing or darkening.
Safe and effective Mole Removal in Singapore
with our evidence-based, mole removal treatment
Ultrapulse CO2 laser mole removal
CO2 laser is strongly absorbed by water in cells under the skin. Laser energy vaporizes a layer of skin cells together with a surrounding zone of coagulation. Ultrapulse CO2 produces very short pulses of laser energy with high peak power. The amount of tissue vaporisation vs coagulation can be tailored, allowing for precise vaporisation of only the abnormal tissue without causing too much collateral damage. The entire process results in successful mole removal treatment.
Before the mole removal procedure, the area will be cleaned by alcohol to kill any germs on the skin. Before the procedure, local anaesthesia will be applied to the area where the mole is. Hence, you should not feel any pain during the procedure.
Radiofrequency ablation for Mole Removal
High frequency radiofrequency is strongly absorbed by water in cells causing vaporization or coagulation depending on the waveform. It can be used to dissect out moles or coagulate them. Insulated needles can also be used to treat buried moles while sparing the skin surface, reducing the downtime and chance of scarring. Mole removal cost Singapore depends strongly on the medical aesthetic choice and number of moles involved in the laser treatment. Treatment is usually done with a laser and cost is based on per mole basis. Due to the nature of the mole removal treatment in Singapore (laser mole removal), the skin around the mole will occasionally get a bit of laser impact. Patients with extremely sensitive skin are strongly advised to check with their medical aesthetic doctor on the suitability of laser mole removal treatment for multiple moles due to their skin condition.
Before the mole removal procedure, the area will be cleaned by alcohol to kill any germs on the skin. Local anaesthesia will be applied to the area. Hence, you should not feel any pain during the procedure.
Surgical excision (Mole Removal Singapore)
A mole (or moles) that extends through most of the dermis or that need to be sent to the laboratory to be examined under the microscope should be surgically excised with a removal surgery. Cold steel, ultrapulse CO2 or high frequency radiofrequency are used to dissect out the lump. The direction and position of the incision are designed to camouflage the scar. The resultant wound is closed with a tension-free layered technique using absorbable and non-absorbable sutures according to plastic surgical principles to produce an aesthetically pleasing result.
1Aesthetics's View on Mole Removal
dr wan's perspective
Thankfully, most moles are benign and patients seek removal for cosmetic reasons. However, it is important to be vigilant for something more sinister. Any skin growth that looks or sounds suspicious for cancer should be excised and sent for examination to rule out cancer. It is common for patients to try to get their moles removed cheaply at beauty salons. While this can sometimes work, I believe that this exposes patients to unnecessary risk, particularly of missing or delaying the diagnosis of skin cancer.
The major concerns that patients have with mole removal are that the mole may recur or that scarring will result. To ensure the best outcome, it is important to ensure that all the abnormal mole tissue is removed while limiting the collateral damage to the surrounding tissues. To achieve this, I use Ultrapulse CO2 and high frequency radiofrequency that can provide tunable amounts of ablation and coagulation to vaporize precisely only the mole cells. Fine control over the destruction of abnormal tissue limits collateral damage and the risk of complications such as scarring or post-inflammatory hyperpigmentation (PIH).
Not all lumps should be vaporized. Bigger, deeper moles (especially those with hairs) that occupy much of the dermis may result in depressed scarring if vaporized. Excision usually produces a better overall result in these cases.
To Dr Wan, the most important factors are how to remove the mole safely and completely with the best aesthetic outcome. Hence, pre-procedural analysis and planning is important, as is a wide variety of precise methods to remove the mole together with fine judgement as to how much tissue to remove. Lastly, the wound closure technique is very critical for the final result. Dr Wan’s previous surgical training during plastic surgery rotations has equipped him with exposure to various plastic surgical techniques such as V-Y plasty, M-plasty, geometric closure, etc that allows him to advise patients on the most suitable method to use.
Topical medication, as well as sun damage protection, should be adhered to in order to reduce the risk of complications after mole removal. After the skin surface has healed, early prophylactic fractional laser should be instituted to blend the treated area with the surrounding skin and make the final result much more inconspicuous.
Ask Dr. Wan - FAQs
Will I feel pain during the procedure?
The area of your skin where the mole will be removed will first be disinfected. There will not be any bleeding as I will cauterize the area to prevent this. As the procedures are carried out under local anaesthesia, you will not feel any pain during the procedure.
Will mole removal in Singapore cause scarring?
This is a very common question that many of my patients ask me, especially for mole removal surgeries done on the face. Scars are always a reality with any surgical aesthetic procedure. For mole removal, there will be a mark on your skin for 2-3 months on the mole site. With proper care and regular application of antiseptic cream, this should heal well and there should not be a very visible scar left over.
How many sessions will I need to remove my moles?
In general, most moles can be removed in one session. Patients with multiple moles on the face can generally remove all of them in one session.
However, certain types of moles might be a little more diffcult to remove and will require 2-3 sessions total. In order to not overly damage the area or cause any side effects, I recommend that patients wait at least 2 weeks in between mole removal sessions.
How long will the session take?
It takes around 10-15 minutes for the local anaesthesia to fully take effect, but the procedure itself will take only around 5 minutes per mole.
Do I need any forms of aftercare?
Yes, aftercare is very important for mole removal. I will personally give you instructions on how to apply the antiseptic cream and how to avoid scratching or picking at the area during the healing process.
In order to avoid scarring, it is important to avoid sun exposure, especially in Singapore. Sun exposure could irritate the affected area and cause post-inflammatory hyperpigmentation (PIH). If you can't avoid going out into the sun, please use protective clothing or apply a broad spectrum sunscreen that has an SPF of at least 30