Reading Time: <1 minuteWe receive many consultations about mole removal every day. Moles are removed as much as possible, and many evaporation treatments using carbon dioxide laser or electric evaporation are also performed. If there is even the slightest suspicion of a malignant tumor or if a pathological examination is considered necessary, it is assumed that excision and removal are desirable. However, cosmetically, there may be some scars that are more noticeable than the mole itself. Although carbon dioxide laser treatment for moles is considered to be the most advanced, I have been using it for 30 years. It is not true that moles can be removed cleanly or without scars just because they are performed with a carbon dioxide laser. In many cases, it is better to have a specialist with advanced skills carefully remove the mole using the electric evaporation method, which leaves no scars. Before evaporation, heat is generated, so in order to suppress thermal damage to normal tissue, our hospital performs evaporation treatment by repeatedly cooling the affected area with a cooling device at -20°C. For anesthesia, we use a drug containing xylocaine + merlon, which has been adjusted in pH so that there is almost no pain when injected. It depends on the location of the mole, the size of the mole, the depth of the pigment in the mole, the condition of the mole, and the treatment after mole removal. You have to take everything into consideration and decide whether it can be removed cleanly. Immediately after surgery, redness appears, resembling an abrasion. Because the epithelium is missing, a medical dressing is applied for about a week to allow for early epithelialization. Areas where scars are likely to remain (raised hypertrophic scars) are areas where the skin moves, such as around the eyes, around the mouth, and the lower jaw. The redness disappears in about four months, changing to almost skin color and becoming less noticeable. During these four months, it is necessary to block out as much light as possible. If the affected area is exposed to strong ultraviolet rays, pigmentation may remain for a long time. Care is important for the first week. Immediately after removal, apply a steroid ointment containing antibiotics only once. Apply a medical wound dressing on top of it. This covers the scar after mole removal, making it moist and allowing the epithelium to be cultured. Once epithelium is formed, the dressing is no longer necessary. Disinfection and application of topical medication are not required. In principle, no outpatient visits are required.  

Reading Time: <1 minuteThere have been quite a few cases of patients coming to our clinic being diagnosed and recommended surgery by non-physicians, resulting in them becoming victims. Many patients have complained that counselors who do not appear to have medical qualifications, who are not physicians, recommend mole examinations, diagnosis, and removal surgery at high costs, and then forcefully recommend same-day surgery with a special discount if the surgery is performed on the same day. Only doctors can diagnose. In addition, benign tumors such as senile warts, which almost never require removal, are benign and can be easily removed with a carbon dioxide laser or electrolysis. There is no option for removal. The problem is that counselors, who are not physicians, examine patients, make diagnoses, and recommend surgery. This is a fraudulent method of forcing all benign tumors that do not need to be removed to undergo removal surgery and demanding high treatment costs. It is a criminal act carried out in the name of medical care. It is an unacceptable act that gives a very bad image to cosmetic medicine. This cosmetic surgery clinic runs flashy TV commercials and listing ads, and many cosmetic surgeons know that it is a problematic and unscrupulous cosmetic surgery clinic. I would like patients to visit the hospital with sufficient knowledge and to have the courage to refuse treatment if they are recommended by someone other than a doctor.