Reading Time: <1 minuteMany patients who wish to have moles removed visit our clinic. In addition to the scars left after mole removal, everyone is concerned about the pain during treatment and the pain of anesthesia. Local anesthesia is performed with a local anesthetic to remove moles. Since men are particularly sensitive to pain compared to women, our hospital manufactures local anesthetics in-house to reduce pain during anesthesia as much as possible. Generally, local anesthetics are administered by injecting a drug called lidocaine hydrochloride, also known as xylocaine, into the mole removal site with a syringe. The concentrations of xylocaine used in cosmetic surgery are mostly 0.5%, 1.0%, and 2.0%, but since the drug is acidic, the higher the concentration, the greater the difference in pH with the body, and the stronger the pain of the local anesthetic being felt when injected. At our hospital, we adjust the concentration of xylocaine containing a vasoconstrictor called epinephrine to about 0.2%. We mix it with a drug called Meylon, which has an alkaline pH of bicarbonate, to adjust the local anesthetic to be neutral so that it approaches the pH of the body. This significantly reduces the pain during local anesthesia. Unfortunately, the knowledge of how to adjust local anesthetics is not yet widespread among many cosmetic surgeons. The cosmetic surgeons and cosmetic dermatologists I have taught always use Meiron to adjust the pH and dilute the concentration of local anesthetics, rather than using them as is. Also, the thicker the needle used for injection, the stronger the pain when it is inserted into the skin. Depending on the area, anesthesia is administered using extremely thin needles of 30G to 34G, so the pain is significantly reduced compared to when local anesthesia is administered with a normal needle. It is also important in medical terms to take into consideration the method of anesthesia and the drugs used when performing treatment. Private medical treatment requires advanced knowledge, skills, and delicate care. When removing moles for cosmetic purposes, we believe that it is essential for patients to receive the best cosmetic medical services, and we provide treatment accordingly. If you are still afraid of injecting anesthesia into your face, we can perform a special anesthesia method using a small medical vibrator or vibration oscillator that vibrates at an even higher speed, which vibrates the skin near the injection site to cause vibrations and lower the pain threshold.

Reading Time: <1 minuteTreatment methods for mole removal vary depending on the location, size, type, and shape of the mole. Of course, if malignancy is suspected, the mole is excised and a pathological examination of the tissue is performed to determine whether it is malignant or not. In general, if no malignant findings are found with a dermascope and even benign moles are removed by excision, the scars left after excision are often more noticeable than the mole itself. Moles are classified by shape as follows: 1. Raised moles 2. Slightly raised moles 3. Flat moles. Of these, raised moles are easier to remove and are less likely to leave scars. For about 30 years, mole removal has been performed using the vaporization method with carbon dioxide laser irradiation. When you hear the word laser, you may think of something cutting-edge, but the principles of the carbon dioxide laser device itself have hardly evolved since 30 years ago. The theory is also the same. Just because it is a carbon dioxide laser does not mean it will remove the mole cleanly. We offer unlimited carbon dioxide laser irradiation for mole removal at low cost. We receive many consultations about cases where moles were not removed by simply irradiating them at a medical institution and only burn scars remained. It is not true that carbon dioxide laser can be used to remove moles cleanly. In particular, for raised moles, we recommend a method of carefully and precisely evaporating the mole tissue with high-frequency heat to avoid post-burn scarring and remove the scars in an inconspicuous manner. We do not dare to irradiate carbon dioxide laser. Of course, advanced techniques are required technically, but in most cases, it can be removed very cleanly and the postoperative scars are not noticeable. For flat moles, the pigment reaches the deep dermis and subcutaneous tissue, so if you try to remove it completely in one go, it is necessary to evaporate the deep parts as if it is being gouged out, and it is prone to scarring, so it is often difficult to remove it completely in one session. In that respect, if you first evaporate the raised mole tissue to a flat surface, the wound will heal cleanly and scars will be less likely to remain. A specialist can diagnose moles preoperatively to determine what treatment is best and what care is required.