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 minuteCare after mole removal is more important than the mole removal technique. The wound starts healing immediately after the mole is removed. If proper care is not given at this time, not only will healing be delayed, but scars will also be more likely to remain. Care is necessary immediately after treatment, that is, immediately after mole removal. Specifically, never disinfect the wound. Do not let it dry out. Never apply cream-based ointments. Many patients have mole removal at our clinic, but we always explain the care after mole removal in detail and carefully instruct patients to do it themselves. Wounds after mole removal are treated similarly to abrasions and burns. Disinfection is not only completely meaningless, but it also delays healing. Disinfection destroys the cells that promote healing. Disinfection also makes the wound more susceptible to infection. At our clinic, we always apply medical wound dressings after mole removal to protect the scar and keep the wound wet, which is called moist wound healing. This promotes granulation and epithelial formation. This leads to scars from moles becoming less noticeable. Mole removal means forming skin with a missing epithelium. If this area is protected and epithelial formation is promoted as soon as possible, the risk of infection will be eliminated, normal healing will be promoted, and scars will be less likely to remain. When removing moles with a carbon dioxide laser, care should be taken after the mole removal as it will cause a burn. The thermal energy of the carbon dioxide laser will evaporate the mole tissue, but the normal skin will also be damaged by heat, causing a burn. For this reason, wounds after mole removal will heal more slowly than simple abrasions. You can leave the medical dressing on for three days. After three days, you will need to remove the dressing yourself and wash the wound with tap water or a shower. This will also wash away bacteria that can cause infection, such as dirt and sweat. After that, you can apply a medical wound dressing or a commercially available KIZUPAWPA for another three days and the healing will be complete. https://www.sakae-clinic.com/wound/p01.html?_ga=2.16767669.22389379.1637503973-1223386255.1510898913 On the face, where blood flow is good, epithelialization is completed after a few days of application, but on the body and limbs, especially the legs and back, blood flow is poor and epithelialization often does not occur even after one week. Using wound dressings for a long period of time can actually delay wound healing, so even if the wound is slightly oozing, it may be necessary to dry the area and wait for it to heal. Redness will remain for about three months, so please avoid exposing the mole removal area to direct ultraviolet light. If ultraviolet light is applied, pigmentation may occur if epithelialization is not complete. There is no need to take antibiotics unless there is a special reason.

Reading Time: <1 minuteWhat is important in mole treatment is post-treatment care, more than the removal method. No matter how cleanly the mole is removed, if the care for the scar after mole removal is insufficient or inappropriate, there is a high risk of a scar remaining after removal. Whether it is removal by excision, carbon dioxide laser, or high-frequency vaporization, a scar will always be left after mole removal. Caring for this wound in the right way is an important factor that determines whether you will be satisfied with the final result of mole removal. I have seen advertisements that say "Clean mole removal with carbon dioxide laser!!" but is it true? It is a rather exaggerated expression to say that a laser can remove it cleanly. Selectively remove pigment cells and make them disappear. This is the ultimate secret to mole removal. A flat mole with pigment deep in the dermis, called a pigmented nevi, is more difficult to completely remove than a raised mole, and the recurrence rate is higher. Removing it with a carbon dioxide laser means applying heat intensively to the mole tissue and vaporizing the mole tissue with that heat energy. The components of moles can be considered to be the same as those of living organisms, so it is roughly assumed to be composed of 60% water and 40% protein. If heat is applied to this tissue, the skin that comes into contact with the heat will naturally become burned. If this burn is in the shallow part of the dermis, granulation will not occur, epithelialization will occur quickly, and it will heal with almost no scars. The important point of care after mole removal is how quickly this epithelialization will be promoted. The latest wound healing theory recommends moist wound healing care that does not dry out the wound. Of course, disinfecting the wound is contraindicated. It is better to wash the wound every day. At our hospital, after mole removal, we apply antibiotic ointment and then apply a medical wound dressing to the wound. Leave it in this state for three days. Assuming that epithelialization will progress, after three days, the wound dressing will be removed and the wound will be washed in the shower, and the wound dressing will be applied for another three days. This initial care is very important in the process of healing the wound. Unlike the face, scars on the back and upper limbs take much longer to heal after mole removal. In particular, the lower limbs take more than three times longer to heal and for the redness to disappear compared to the face. The wound healing process differs depending on the part of the body. Specialists have a good understanding of which parts of the body heal quickly and which parts heal slowly, and can provide guidance on how to care for them. https://www.sakae-clinic.com/wound/ Mole scar care is important because it is a scar specialist.

Reading Time: <1 minuteIn principle, the anesthetic used for mole removal is lidocaine hydrochloride, or xylocaine.　https://www.kegg.jp/medicus-bin/japic_med_product?id=00000332-003is used. We use xylocaine containing epinephrine, a vasoconstrictor. Epirenamine has the effect of constricting blood vessels during treatment to suppress bleeding and extending the effective time of xylocaine. Although medical school textbooks state that use on the tip of the nose and fingertips is contraindicated, there are currently no clinical problems. (It was thought that vasoconstriction could cause skin necrosis.) A 0.5% to 2.0% concentration is often used, but for mole removal, 0.5% is a sufficient concentration and there is no problem with use. We use xylocaine in our clinic, and as the name xylocaine hydrochloride lidocaine suggests, its pH is acidic 3.3 to 5.0. When injected into the body, especially into the dermis, the drug causes pain due to the difference in pH when it diffuses. For this reason, we mix an alkaline drug called Meylon to further lower the concentration and adjust the pH to about 7.3, which is as close to the body's pH as possible, and we make our own by adjusting the pH. In actual use, the pain during injection is much less than that of conventional xylocaine injections, reducing the burden on the patient. In addition, the needle used to inject is extremely thin, from 30G to 34G, which significantly reduces the pain. When removing multiple moles, an injection is required for each mole, so pain relief care for the patient during anesthesia is always necessary. Although the amount of anesthesia required for mole removal is small and easy, careful injection can relieve pain. At our clinic, we use extremely thin needles and a homemade xylocaine anesthetic with an adjusted pH level to remove moles.