2024/07/09

Are moles malignant or benign?

Reading Time: <1 minuteEvery day, many patients come to our clinic hoping to remove moles. Moles can be various things such as age spots, malignant tumors, viral warts, and sebaceous cysts. Sebaceous cysts are the only type of mole that can be diagnosed 100% with the naked eye. Each type has a different treatment and progress after removal. In rare cases, it can be a malignant tumor or precancerous condition. At our clinic, we ask about the date of onset and progress, and perform a detailed examination. We always diagnose with a dermascope, so you can be assured that you will receive treatment. Recently, an elderly patient came to our clinic asking for a mole that had appeared on his nose about six months ago and was gradually getting bigger, and asked us to remove it. It had a slightly irregular shape, so we predicted BCC (basal cell carcinoma) and examined it with a dermascope, and as expected, there was vascular dilation and pigmentation characteristic of BCC. A biopsy was performed to confirm the diagnosis, and the diagnosis was pathological. It was BCC. Some beauty clinics do not even consider the importance of a thorough diagnosis before removal, and the moles are either left untreated, causing problems. Mole removal begins with a consultation. If you are worried or concerned about a mole, please feel free to consult us. We will provide a thorough examination, explanation, and treatment.
2024/01/07

Removal of moles and warts in the scalp

Reading Time: <1 minuteMany patients visit our clinic hoping to remove moles and warts from within the scalp. The scalp has good blood flow, so the wound heals quickly and leaves almost no scars, making it an easy area to remove. In principle, if malignancy is not suspected, there is no need to remove it by excision. In other words, it can be removed cleanly without using a scalpel. You can wash your hair from the day of the treatment. If you do not rub the affected area, washing your hair and cleaning the affected area will be more beneficial for scar healing. The affected area will not bleed. The affected area will hardly bleed after removal. This is because the hair root is located deep in the area, so moles and warts can be removed with a treatment that does not damage the area. Most patients visit our clinic hoping to remove swollen moles and warts, so they can be easily removed. No need to visit the clinic. The treatment time is about 1-3 minutes, depending on the size. The local anesthetic is also less painful, so you will not feel any pain after the treatment. Immediately after treatment, you will be asked to apply an ointment containing antibiotics and anti-inflammatory agents to the affected area three times a day for about 4-5 days. This simple procedure of applying the ointment will clean the affected area. Anesthesia is also performed at our hospital with pH adjustment, so it is performed at general medical institutions. Compared to local anesthetic injections,It is extremely painless and can be performed even on small children.It is faster, more accurate and more reliable than carbon dioxide lasers, and leaves less noticeable scars.SurgetronWe use a device called "Tissue Removal Device" to remove the stains. Please feel free to contact us.  
2024/01/05

Mole removal

Reading Time: <1 minuteMany patients visit our clinic hoping to remove moles. What kind of moles are easy to remove? Many people think that flat moles are easier to remove, but raised moles are overwhelmingly easier to remove without leaving noticeable scars after removal. Flat moles may have pigments deep in the dermis, so they cannot always be completely removed in one session. We cannot guarantee that the mole pigment will disappear unless we perform an excision. Raised moles can be completely removed by evaporating the mole tissue itself with a Surgitron high-frequency treatment device, and there is almost no chance of recurrence. The skin above the lips and around the eyelids is always moving, so after surgery the scars are often raised and become hypertrophic scars. We do not recommend removing moles on the sternum or shoulders because the scars are often more noticeable. Raised moles on the nose have cartilage at the base, so the scars are less noticeable and they are easier to remove. If you wish to remove moles or warts, please feel free to consult us as we can perform all kinds of treatments. We also perform pathological examinations, and after diagnosing whether moles are malignant or benign using a dermascope, in principle, moles on the body can be removed under insurance coverage. Moles are benign tumors called pigmented nevus, and in the case of removal, it is assumed that medical expenses deductions may be applicable. Please feel free to contact us.
2021/11/24

Mole removal Care based on wound healing theory

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.
2021/11/23

Mole removal raised shape

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.
2021/11/17

Care after removing moles

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.
2021/11/17

Need for mole resection

Reading Time: <1 minuteMole removal is done by mole excision, carbon dioxide laser treatment, and electrolysis. There are two methods for mole removal: excision and incision. The excision method is exactly what it sounds like: it is a method of removing moles by cutting them out with a scalpel. Scar condition immediately after mole treatment This is a treatment method that can be performed using a tool called a trephine, but it is also a treatment method that uses a scalpel to cut the edge of the mole and heals the scar by the rise of granulation tissue and epithelialization without suturing. The advantages are that it does not require skill, that it can be done without using special tools, and that it can be completed in a short time, but these are all benefits for the doctor and have little benefit for the patient. It is a treatment method that should not be performed unless malignancy is suspected. Incision method is a method in which normal skin including the mole is cut into a spindle shape and sutured. The advantages are that the mole can be completely removed and there is no possibility of recurrence, pathological examination is easily possible, and it is possible to treat even after it is determined to be a malignant tumor. That is. Scar condition immediately after mole treatment The disadvantages are that the scar will be larger than the diameter of the mole, there will be downtime, and stitches will need to be removed, so you will definitely need to visit the hospital. If malignancy is suspected, this treatment method will be performed and a pathology test will be performed on the skin tumor that was removed to confirm that it is not malignant and a pathology diagnosis will be confirmed. Currently, the diagnosis of whether a mole is malignant or benign is performed using dermoscopy as a screening method, and if there is any possibility that it may be malignant, the tumor will be excised and removed, and a pathology diagnosis will be performed. Since this is outsourced, it will take about a week for the test results to be confirmed. Scar condition immediately after mole treatment
2021/11/16

Anesthesia for mole removal

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.
2021/03/01

We have increased inquiries about moles.

Reading Time: <1 minuteAs the COVID-19 infection spreads, people now have to cover their faces with masks, leaving only their eyes exposed. Many companies now require employees to wear masks indoors. Currently, the number of patients undergoing mole removal is increasing rapidly. Carbon dioxide laser treatment is well known for mole removal, but our clinic recommends thermal evaporation treatment using electronic energy, which leaves less scars than carbon dioxide lasers and can be removed reliably in a short time, or evaporation treatment of mole tissue using a thulium laser (Lavieen). >>About mole removal Unlimited mole removal Treatment is performed on a flat-rate basis. In medical institutions, removal using a carbon dioxide laser is common, but there is a high possibility that a very noticeable hypertrophic scar will remain, so careful consideration is required. Many patients come to our clinic to consult about hypertrophic scars after mole removal using a carbon dioxide laser. CO₂ or carbon dioxide laser mole removal has a cutting-edge image with the name laser, but it has been used clinically for over 25 years. In a sense, it is an old-fashioned treatment and is not necessarily recommended as the first choice for carefully removing moles. In fact, I also removed moles more than XNUMX years ago using a domestic carbon dioxide laser system developed by Japan Infrared Industries Co., Ltd. (Neek), which was sold at a list price of about XNUMX million yen at the time. When I started working as a cosmetic surgeon, the treatment for mole removal was basically excision, so the carbon dioxide laser system, which can evaporate and disappear by simply irradiating it with laser light, was revolutionary and seemed like a magical device. Scars are less noticeable than with incision surgery, and scar healing was not a big issue more than XNUMX years ago. Laser treatment In those days, patients were satisfied if the swelling and color of the mole improved. However, nowadays, there are systems that can remove moles more cleanly, so the issue of scars such as hypertrophic scars caused by carbon dioxide laser removal has come into focus. I am still reluctant to use the same treatment method as XNUMX years ago. Currently, raised moles are mainly removed using a treatment method that evaporates the mole tissue with heat from electronic energy of radio waves. For flat moles, a laser is irradiated with a medium called thulium to evaporate the tissue and remove it. Moles are diagnosed with a device called dermoscopy. If malignancy is suspected, the affected area must be removed by excision or hollowing out, and a pathological examination is performed to confirm the diagnosis. For tumors and moles that have been diagnosed as benign, we do not perform excision, but choose to treat them with electronic energy evaporation or thulium laser. For aftercare, a medical sticker is applied for a few days and moist wound healing is performed, but the affected area is not disinfected. Disinfecting the wound will delay wound healing due to the tissue damage caused by the disinfectant, and the risk of infection will increase. The main reason for removing moles is for aesthetic purposes, but there are also cases where a fortune teller recommends removal, or there are symptoms such as itching or pain. Mole removal does not mean that all scars will heal and become inconspicuous in the same way. Depending on the part of the body, the scar may become raised and become a state of hypertrophic scarring, so careful consideration is required before surgery. On the face, scars are likely to be noticeable around the mouth, lower jaw, and above the cheekbones. On the body, scars are likely to be noticeable on the shoulders, above the deltoid muscle, and above the sternum, because the skin is highly taut and the scar is always pulled by the surrounding area. In particular, in these areas, there are many cases where the scar heals as a white raised hypertrophic scar. Depending on the part, excision surgery can also be performed without leaving any scars, so if the mole is too large, surgery may be necessary. Because there is cartilage just below the tip of the nose, it is difficult to remove the mole, and you will need to choose a treatment other than excision. Mole removal is not a difficult cosmetic surgery procedure, but there are many things to be aware of, such as postoperative care and the selection of the surgical site, so we recommend that you receive a thorough explanation of the risks and benefits from your doctor before undergoing treatment. contact@sakae-clinic.com phone:0120566680

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