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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.

Reading Time: <1 minuteThe most common consultation we receive from patients at our clinic is the removal of moles and warts. It is also a standard consultation in cosmetic medicine. Moles and warts are treated at general dermatology clinics, but the treatment and care methods are very different from those at cosmetic dermatology specialized medical institutions. Cosmetic surgery treatment makes it possible to remove moles and warts without leaving any scars. When consulting at a medical institution where insurance treatment is the main treatment, the following is the standard treatment: Moles → removal in principle Warts → liquid nitrogen therapy in principle. Both treatments have been performed since the Showa era. Removal for now, treatment for now The current situation is that there is little effectiveness or consideration for scars. Moles will definitely disappear with removal, but scars will always remain. Depending on the area, they can be quite noticeable, or even more noticeable than moles. This is an unavoidable procedure in order to perform a pathological tissue examination. In cosmetic dermatology, the goal is to remove as neatly and quickly as possible so that scars are as minimal as possible! For this reason, most removals are performed using equipment such as carbon dioxide lasers and electrolysis. Warts can also be significantly improved or disappeared with oral or topical medications. Showa era treatment Liquid nitrogen cannot be expected to have any therapeutic effect on large warts. In my personal opinion, this is a meaningless treatment, so I think it is a Showa era relic treatment that has remained in the Reiwa era and should not be performed. We have many patients who have undergone liquid nitrogen therapy for wart treatment more than 10 times with no results, but their warts have disappeared after just one treatment. There are topical medications that can be considered a miracle cure, but they are not covered by insurance and the treatment costs are a little high. However, you can rest assured that medical expenses deductions are applicable. At our clinic, we use the treatment method that leaves the least amount of scars depending on the type, condition, and location of the mole, so that patients do not have to bear the burden. In principle, removal of the body part is covered by insurance. Please feel free to contact us.  

Reading Time: <1 minuteToday, we created anesthesia to be used in aesthetic medicine in the hospital. Local anesthetics are used in a variety of cosmetic treatments such as armpit treatment, mole treatment, and double eyelid surgery. What is the difference between anesthesia created in-house and anesthesia used in general medical institutions?pain reliefReason: The pH of the anesthetic itself is close to that of the living body.lidocaine hydrochlorideThe name also tells us that it is acidic. The pH of living organisms is neutral, between 7.35 and 7.45. The difference in Ph between the anesthetic and the anesthetic is felt as pain during injection. At our hospitalBy mixing a certain proportion of Meiron (alkaline solution)The pH of lidocaine hydrochloride, an acidic anesthetic, is adjusted to neutral. The maximum dose of lidocaine hydrochloride is close to the actual amount used, and large doses pose a high risk, so it is necessary to use the lowest possible concentration and smallest possible amount. Some cosmetic surgeons do not have this knowledge, so I would encourage them to study it. For patients, pain during treatment and pain from anesthesia are also a cause for concern. At our hospital, we do our best to reduce patients' anxiety about pain as much as possible.

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Beauty Park Clinic

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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 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.

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 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