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 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

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.