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.

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