You shouldn’t experience any severe pain as the area heals, but you might deal with soreness or itching, Dr. Conrad says. Regardless of the type of mole removal you had, your doctor should instruct you on how to keep the area as clean and soothed as possible. For patients without stitches, Dr. Goldenberg recommends running a mixture of water and gentle soap over the wound at least once a day, gently patting it dry, then applying a thick ointment like petroleum jelly or an anti-bacterial cream before putting on a fresh adhesive bandage.
Someone should have told me all this and urged me to get my blood sugar checked immediately. A standard physical a few years later (I wasn’t doing them regularly like I should have been; I was young and stupid) in fact revealed that my fasting blood sugar levels were high. The skin tags could have been a clue. A study published in March 2017 in the journal Dermatology Review found that nearly 42 percent of patients with skin tags fulfilled the criteria for metabolic disease. About 37 percent of the participants had abnormally high glucose tolerance tests.
Moles can be removed a number of ways, most commonly by numbing the area and then shaving them off or cutting them out and closing the area with stiches. The method of removal is determined by a number of factors including appearance, size, location, and type of mole. For example, if a mole is just bothersome because it is raised, shaving it flat is usually the best approach. Similarly, if a mole is abnormal appearing and small, it also is typically shaved. Conversely, moles that are growing irritated hairs are usually best treated with complete removal and closure with stiches. Moles can grow back after shaving (and occasionally even after removing and closing area with stiches).
Dr. Lam performs careful mole removal based on the type of mole one has. If the mole is relatively flat and not very unsightly, he may elect to cauterize it off to minimize the cost and recovery compared to a surgically incised mole removal. However, if the mole is elevated and/or unsightly, he may excise the mole to ensure that it is properly eradicated since cautery can lead to recurrence. As seen in the Figure, elevated moles have a portion that remains under the skin that will lead to recurrence if not excised, so cauterization of raised moles most oftentimes fails.
Congenital nevi are moles that are present at birth. Congenital nevi occur in about one in 100 people. These moles are slightly more likely to develop into melanoma (cancer) than are moles that appear after birth. A mole or freckle should be checked if it has a diameter of more than a pencil eraser or any characteristics of the ABCDEs of melanoma (see below).
Other skin conditions such as warts and moles can resemble skin tags. Since some moles may be cancerous, it’s best to have your skin tags examined by a doctor. Your dermatologist or family doctor will be able to diagnose skin tags. They’ll likely do this through a visual exam. If they have any doubt about the diagnosis, they may also perform a biopsy.