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).
If you are wanting a mole removed for cosmetic reasons, it is important you first consult with a board certified dermatologist to ensure the mole is not concerning for melanoma. Once the mole has been assessed and deemed to appear benign on clinical inspection, a discussion should be had on whether a shave removal, punch biopsy or excision would have the best cosmetic outcome. With elevated moles a shave removal is usually performed which can leave a good cosmetic result in most cases. For flat moles, punch biopsy or excision is usually performed, but you should have a discussion with your dermatologist on whether the scar or mole will be more cosmetically appealing. At our office, shave removal of one mole is typically quoted at $138 to $200. Lastly, it is important the mole be sent for pathology to a board certified dermatopathologist. Pathology is charged separately by the dermaopathologist with prices ranging from $100 to $300.