Patient Information
This document provides an overview of surgical options, what to expect on the day of surgery, and how to care for the wound post-operatively.
1. Surgical Treatment Options to Remove Moles/Naevi
All moles removed surgically will be sent for **histological analysis** to confirm their nature.
1. a) Shave Excision
- Suitable for superficial or raised moles.
- A dermablade is used to shave the mole down to skin level.
- No stitches are required; the wound heals with a small scab.
1. b) Excision with Stitches
- Used for deeper moles or those suspected of being abnormal.
- The mole is excised with a small margin of surrounding tissue.
- The wound is closed with stitches, which may be dissolvable or require removal.
1. c) Wide Local Excision (WLE)
- Recommended for moles with concerning histology, such as melanoma.
- A larger margin of surrounding skin is removed to ensure complete clearance.
- Stitches or a skin graft may be required.
2. What to Expect on the Day of Surgery
- The procedure is performed under local anaesthetic to numb the area.
- The skin is cleaned, and the mole is removed using one of the methods above.
- The wound is closed, and a dressing is applied.
- The procedure usually takes 15-45 minutes, depending on the mole’s size and location.
- You will receive instructions on wound care before leaving.
3. How to Look After the Wound Post-Surgery
**a) After Shave Excision:**
- A small scab will form, healing within 1-2 weeks.
- Keep the area clean and apply petroleum jelly or a prescribed ointment.
- Avoid picking at the scab to prevent scarring.
**b) After Excision with Stitches:**
- Keep the wound dry for 24-48 hours, then clean gently as advised.
- Stitches on the face are removed in about 5-7 days, while those on the body take 10-14 days.
- Avoid excessive movement that may stretch the wound.
- Once healed, massage the scar with moisturiser or silicone gel to improve appearance.
**c) After Wide Local Excision:**
- More extensive wound care may be required.
- Dressings may need to be changed regularly, and movement should be limited.
- Healing may take several weeks, especially if a skin graft is used.
**Signs of Infection to Watch For:**
- Redness, warmth, or swelling around the wound.
- Increased pain or pus-like discharge.
- Fever or feeling unwell.
Most mole removal procedures heal well with minimal scarring. If you have any concerns, contact your healthcare provider.
Prepared by Dr Sega-Hall
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