Before having a mole removed, ask who will examine and remove it and what their qualifications are, whether the mole looks harmless, which technique they recommend and why, whether the tissue will be sent for histology, what scar to expect and what aftercare is provided. Good answers put an accurate diagnosis first and are clear about scarring.
Questions about the practitioner
- Who will examine and remove my mole?: a good answer is a doctor with appropriate training, such as a plastic surgeon or dermatologist, rather than a non-medical practitioner.
- Are you on the GMC Specialist Register?: specialist registration in plastic surgery or dermatology can be checked on the GMC website.
- Where will it be done?: the procedure should take place in a suitable clinical setting, such as a CQC-registered hospital or clinic.
Mr Reza Nassab is a Consultant Plastic Surgeon on the GMC Specialist Register (GMC 4704243) and holds FRCS (Plast).
Questions about the mole itself
- Does this mole look harmless?: the practitioner should examine it closely, usually with a dermatoscope, and explain their findings.
- Are there any warning signs?: expect a discussion of ABCDE features and any changes you have noticed.
- Should it be removed privately or through the NHS?: if a mole looks suspicious, a good answer may include referral to a specialist skin cancer service.
- Should my other moles be checked?: a sensible practitioner will look at nearby moles and encourage regular self-checks.
Questions about technique
- Will you shave or excise it?: the answer should explain why a technique suits this particular mole, not just which is quicker.
- Will stitches be needed?: excisions usually need stitches; shaves do not.
- Is it done under local anaesthetic?: almost always, and you should be told what to expect.
- Can several moles be removed at once?: often yes, though the number may be limited for comfort and healing.
Questions about histology
- Will the mole be sent to a laboratory?: a good answer is yes, as histology confirms the diagnosis.
- How and when will the result arrive?: you should know the expected timeframe and who will contact you.
- What happens if the result is unexpected?: the practitioner should explain how further treatment or referral would be arranged.
Be cautious of any provider who removes moles with lasers, freezing or cautery without sending tissue for analysis.
Questions about scarring
- What will the scar look like?: you should be told the likely size, shape and position, with honesty that some mark is always left.
- Where will the scar sit?: on the face and body, scars are usually aligned with natural skin lines.
- Is poor scarring likely in this case?: a good practitioner will ask about keloid or thick scars and warn if the site, such as the chest or shoulders, is higher risk.
- How can the scar be helped to fade?: expect advice on silicone, massage and sun protection.
Questions about aftercare and cost
- How should the wound be looked after?: you should receive written instructions on dressings, showering and activity.
- When are stitches removed and by whom?: typically after five to fourteen days depending on the site, at a follow-up appointment.
- Who is the contact if there is a problem?: you should be given a contact number for concerns such as bleeding or signs of infection.
- What does the price include?: ask whether the quote covers the procedure, histology and follow-up. With Mr Nassab, removal is from £650 with the final quote confirmed after assessment, and the consultation costs £150.
Red flags when choosing where to go
Be wary of providers who remove moles without examining them properly, use methods that destroy the tissue, do not send moles for analysis, offer no follow-up, or promise ‘no scar’. A mole that is changing, bleeding without reason or looks different from your others should be seen by your GP promptly. Cosmetic mole removal is for adults aged 18 and over.
Frequently Asked Questions
Is a GP visit needed before private mole removal?
If a mole is changing or worrying you, seeing your GP promptly is sensible. For a harmless mole you want removed, you can book a private consultation directly.
Can any clinic remove moles?
Mole removal should be carried out by a trained doctor who can assess the mole and send tissue for histology.
What is worth bringing to the appointment?
Bring a list of medicines, any photographs showing changes in the mole and details of any previous skin cancer or family history.
How long is the appointment?
The consultation allows time to examine the mole, discuss options and answer your questions. Removal itself is usually a short procedure.
