Page 1 of 2 12 LastLast
Results 1 to 10 of 15

Thread: Plastic surgeon preferred when getting a facial mole removed?

  1. #1
    Senior Member oscdude's Avatar
    Join Date
    Aug 2003
    Location
    Glendale, CA, USA
    Posts
    325

    Plastic surgeon preferred when getting a facial mole removed?

    I heard that a plastic surgeon would be the best choice for having a facial mole removed and not a dermatologist because of scarring. My mole is 1/2 centimeter in diameter and is raised. I consulted with a plastic surgeon and he will charge me $300 to get it removed and I gave a dermatologist a call (no complimentary consultation) and he charges me $180. For either case, I was told that it will be done in the office with local anesthetics. What do you guys suggest? Plastic surgeon or dermatologist?

  2. #2
    Senior Member lynnifer's Avatar
    Join Date
    Aug 2002
    Location
    Windsor ON Canada
    Posts
    19,320
    I had one done by a plastic surgeon a few years back.

    I'm not sure it matters who you go to ... they'll suggest a 'scrape'. Don't do it. Mine grew back within a year (which they warned me about) except now it's more raised.

    $400 later ...

    When I'm better I plan on getting it done properly .. no scrape! Cut it out and I'll deal with the scar.
    Roses are red. Tacos are enjoyable. Don't blame immigrants, because you're unemployable.

    T-11 Flaccid Paraplegic due to TM July 1985 @ age 12

  3. #3
    If scarring is your main concern, go with the plastic surgeon. Be sure they are board certified in plastic surgery and specialize in facial procedures. If you are going to pay that much, you might as well get the best.

    (KLD)

  4. #4
    Quote Originally Posted by oscdude
    I heard that a plastic surgeon would be the best choice for having a facial mole removed and not a dermatologist because of scarring.
    Any chance the two doctors in question have before and after pics of patients that you could look over? Why is the plastic surgeon so much more expensive? Does he say? Typically, I recommend a plastic surgeon for any procedure that one is concerned about cosmetic results, but then I've also had a small, mole sized, sebaceous cyst removed from my cheek by a dermatologist. In fact, it was done just a week before my wedding and you could barely see where the stitches were by that day. If you can afford it, don't let finances make the decision for you, but if you tend to heal and scar well and you trust this dermatologist, I would consider going that route and saving the money.

    C.

  5. #5

    dude

    Have the doctors ruled out malignancy via a biopsy? Most facial spot removal surgeries are done using a MOHS procedure. MOHS is where they have a pathologist on site and the take the minimum necessary and the pathologist checks it before they close the wound to make certain they have all cancer cells. They take the minimum to reduce scarring but are certain to get all the cancer even if they need to go back a few times to get it all.

    I'd vote for a board certified plastic surgeon who does MOHS or a dermatologist who has a MOHS certification and will do a MOHS procedure with or without a referral to a plastic surgeon.

    I've had four done on my face and I don't think any insurance will question the pathology charges. You wouldn't see three of the scars unless I pointed them out and the one big one on my cheek is fading rapidly. Mine were done by a derm, but a plastics doc would have been as good or better.

    Good luck.

  6. #6
    Senior Member oscdude's Avatar
    Join Date
    Aug 2003
    Location
    Glendale, CA, USA
    Posts
    325
    Quote Originally Posted by beachlover
    Have the doctors ruled out malignancy via a biopsy? Most facial spot removal surgeries are done using a MOHS procedure. MOHS is where they have a pathologist on site and the take the minimum necessary and the pathologist checks it before they close the wound to make certain they have all cancer cells. They take the minimum to reduce scarring but are certain to get all the cancer even if they need to go back a few times to get it all.

    I'd vote for a board certified plastic surgeon who does MOHS or a dermatologist who has a MOHS certification and will do a MOHS procedure with or without a referral to a plastic surgeon.

    I've had four done on my face and I don't think any insurance will question the pathology charges. You wouldn't see three of the scars unless I pointed them out and the one big one on my cheek is fading rapidly. Mine were done by a derm, but a plastics doc would have been as good or better.

    Good luck.
    I don't think the plastic surgeon uses MOHS. I did asked about whether the mole could be cancerous and he said not to worry about it that most likely it is not because I am a young guy. But since I will be paying for this out of pocket I don't think I would be able to afford this MOHS procedure.

  7. #7
    Quote Originally Posted by oscdude
    I did asked about whether the mole could be cancerous and he said not to worry about it that most likely it is not because I am a young guy.
    What kind of doctor says that. That statement alone would make me not use him.
    If you can't handle me at my worst, then you sure as hell don't deserve me at my best.


    Sometimes it is easier to widen doors than it is to open minds.

  8. #8
    Super Moderator Sue Pendleton's Avatar
    Join Date
    Jul 2001
    Location
    Wisconsin USA
    Posts
    11,007
    Quote Originally Posted by addiesue
    What kind of doctor says that. That statement alone would make me not use him.
    A good plastics doc has a handle on what to look for at different ages. I went in worried about an asymetrical, light to dark crusty patch on my hairline about 1/2" a round....serbaceous cyst and just "use that gritty stuff you gals use for exfoliation" until it goes away. "Now how long have you had this?" Pointing at the perfectly round, dark, flat, Cindy Crawford spot above my right eyebrow. I had to go through pictures at home to tell him it had been there about 25 years. "Oh, ok, then you'd be dead by now if it was a melonoma." Oh, 14 days and 14 Neutragena Facial Rejuvenator dics later the crusty one is smooth and still fading.

    Lasers can now remove moles that used to be scrapped and often regrow. I had two scrapped, one is back. I should have gone with his suggestion to see the laser specialist in their spa.
    Courage doesn't always roar. Sometimes courage is the quiet voice at the end of the day saying, "I will try again tomorrow."

    Disclaimer: Answers, suggestions, and/or comments do not constitute medical advice expressed or implied and are based solely on my experiences as a SCI patient. Please consult your attending physician for medical advise and treatment. In the event of a medical emergency please call 911.

  9. #9
    I guess I know nothing about dermatology.
    If you can't handle me at my worst, then you sure as hell don't deserve me at my best.


    Sometimes it is easier to widen doors than it is to open minds.

  10. #10
    Super Moderator Sue Pendleton's Avatar
    Join Date
    Jul 2001
    Location
    Wisconsin USA
    Posts
    11,007
    Quote Originally Posted by addiesue
    I guess I know nothing about dermatology.
    I guess I'm prejudiced towards plastics. My husband has had several tags or moles around his neck removed by a dermo. It's just the guy's first question was "do scars matter?" But he had to go back recently for what the spousal unit thought were two problem areas on his face. One the dermatologist ruled out as cancer and froze. The other he removed and sent to pathology. He thought it was basel cell and the path report was negative. Both healed with no scars real quickly. Our last cruise he was SPF'd 50 every day and had a huge hat on in the sun.

    My plastics guy I checked out ahead of time and he's tops in this area. Figured if I ever need a flap I want more than board certified.

    I guess I opened mouth before reading your profile, huh? Oops.
    Courage doesn't always roar. Sometimes courage is the quiet voice at the end of the day saying, "I will try again tomorrow."

    Disclaimer: Answers, suggestions, and/or comments do not constitute medical advice expressed or implied and are based solely on my experiences as a SCI patient. Please consult your attending physician for medical advise and treatment. In the event of a medical emergency please call 911.

Similar Threads

  1. Replies: 3
    Last Post: 06-26-2007, 09:57 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •