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Esteemed Contributor
Posts: 5,430
Registered: ‎03-10-2010

dermatologist or plastic surgeon?

I have a mole on my hand, one on my neck and one on my upper eyelid that I would like to have removed. I've never had any skin related procedures done except for the removal of sebaceous hyperplasia per electrocautery. that was done by a dermatologist.

I'm not sure who to contact for what will probably be a pretty simple procedure.

who would you consult?

“All shall be well, and all shall be well and all manner of thing shall be well.” St. Julian of Norwich
Honored Contributor
Posts: 14,893
Registered: ‎03-19-2010

Re: dermatologist or plastic surgeon?

I've had both done.  As long as it's small, a General Practitioner can freeze them off.  I had one rather large one on my back that was under my bra strap and I went to the dermatologist for that one.  She said it could be frozen off, but because of the size it would probably take a few sessions, so I opted to have it cut off.  

Honored Contributor
Posts: 78,318
Registered: ‎03-10-2010

Re: dermatologist or plastic surgeon?

@MariotaMurielle   Definitely a dermatologist.  Removing skin growths is what they do.  Your moles will be tested for malignant cells.

New Mexico☀️Land Of Enchantment
Honored Contributor
Posts: 26,704
Registered: ‎10-03-2011

Re: dermatologist or plastic surgeon?

[ Edited ]

I had three small facial moles removed many years ago in a dermatologist's office. They used a tool that is somewhat like a hole punch, that encircled the discolored skin and excised each mole in one piece while it kept a clean edge.  Each section of tissue was sent out for pathology - all were benign.  I did have some tiny stitches.  Once everything healed, I was prescribed full strength RetinA/Tretinoin to prevent scarring.  I did go through the dryness and flaking stuff as I got used to the RetinA/Tretinoin but wasn't able to draw out the usage and acclimation process, the way it's recommended when using it for wrinkles.  I was using it nightly right off the bat and my facial skin eventually adjusted.  The actual healing of the surgical areas went smoothly and no one would ever know I used to have the moles. I still have a tiny flesh colored piece of skin on my upper and lower lash lines, on the right eye, and was told that the removal process there would be more complicated, not something that could be done in the derm's office.  Since the spot doesn't look suspicious, hasn't changed in any way, doesn't interfere with my vision, isn't an obvious distraction to anyone else, and would be more about my vanity, we/I decided to just leave it alone.  

 

Any areas of sebaceous hyperplasia and congested pores that I've had have been corrected by changing certain skincare products I was using (eliminating Philosophy skincare) and treating with RetinA/Tretinoin.

 

Good luck. 🌷

Honored Contributor
Posts: 13,942
Registered: ‎03-09-2010

Re: dermatologist or plastic surgeon?

 

Dermaologist. 

 

My dad has skin cancer and sees a dermatologist. Each one removed is tested. 

Honored Contributor
Posts: 19,428
Registered: ‎03-13-2010

Re: dermatologist or plastic surgeon?

@MariotaMurielle 

 

I would consult a dermatologist first.  If they feel it is more extensive, they will refer you to a plastic surgeon.  I had a mole type thing on the side of my nose and it was going to leave a dent and was going to make my nose look malformed, so my doctor referred me to a plastic surgeon.  

"A day without sunshine is like, you know, night." - Steve Martin
Honored Contributor
Posts: 36,369
Registered: ‎05-17-2010

Re: dermatologist or plastic surgeon?

[ Edited ]

@MariotaMurielle   If I ever have anything removed from my face or neck, I go to a plastic surgeon. If any stitches are needed, they are more consious that the stitches may show.

 

I had a pre-cancerous mole/freckle appear on my upper eyelid and my plastic surgeon friend removed it. I can't see where it was...even in my magnifying mirror.

 

There are cosmetic dermatologists who are also adapt placing stiches that won't be obvious.

 

Hope all goes well.

Esteemed Contributor
Posts: 5,160
Registered: ‎03-11-2010

Re: dermatologist or plastic surgeon?

Dermatologist

Honored Contributor
Posts: 36,037
Registered: ‎03-09-2010

Re: dermatologist or plastic surgeon?

For the eyelid, sometimes a derm doc will refer to a specialist who is better equipped and knowledgeable to work close to the eye. 

As far as freezing off, yes, that is what they often do but I have not had good results from this, if a mole is raised it flattens it but still leaves behind a brown spot, I have had things frozen off my legs twice and I have big brown spots there now. 

Honored Contributor
Posts: 21,927
Registered: ‎10-25-2010

Re: dermatologist or plastic surgeon?

Either or...just pick one.  See where you can get an appointment that isn't a year away.

 

I've had "things" from my skin removed by both types of doctors. The Demotologist did not remove a cysyt correctly and a plastic surgeon had to do it correctly.

 

All doctors will send whatever they removed in for a cancer check.

 

Also, just to let you know that insurance will deny claims to remove moles and skin tags if the doctor does not suspect cancer.  The procedure could be considered cosmetic.  I'd check with the doctor before you had the procedures done to make sure if you don't want to get a bill.