The birthmark itself is removed as well as a part of the surrounding healthy skin.
This is necessary for histological examination. The histologist needs to examine both the birthmark and the healthy skin to make sure they will able to make an appropriate diagnosis. Manual excision will almost always result in scarring, therefore it is now only used if the mole appears to be dangerous and there may be chances of further developments.
This type of procedure can be performed by a healthcare professional as well as a beautician or any other appropriately trained non medical personnel as long as the mole is benign and removed for cosmetic or comfort reasons. There are several types of benign growths which are referred to as benign moles. As a general rule in order to minimize the risks of scarring it is recommended that the mole removed is leveled off with the surrounding skin area. Remember that no guarantee can be made of a scar-free outcome despite the method or device used to remove the benign skin lesion.
Certain particular types of benign growths maybe rooted between the dermis and the epidermis and may require a specific technique to remove them in one session only. Having the knowledge of the type of benign lesion you are dealing with, will help you in the effective removal of the lesion is a single session. If the benign lesion is rooted between the dermis and epidermis, a slightly deeper ablation (or burn) may be required to remove the lesion in one session only. If these more deeply rooted moles are leveled off with the surrounding skin area, multiple sessions may be required to remove them effectively.
Generally, moles can be effectively and quickly removed by burning them off using AC electrical arc by starting from the top and working all the way down to level them off with the surrounding skin area. Particularly thick moles maybe better removed with the device set at the maximum power level in order to remove the bulk of the mole effectively within a reasonable timeframe. Normally experienced users set the device at the top power level to coarsely remove the main bulk of the thick mole. However, when you first start using this type of device it is advisable to apply the arc at a minimum power level or generally low power settings, in order to gain confidence with this type of procedure.
Also, if you are a first time user of AC electrical arc, after every voltaic arc short spray, wipe the carbon residues away by using a cotton pad impregnated with nonflammable antiseptic to clear the carbon residues. This will allow you to get used to the amount of mole ablation possible with the device set at the predetermined power level. When the carbon residues are cleared you can see the level of ablation you have reached. You can also feel the remainder of the mole to be removed by running the tip of your finger on the mole you are removing. As long as you feel a small bump this means that you still have some work to do to level it off.
Start reducing the power level of the device to the minimum setting, when, after touching the mole you feel that bump is very thin and you are about to level off the mole with the surrounding skin area. This is because reducing the power level will allow a higher degree of accuracy in the ablation of the mole. The lower the power level the higher the degree of precision you will be able to operate in the leveling off of the mole. The more experience you gain the more confidence you will be in the removal of the mole.
When removing small and thin moles, low power levels may suffice to remove the small moles quickly. If you suspect a mole to be thin it is advisable to ablating the mole by using the lowest power level. You may also find that for small thin moles a short spraying on the top of the mole will suffice to remove them. Always wipe off the carbon residues after every burst especially when you with start removing moles using voltaic arc.
If you want to watch examples of how moles are removed using AC electric arc please refer to the many videos on mole removal in our channel.
The latter method has been very effective, however, it is still possible to remove thick moles by applying the tip of the electrode by starting to apply the arc from the top and work all the way to the base or the benign mole.