Benign Mole Removal Case Study
Case study overview and topics covered.
This aesthetic procedure was carried out in April 2014. The before pictures shown in this case study were all taken just before carrying out the mole removal procedure. This case study shows the results of benign moles removal over two years after the procedure.
Because of this long time lapse, the area had the time required in order to return to normal. As we know, a few days after mole removal, the area treated is of a different texture and slightly pinker especially soon after the scabs have fallen off.
In this web-page you will find:
- The video showing you how the procedure was carried out and the summary of the results.
- Information about the moles removed, the subject and the aesthetic practitioner.
- The type of numbing product used.
- The aesthetic mole removal procedure description.
- Discussion about the results achieved.
- Discussion over scar free results and expectations from similar mole removal procedures.
- Information about the healing and the after-care carried out.
- Pictures taken in April 2014 before the mole removal procedure.
- Pictures taken in November 2016, over two years after the mole removal procedure.
You can limit yourself to watch the video showing the before afters and how the procedure was carried out.
About the mole to be removed, the subject and the aesthetic practitioner.
The subject was 20 years old at the time of the aesthetic procedure. The mole removal was requested for aesthetic reasons only. All moles were previously assessed and identified to be completely benign and therefore could be removed safely for aesthetic reasons. Benign mole removal would have not been required for medical reasons.
The type of moles in question were rather superficial, therefore the the spray operation could be used in order to level off the moles with the surrounding skin in order to achieve good aesthetic results.
The aesthetic practitioner carrying out the procedure shown in this case study (Non Medical Doctor at the time of the procedure) was under training and did not have any prior hands on experience in removing benign skin lesions using Voltaic Plasma devices. She carried out the procedure under the direct supervision and direction of the trainer on the day.
The procedure is painful or uncomfortable to be carried out without any numbing product. Some medical practitioners use injectable lidocaine, however this is not strictly required because a good numbing product usually suffices to make the client at ease during the Voltaic Plasma mole removal procedure.
The use of most numbing topical products which can be purchased on-line or at the local chemist suffice in order to numb the area and allow fast removal and comfort to the subject. There types of “over the counter” numbing products require occlusion to achieve the best numbing results.
In this case study a custom made professional numbing topical product was used therefore no occlusion was used.
This is a classical example of mole removal using Voltaic Plasma. In this case the mole is medium sized and medium thick. The device used was the BeautyTeck used at three battery configuration. Initially the power level was set at 20, (relatively high power) in order to remove the main bulk of the mole quickly. For this reason the device was used at relatively high power level at the beginning to speed up the removal by Carbonisation (or sublimation as referred by others for marketing purposes). At high power levels the amount of tissue that can be carbonised is relatively high therefore this allows a coarse and relatively rapid removal of the main bulk of the mole.
During the procedure, from time to time the carbon residues are removed by rubbing the carbonised area with a cotton pad impregnated with non flammable antiseptic. When the carbon residues are removed the operator can have an appreciation of how much of the mole is still to be removed. It is very common in these procedures for the operator to run the finger on the moles every time after the carbon residues have been removed in order to feel the bump. After removing the carbon residues with the cotton pad, the aesthetic practitioner passes the finger on the mole to appraise how much of the bump is left.
This is a technique which had been used by several practitioners for a long time using also other devices like lasers.
When the area is almost flat, after the main bulk of the mole was removed, the minor mole residues are carbonised using the lowest possible power levels in this case level 5 to 6 were used to flatten the area with a high degree of precision and hence try to achieve the best aesthetic results. This is because the lower the power level of the device the less less tissue the arc will carbonise. therefore, reducing the power level allows the aesthetic practitioner to work with finer precision.This process is repeated until the bump has been removed and the area is completely flat.
Depending on the type of benign mole or skin lesion to be removed, sometimes even if the area has been flattened properly, further treatment after healing may be required to achieve the best aesthetic results. There are certain types of moles and benign skin lesions which can be removed for aesthetic reasons rooted a little deeper into the skin therefore a deeper ablation may be required in order to remove them all in one session. Knowing what type of mole or benign skin lesion you are dealing with alongside with an awareness of the physiology of the benign skin lesion can help you remove it within one session. However if you are not sure, you can always flatten the mole and repeat the treatment after healing if required.
To summarise at the beginning the power level was high to allow a coarse and relatively rapid removal of the main bulk of the mole, when the mole residues were relatively little then the power level was reduced to allow the aesthetic practitioner to work with a high degree of precision and working with a higher degree of precision allows the user to achieve the best aesthetic results.
About the results presented.
The before pictures were taken right before carrying out the Plasma mole removal in April 2016. The after pictures were taken in November 2016 because we had the opportunity to meet the subject again over 2 years after the procedure. As we can see, the aesthetic results are excellent, no trace of the previous mole can be found. In order words the results are seamless, meaning that it is not even possible to identify the spot were the mole resided before, even by a careful examination. We only knew the moles were there because we have the evidence and helped carry out the removal.
As we know, during the healing process the scab forms 3 days after the procedure and once the scabs fall off on their own the area becomes slightly pinker and it has a slight different texture than the rest of the skin. Then this difference in skin texture and colour usually fades on its own accord over time. In this case is it not possible to appraise these effects because of the long time distance from the procedure. The location where the moles were previously located cannot be recognised and therefore the results are completely seamless.
Scar free results and expectations from similar mole removal procedures.
As we have seen in this case study, the moles have been removed without leaving a trace. Because these types of results are possible, it has become customary to promise and advertise seamless and scar free results after mole removal procedures.
In reality there is no guarantee that any benign skin lesion can be removed without scarring or without leaving some permanent skin texture difference of some sort. Unfortunately there is no device or method or procedure which can guarantee scar free results every time even when the procedure is carried out correctly. This is because there are too many factors affecting the end results, one of the them being the after-care.
However even if the removal procedure is carried out correctly and the after-care followed to the letter, the way the individual skin recovers is different form person to person and some people can be more prone than others to develop scarring, permanent change in skin texture, hyper-pigmentation etc.
However there are clinics adversing scar free removal. It is our opinion that although the likelihood of the development of scars or permanent skin texture change is statistically very low, the likelihood of developing undesired long term adverse reactions can be minimised, however can never be completely ruled out despite the method used; therefore seamless results should not be promised since there are far too many factors affecting the final results even if the treatment were carried out in a perfect fashion.
Adverse reactions like scarring to mole removal procedures in general are very rare, however when they occur this may likely be due to:
- poor after-care,
- infection which had developed during healing,
- the scabs have been removed forcefully or
- skin reaction of the specific individual.
About the after-care carried out and the healing process.
The area was washed twice a day using mild neutral soap until the scab formed. Also no creams of any type were applied during healing.
In this case no sun protection was used as the treatment was carried out in Poland were the UV light is relatively weak.
The scab formed 3 days after the treatment. Then it then fell off on its own accord 7 days after the procedure. The part looked pinker and the skin texture was slightly different than the surrounding skin area for a few weeks. This is a normal reaction because of the new skin forming instead of the mole that had been removed. This change in texture and difference in colour usually subsides and blends with the surrounding skin slowly over time. This process can take a few weeks. Generally two to three months.
Like in this case, if tha area is looked after properly the scab should form the third or fourth day after the treatment. If case it has not formed on the fourth day, this may mean that the area is not healing correctly and the likelihood of developing long term scarring or skin other adverse reactions is higher.