Paris 16 & Pontoise (95)
Moles (Naevi)
Mole Removal — Paris 16 & Pontoise
Mole removal is indicated when a naevus displays suspicious features, functional or aesthetic discomfort. Performed under local anaesthesia at the practice, it is followed by systematic histopathological analysis to confirm the benign nature of the lesion.
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Screening
Recognising a Suspicious Mole
The ABCDE rule helps identify lesions that require prompt consultation:
- AAsymmetry — The two halves do not match
- BBorder — Irregular or poorly defined edges
- CColour — Multiple shades within the same lesion
- DDiameter — Larger than a pencil eraser (6 mm)
- EEvolution — Any recent change — consult promptly
Procedure
01
Consultation
Clinical and dermoscopic examination of the lesion. ABCDE criteria assessed. Discussion of surgical indication and management.
02
Procedure under Local Anaesthesia
Elliptical excision of the lesion with a few millimetres of safety margin. Fine sutures for a discrete scar. Duration 20 to 30 minutes.
03
Histopathological Analysis
The lesion is sent to the laboratory. Result available in 5 to 10 days, communicated by post or at a follow-up consultation.
04
Suture Removal
At day 7–14 depending on location. The scar is pink in the first weeks, fading over 12 to 18 months.
Practical Information
- Anaesthesia
- Local
- Duration
- 20 to 30 minutes
- Hospitalisation
- Day procedure
- Time off work
- None in general
- Histology result
- 5 to 10 days
- Reimbursement
- Covered if suspicious lesion
Frequently Asked Questions
When should a mole be removed?+
A mole should be removed if it displays suspicious features according to the ABCDE rule (Asymmetry, irregular Border, heterogeneous Colour, Diameter > 6 mm, Evolution), if it bleeds, itches or becomes painful, or if it is located in an area of repeated friction (clothing, shaving). Any recent change warrants prompt consultation. Dermoscopy enables a more refined clinical assessment.
Why is laser not recommended for mole removal?+
Laser and cryotherapy are not recommended for mole removal because they destroy tissue without allowing histological analysis. Surgical excision is the only technique that guarantees the specimen is sent for histopathology. This is essential to rule out any melanomatous malignant component, even if the lesion appeared benign clinically.
Is mole removal covered by health insurance?+
The excision of a mole with suspicious features (per ABCDE criteria or following dermoscopic assessment) is covered by French national health insurance. Purely cosmetic removal of a benign, asymptomatic naevus remains the patient's responsibility. Dr. de Clermont-Tonnerre clarifies the coverage and provides a clear estimate during the consultation.
Should the removed mole always be analysed?+
Yes, systematically and without exception. Every skin lesion removed is sent for full histological analysis. This is the only way to certify the benign or malignant nature of the naevus and specify its subtype. The histological result is available within 5 to 10 working days and is communicated during a follow-up consultation or by post.
What scar remains after mole removal?+
The scar is linear, oriented along the natural tension lines of the skin (Langer's lines) for maximum discretion. Its length is approximately 1.5 to 2 times the diameter of the mole. Sutures may be absorbable or non-absorbable depending on location. The scar fades progressively over 12 to 18 months.
Are the sutures absorbable or do they need to be removed?+
The choice of sutures depends on the location and depth of the excision. Absorbable sutures (Vicryl, Monocryl) are used in depth and sometimes on the surface in high-tension areas. Non-absorbable sutures (Prolene, Nylon) are removed at day 7 on the face and day 10–14 on the body. Dr. de Clermont-Tonnerre will advise the appropriate technique at the consultation.
Can several moles be removed in one session?+
Yes, it is possible to remove several naevi during the same session under local anaesthesia, which optimises time and recovery. In practice, 3 to 5 lesions can be comfortably treated in one consultation. Dr. de Clermont-Tonnerre assesses the number of lesions to treat and their location at the consultation to organise the session optimally.
Can I swim or play sport after mole removal?+
Swimming pools, sea bathing and contact sports are inadvisable for 2 to 3 weeks after removal, to protect the scar from maceration and trauma. Low-impact endurance sports (walking, cycling) are generally possible from day 3–5. The scar must be protected from the sun with SPF 50+ sunscreen for 12 months to avoid hyperpigmentation.
How should I prepare for a mole removal consultation?+
Preparation is simple: bring the results of any previous dermoscopy or biopsy concerning the lesion, disclose your current medications (anticoagulants, aspirin — to be stopped 7 days before on medical advice), any known allergies to local anaesthetics, and personal or family history of melanoma. No pre-operative blood tests are required for a simple excision under local anaesthesia.
Is there an age limit for mole removal?+
There is no age limit. Suspicious naevi can be removed at any age, including in children if the indication is made by a dermatologist. In young children, general anaesthesia may be preferred for comfort. In adults and adolescents, local anaesthesia is generally sufficient and well tolerated. Dr. de Clermont-Tonnerre adapts his approach to each patient regardless of age.