- Cosmetic Surgery
- Minor Ops
Moles are small clusters of coloured skin cells which can form anywhere on the human body.
They are usually harmless and people can live with them without any complications. However, occasionally, they can be a sign of cancer. So if a mole on your body looks suspicious to a Dermatologist, it should be referred for immediate examination under a microscope (histology), to eliminate the risk of skin cancer and further development.
We recommend you seek professional attention for any of your moles if you notice one or more of the following symptoms:
+ it has changed/is changing colour
+ it has changed/is changing shape and size
+ it is inflamed; it is itchy or painful
+ it is protruding or causing irritation (for example, it’s catching on clothing).
Our team of leading Dermatologists at the Cadogan Clinic offers the best mole-removal service in London. Our Mole Check service is the only one in the UK that guarantees results within a few days. In cases where your consultant feels that it is appropriate to proceed with immediate treatment, our innovative See & Treat service provides instant removal where one of our consultants will use the very latest procedures and technologies to ensure your mole is removed with maximum comfort for you, as well as a swift recovery time and minimal scarring.
+ the mole is dangerous and needs to be removed for precise identification (histology) and treatment to eliminate the risk of cancer
+ the mole is considered potentially dangerous and you would rather eliminate the risk now than continue monitoring it and having regular check-ups
+ the mole is protruding and is easily irritated by clothing (for example, catching on bras, belts etc)
+ the mole is aesthetically unappealing and you would like it removed.
There are many ways that you can reduce your risk of skin cancer.
+ Limit your exposure to UV radiation
+ Use broad-spectrum sunblock when exposed to the sun. Broad spectrum will help protect against both UVA and UVB rays
+ Use a minimum of SPF 30 in your sunblock, ensure the UVA protection is adequate as denoted by UVA and apply thickly and frequently
+ Avoid the use of sunbeds (Using sunbeds for the first time below the age of 35 increases the risk of developing melanoma by nearly 60%
+ Perform a monthly skin self-examination looking for ABCDE of moles
ABCDE Checklist for suspicious features:
+ Asymmetry: Moles that are an irregular shape and have two different halves.
+ Border: Moles with a ragged border.
+ Colours: Moles that have a mix of two or more colours.
+ Diameter: Moles that are larger than 6mm (1/4 inch) diameter.
+ Evolution: A mole which has changed in size or shape over time.
When performing your monthly skin checks ensure you are doing it after a bath or shower, in a well-lit room, with the aid of a full-length mirror looking for any changes in moles thoroughly.
You can also self-assess yourself for risk of melanoma. The Melanoma Risk Factor Assessment checklist can tell you if you would benefit from a mole check by a dermatologist, or from more regular self-examinations.
The Melanoma Risk Factor Assessment:
+ Have you ever been sunburnt badly?
+ Does your skin burn first and then tan? Do you tan at all?
+ Do you have any outdoor hobbies?
+ Have you ever used sunbeds?
+ Have you ever lived anywhere abroad that was very hot/sunny?
+ Have you ever had a job where you worked outdoors?
+ Has anyone in your family ever had melanoma?
+ Do you wear sunblock when exposed to the sun?
If you notice any changes to a mole or a patch of skin, it is important to seek the advice of your GP or a dermatologist as soon as possible. If your regular GP has any concerns about the changes in your moles, they will refer you to a consultant dermatologist for further examination.
A dermatologist will perform a full skin examination to check all of your moles. If the dermatologist has any concerns about any unusual moles or patches of skin, they will either go on to remove (excise) the mole or take a sample of a suspicious patch of skin (biopsy) to send in for analysis.
It is important to note that not all changes to moles are the results of skin cancer. It is normal for moles to change in size, number or appearance over time, even some disappearing entirely. Hormonal changes, like those that occur with puberty or pregnancy, can also cause moles to increase in number or to become darker.
After a mole removal treatment, you may find that the area treated is a little bit red and sore for a week and may require a dressing. If you have had any sutures or a dressing, you will need to return to the clinic after a week for a suture removal and/or a change of dressing. Your doctor will advise you to keep the area out of sunlight and to use a high SPF sunscreen on the area for about six months to avoid scarring.
We have some of the best dermatologists and plastic surgeons in the UK, as well as our mole mapping system, rapid diagnostic services and our “see and treat” service for mole removal. You are guaranteed that Cadogan Clinic is the best choice for accurate and quick diagnosis and treatment.
+ Consultant Dermatologist Led: every Mole Check patient is seen by one of our consultant Dermatologists and not a nurse.
+ Mole Map: each patient leaves with a comprehensive computer controlled Mole Map of their entire body.
+ Long Term Monitoring: our Mole Mapping technology and our Dermatologist led approach allows us to spot even the subtlest of changes and moles over time.
+ Dermoscopy: any mole that a Dermatologist is concerned about will be examined on the spot under a high powered dermatology microscope.
+ Treatment: we have 3 fully staffed operation theatres on site for the rapid, same day removal of worrisome moles.
+ Plastic Surgeons: for the removal of bigger or deeper moles, or those in more visible places, a Consultant Plastic Surgeon can undertake the procedure to minimise any scarring risk.
+ Mohs: we are one of the only clinics in the UK to offer Mohs surgery on site. This is recognised by NICE as the optimal approach to skin cancer removal.
Book in with one of our doctors at the Cadogan Clinic if you’re worried about any of the moles or freckles you have, and you can rest assured that we will be able to give you a comprehensive and fast diagnosis.
A mole or naevus is made up of naevus cells, which extend right through the skin. Therefore, if removal is to be complete, it will leave a hole. Whichever way this heals, there will be a scar. It is our job to minimize this scar.
If the mole is tiny, leaving the hole to heal on its own, may be best. Usually, the hole is refashioned in order to allow stitching in the direction which gives the least scarring, usually in the line of skin tension, for example, the smile lines on the face. Face stitches can be removed early before they themselves cause extra scars, but elsewhere we might use buried dissolving sutures reinforced with tape to again avoid stitch marks.
If the mole is only a problem because it is raised, then sometimes they can be snipped or lasered off. Remember, however, that although the skin is now flat, half the naevus is still there. It might regrow with pigment or look like a mottled scar. This is not often acceptable on the face. Hairy moles need to be completely removed to stop regrowth of the hair from deep hair follicles. A suspicious mole that is thought could be malignant should be cut out to provide tissue for diagnosis under the microscope.
Whichever method is used, we need to keep the skin clean to avoid infection and a worse scar. Antibiotics should not be used to avoid infection, being reserved for treatment of infection.
Some areas of the body make for worse scars than others and some people are more prone to scarring. We now have a genetic test (BILHI) to determine if you are likely to get a bad scar, a keloid. The Cadogan Clinic is the first place in the UK to offer this.
Following a mole check and consultation, your consultant may recommend a surgical excision for mole removal. In this procedure, the area will be numbed with local anaesthetic by your plastic surgeon or doctor and then an incision is made, the mole is removed and the skin is stitched together again. The lesions may be sent off to the diagnostic lab for histopathology if requested by the doctor and results return within 24 hours.
People often choose to remove moles for purely cosmetic reasons, especially if they are moles on the face which can make them feel self-conscious. Our doctors at Cadogan Clinic include highly-experienced Plastic and Cosmetic surgeons who will remove moles whilst leaving minimal scarring on your face.
Moles are common skin growths which can be flat and pigmented or protruding. They affect the appearance and people often prefer to remove them on cosmetic grounds.
In some cases, the moles can start changing in colour, shape, and size. This might be a warning sign of cancer and you should see a dermatologist immediately.
Facial moles are removed surgically after an injection of local anaesthetic to numb the area. The tissue removed is sent for pathological examination and the small skin defect is stitched up carefully. The stitches are removed after 5-7 days and the resulting line scar gradually fades with time.
Benign Dermatofibroma - Persisting asymptomatic nodule. Recommend excision on cosmetic grounds as will never go away spontaneously.
Benign vascular nodule - Developed at site of minimal trauma; needs surgical removal as bleeds easily.
Benign vascular nodule - On face of elderly lady, for surgical removal.
Warty benign basal cell papilloma (seborrhoeic keratosis) - Slowly growing on trunk of 70 year old man; removed by curettage.
Warty benign basal cell papilloma (seborrhoeic keratosis) - Flesh-coloured growth on trunk of 75 year old man
Seborrhoeic warts / keratoses - On a patient
Seborrhoeic warts / keratoses - On a patient
Solar keratoses - Extensive scalp solar keratoses suitable for PDT
Rapidly growing nodule - Below left eye in 70 year old man. Needs excision for cure and for histology to differentiate between a keratoacanthoma and a basal cell cancer
Hand warts - Can be treated with Cryotherapy
Plantar warts - Potentially suitable for cryotherapy
Lentigo maligna - Black discolouration on background brown lentigo on nasal bridge–needs excision to prevent spread.
Melanoma - Melanoma on a patient
Lentigo maligant melanoma - Slowly growing brown stain on cheek of elderly lady
Malignant melanoma - Well demarcated black plaque on sun damaged trunk of 35 year old
Malignant melanoma - Well demarcated black plaque on sun damaged skin
Melanoma - Change in the pigmentation of a previously brown mole
Nodular melanoma - A large pigmented nodule
A nodular melanoma - Enlarging pigmented plaque
Subungual melanoma - Persisting black toenail originally thought due to trauma
A nodular melanoma - Persisting oozing nodule with pigmentation
Amelanotic melanoma - Vascular nodule on the foot
Large malignant melanoma - On upper back of very sundamaged skin
Basal cell cancer - Slowly growing nodule on sun exposed skin of 68 year old man showing telangiectasia (blood vessels) diagnostic of a basal cell cancer
Multiple cancers - Multiple scaly patches consistent with multiple cancers on sun-exposed neck of elderly woman
Basal cell cancer - Scaly area which never heals on right side of forehead of 72 year old. Need excising to prevent further enlargement.
Basal cell cancer - Slowly growing area on sun damaged facial skin of 35 year old surfer. Basal cell cancer needing Mohs and reconstruction to prevent further growth.
Pigmented basal cell cancer - On sun exposed skin of 72 year old. Could be mistaken for a melanoma due to the black pigment.
Squamous Cell Cancer - Sore ear thought to be infection in 78 year old man but due to a squamous cell cancer
Bowen’s disease on the hand - An early skin cancer
Psoriasis - Symmetrical well defined erythematous plaques on the knees
Psoriasis - Well demarcated scaly plaques on elbows of a 4 year old
Psoriasis - Scaly itchy scalp with well demarcated edge due to psoriasis
Psoriasis - Well demarcated scaly rash of psoriasis in a child on an unusual location
Small Plaque Psoriasis - Widespread rash with well demarcated pink scaly patches
Psoriasis - Psoriasis on the forehead and scalp
Large congenital mole - Atypical pigmentation in a child - needs monitoring
Protruding benign mole - Excise on cosmetic grounds
Hair bearing benign flesh coloured facial naevus -
Halo naevus - This is benign and occurs more frequently in patients with vitiligo
Large naevi with irregular pigmentation - Dysplastic naevi which need monitoring /excision to prevent progression
Unusual mole on sole of foot - For dermoscopic monitoring
Halo - Less intense pigmentation surrounding a normal mole
Benign Mole - Benign mole on a patient
Benign Mole - Benign mole on a patient
Acne Scarring - Acne Scarring
Acne - Acne on a male patient
Acne - Acne on the forehead, can be treated with Roaccutane.
Acne - Acne on the cheek, can be treated with Roaccutane.
Alopecia - Alopeca areata
Urticaria - Urticaria or hives
Actinic Lentgines - On the patient's hand
Sun Damage - On the patient's chest
Actinic Lentgines - On the patient's hand
Extensive Actinic Lentigines - Forehead with extensive actinic lentigines sun freckling
Vitiligo - On a patient
Vascular Papule - Vascular papule on patients face
Superficial Leg Vessels - Close up of superficial leg vessels amenable to sclerotherapy or laser.
Dry Eczematous Skin - Dry eczematous skin on a patient
Flexural Eczema - Flexural eczema on a patients arm
With the rise in diagnosis of skin cancer in the UK and…
Consultant Dermatologist Dr Susan Mayou was featured in…
Dr Susan Mayou was featured in Tatler’s Beauty & Cosmetic…
Dr Susan Mayou was featured in the Daily Mail in a feature…
Research has shown that each skin cell has its own daily…
Derived from vitamin A, retinoids are effective in people…
Skin cancer is the most common form of cancer in the UK,…
We recently invited Lily Pebbles to The Cadogan Clinic to…
May is Skin Cancer Melanoma Awareness Month, so now is a…
Mole Check is here. It’s time to #LoveYourSkin. We’re pleased…
Did you know that there are more than 14,000 new cases of…
Why Cadogan Clinic?