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anesthetic (relative; alternatives exist)","Bleeding disorder or uncontrolled anticoagulation (relative; needs assessment)","Suspected melanoma: shave removal contraindicated; excision with histology required"],"days_in_clinic":{"min":0,"max":0,"unit":"nights","qualifier":"Performed as an outpatient procedure with no overnight stay."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":1,"max":2,"unit":"weeks","qualifier":"Avoid strenuous activity, stretching or friction at the site until closed or sutures out; sooner after shave removal."},"final_result_months":{"min":6,"max":12,"unit":"months","qualifier":"Scar maturation and fading after excision of a single mole; shave removal sites may settle earlier."},"fly_home_after_days":{"min":0,"max":2,"unit":"days","qualifier":"Flying is usually possible same or next day once bleeding stops; sutures removed by a local clinician."},"follow_up_visits":[{"purpose":"suture_removal","requirement":"conditional","after":{"min":5,"max":14,"unit":"days","qualifier":"Only if non-absorbable sutures were used; timing depends on body site (earlier on the face)."}},{"purpose":"result_review","requirement":"conditional","after":{"min":7,"max":21,"unit":"days","qualifier":"Review of pathology results and wound healing when the specimen is sent for histology."}}],"indications":["Cosmetic concern about a benign mole","Mole repeatedly irritated by clothing, shaving or jewelry","Atypical or changing lesion needing excision and histology","Diagnostic removal of a suspicious pigmented lesion"],"main_risks":["Scarring, including widened, raised or keloid scars","Bleeding or hematoma","Wound infection","Delayed wound healing or wound separation","Changes in pigmentation at the site","Recurrence or regrowth of mole cells, especially after shave removal","Residual pigment or incomplete removal","Local nerve irritation or numbness (uncommon)"],"pain":"Brief stinging from the local anesthetic injection, then little or no pain during the procedure; mild soreness for a few days afterward, usually managed with simple analgesia.","preparation":["Skin assessment, often dermoscopy, to confirm suitability","Review of medical history, allergies and bleeding tendency","Discussion of the technique, expected scar and need for histology","Avoid tanning of the area beforehand","Skin cleansing and marking of the lesion before the procedure"],"recovery_timeline":[{"phase":"Day 0-2","description":"Dressing in place; mild tenderness and possible slight oozing.","restrictions":["Keep the wound clean and dry as instructed","Avoid strain on the area"]},{"phase":"Days 3-14","description":"Wound closes; sutures removed at about 5-14 days if used. Shave sites heal over about 1-2 weeks.","restrictions":["Avoid strenuous activity stretching the wound","Avoid soaking in baths or pools until healed","Protect from sun"]},{"phase":"Weeks 2-12","description":"Scar is pink and gradually flattens and fades.","restrictions":["Use sun protection or sunscreen on the scar","Follow scar care advice from the clinician"]},{"phase":"Months 6-12","description":"Scar matures to its final appearance.","restrictions":[]}],"rehabilitation_days":{"min":0,"max":2,"unit":"days","qualifier":"Daily activities resume same day or within 1-2 days; full healing and crust separation take about 1-2 weeks."},"result_longevity":"Removed mole tissue is generally permanent, though regrowth of pigmented cells can occur, particularly after shave removal; new moles may still develop elsewhere.","revision_rate_pct":{"min":2,"max":10,"unit":"percent","qualifier":"Repeat treatment for regrowth, residual pigment or unsatisfactory scar; higher after shave removal."},"scars":"A small scar is expected: linear after stitches, flat and paler or pinkish after shaving. It usually fades over 6-12 months; raised or widened scars are possible, especially on chest, shoulders and back.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"One treatment appointment for removal of a single mole or a small number of moles; follow-up checks are not counted."},"stages":[{"code":"mole_removal","label":"Mole removal under local anesthesia","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed at the initial visit."}}],"qualifier":"Typical single-visit removal; follow-up care is listed separately."},"success":{"metric":"Complete clinical removal of benign mole without recurrence","value":90,"unit":"percent of patients","horizon":"12 months","population":"Adults with a single benign mole removed by excision or shave","evidence_status":"limited"},"techniques":[{"name":"Surgical excision with sutures","suits_whom":"Suspicious or atypical moles needing histology, deeper or larger lesions, and cases where complete removal is wanted.","recovery":"Suture removal at about 5-14 days; a linear scar matures over 6-12 months."},{"name":"Shave excision","suits_whom":"Raised, clearly benign moles removed for cosmetic reasons or irritation.","recovery":"Wound heals in about 1-2 weeks without stitches; there is a higher chance of regrowth and pigment change."},{"name":"Punch excision","suits_whom":"Small, round moles, usually under about 4-5 mm.","recovery":"Heals in about 1-2 weeks, sometimes with one stitch."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":0.25,"max":0.75,"unit":"hours","qualifier":"For removal of a single mole in the office, including anesthesia and wound closure."},"initial_assessment_documents":["Close-up photos of the mole with ruler","Wider photos showing mole location on body","Dermatoscopy images (if available)","Previous biopsy or pathology report (if available)"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single outpatient visit under local anesthesia; no overnight stay. Suture removal by a local clinician; pathology review remotely."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check the qualifications of the medical team treating you","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you checked the qualifications of the medical team treating you?","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C2","text":"Talk to the surgeon who will perform your procedure before you give consent","scope":"treatment_abroad","source":{"url":"https://www.rcseng.ac.uk/patient-care/cosmetic-surgery/having-surgery-abroad","host":"rcseng.ac.uk","quote":"Make sure that you talk to the surgeon who will be performing your procedure before you give your consent to have surgery.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C3","text":"Confirm the surgeon is fully insured to 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