![]() If you are interested in pursuing laser treatment, you should seek a consultation with a board-certified dermatologist or plastic surgeon who specializes in laser treatments. Most experienced laser professionals will have some experience with pigmented lesions (acquired moles, freckles and age spots), but few have experience with large and giant nevi because they are so rare. There is certainly a valuable role for lasers to be used in removing hair from nevi or improving scars following nevus excision. Laser technology and precision continues to advance. There does not seem to be consistency in reports or treatment methods, which means there is no perfect solution. Some report success because the nevus is lighter, but it is still visible. Some report initial success only to have the nevus regrow. Some people report successful results with laser treatment. However, for a laser to destroy the deeper nevus cells there is a risk of scarring the skin. Lasers can destroy the nevus cells near the surface of the skin. Although use of lasers are successful for many superficial skin conditions, lasers generally cannot be relied upon to remove a pigmented nevus. We all want to think modern medicine has miracles to offer us. ![]() Removing a congenital pigmented nevus requires cutting out the nevus with a knife, and stitching the removal site closed with a needle and thread and cannot be done without leaving a scar. When removal of the nevus is possible, the success of the procedure depends on a number of factors: Even though doctors remove small moles with good results every day, a large nevus involves much more. In a nutshell – there are no magic answers. Unfortunately, there is not a pill you can take or a cream you can rub on that will make a large congenital nevus go away. One of the most frequently asked questions is “What can be done about it?” This is a tricky one to answer, because it depends on a lot of things. ![]()
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