Lesion Removal
Lesion, Mole & Skin Tag Removal in Bellevue | Board‑Certified Care
Get safe, effective lesion, mole, and skin tag removal in Bellevue from a board‑certified provider. We offer FDA‑cleared laser therapy, precise surgical excision, and cryotherapy—often with same‑day options and biopsy when indicated. Expect clear guidance, sterile technique, and personalized scar‑minimizing aftercare. Book a consultation to have your skin growth evaluated and, when appropriate, removed at your visit.
Ready to Remove That Bothersome Lesion?
Get expert evaluation and treatment from our experienced team.
What Is Lesion Removal and When Is It Needed?
A skin lesion is any area of skin that looks different from the surrounding tissue. This includes moles, skin tags, cysts, and various other growths. While many lesions are harmless, some may cause discomfort, catch on clothing, or affect your confidence.
Cosmetic vs. Medically Necessary (biopsy and pathology)
Lesion removal falls into two main categories. Cosmetic removal addresses growths that bother you aesthetically but aren't harmful. Medically necessary removal is for lesions that bleed, hurt, show concerning changes, or need biopsy and pathology to rule out cancer.
Benign vs. Suspicious or Malignant Lesions (dermoscopy)
A benign lesion is non-cancerous and usually harmless. Examples include most moles, skin tags (acrochordons), and seborrheic keratoses. Suspicious or malignant lesion types show warning signs and require immediate evaluation. Our team uses dermoscopy with a dermatoscope to examine lesions closely.
Warning Signs a Mole or Lesion Should Be Checked (ABCDE, Bleeding)
ABCDE Melanoma Screening
The ABCDE melanoma screening helps identify concerning moles:
Asymmetry - One half doesn't match the other
Border - Irregular, ragged edges
Color - Multiple colors or uneven shading
Diameter - Larger than a pencil eraser
Evolving - Changes in size, shape, or color
Non‑healing, Itching, Pain, Recurrent Bleeding
See us promptly if a lesion won't heal, bleeds repeatedly, itches persistently, or causes pain. These symptoms may indicate a problem requiring professional evaluation.
Skin Lesions We Treat in Bellevue
Moles (Nevi), Atypical Nevi, and Skin Tags
Moles (nevi) and atypical nevi are pigmented growths that may be raised or flat. Skin tags (acrochordons) are small, soft growths on stalks commonly found in skin folds.
Seborrheic Keratoses, Warts (Verruca), Cherry Angiomas
Seborrheic keratoses (SKs) appear as brown, waxy-looking spots. Verruca (warts) are viral growths on hands, feet, or body. Cherry angiomas are red or purple vascular spots.
Cysts (Epidermoid), Milia, Lipomas, Dermatofibromas
Epidermoid cysts and milia are keratin-filled bumps. Lipomas are soft, fatty lumps under the skin. Dermatofibromas are firm, brownish nodules.
Actinic Keratoses (Precancerous) and Other Pigmented/Vascular Lesions
Actinic keratoses (AKs)Â are rough, scaly precancerous patches. We also treat various pigmented and vascular lesions including sebaceous hyperplasia.
Diagnosis: Dermoscopy, Biopsy, Pathology & Mohs Referral
Dermatoscope Evaluation
We start with a thorough examination using advanced magnification tools. This helps us see details invisible to the naked eye and determine the best treatment approach.
Biopsy, Turnaround Time, and Communication of Results
If a lesion looks suspicious, we may recommend a biopsy. A small sample is sent to the lab for analysis. Pathology results typically arrive within 7-10 days. We'll contact you promptly to discuss findings and next steps. You'll receive pathology results and a copy of the report for your records when a biopsy is performed.
Mohs Surgery Referral for Confirmed Skin Cancers
If cancer is detected, we provide Mohs surgery referral to specialized surgeons for complete removal with minimal tissue loss.
Treatment Options: Laser, Excision, Shave, C&E, Cryotherapy
Picosecond, Excel V, and CO2 Lasers (FDA‑cleared)
Laser therapy offers precise, controlled removal with minimal damage to surrounding tissue. Our FDA-cleared Picosecond laser treats pigmented lesions, while the Excel V laser targets vascular growths. The CO2 laser vaporizes raised lesions with excellent precision.
Surgical Excision (Elliptical/Punch) with Sutures
Surgical excision completely removes the lesion and roots. Elliptical excision works for larger lesions, while punch excision suits smaller, round growths. Both use sutures for optimal healing. Typical suture removal windows are face 5-7 days; trunk/extremities 10-14 days.
Shave Removal; Curettage & Electrodessication; Electrocautery
Shave removal uses a blade to remove raised lesions flush with the skin—quick and requires no stitches. Curettage and electrodessication (C&E) scrapes away the lesion then cauterizes the base. Electrocautery (hyfrecator) uses electrical current to remove small lesions quickly with immediate hemostasis.
When Each Method Is Best (Location, Size, Type, Skin Tone)
We select methods based on lesion characteristics, location, and your Fitzpatrick skin type. Excel V works best for cherry angiomas; CO2 or shave for raised SKs; punch/elliptical excision for intradermal nevi/cysts needing pathology. We adjust approach for darker skin to reduce PIH.
Who Is a Candidate? Safety & Contraindications
Health Review and Local Anesthesia
Most healthy adults qualify for lesion removal. We review your medical history during consultation. We use topical anesthetic or injectable local anesthesia with epinephrine to ensure comfort and minimize bleeding.
Isotretinoin, Anticoagulants, Pacemaker/ICD
Certain conditions require special precautions. Isotretinoin use requires waiting 6 months after stopping. For anticoagulants, don't stop blood thinners without your prescriber's approval; we can modify technique to maintain safety. Pacemaker/ICD patients should avoid RF/electrocautery or coordinate with cardiology for device management; we offer non-RF alternatives.
Keloid Risk, Pregnancy/Breastfeeding, Fitzpatrick Skin Types
Those prone to keloid and hypertrophic scarring need modified approaches. Pregnancy and breastfeeding may limit some options. We customize treatment for all Fitzpatrick skin types to minimize PIH/PIE risk.
What to Expect: Consultation, Same‑Day Removal, Recovery
Comfort Options (Topical and Injectable with Epinephrine)
We ensure your comfort with appropriate anesthesia options tailored to your procedure and preferences.
Procedure Timeline, Hemostasis, and Downtime
Most procedures take 15-30 minutes. We ensure proper bleeding control before you leave. Most patients resume work the same day; avoid swimming, hot tubs, strenuous exercise, and makeup over treated sites for 24-72 hours depending on method.
Exam and dermoscopy
Discuss options/consent
Anesthesia and removal
Aftercare and follow-up
Aftercare Supplies and Follow‑Up Visits
You'll receive detailed post-treatment care instructions. Aftercare essentials include:
Gentle cleanser
Petroleum or antibiotic ointment as directed
Non-stick dressings
Silicone gel/sheets
SPF 30+ sunscreen
Scar Care & Skin of Color Considerations
Silicone Gel/Sheets and Massage
Silicone gel or sheets help flatten and fade scars. Start silicone once the skin is closed/epithelialized—usually day 3-7; massage from week 3; continue silicone 6-8 weeks.
SPF 30+ to Prevent PIH/PIE
Daily SPF 30+ sunscreen prevents post-inflammatory hyperpigmentation (PIH) and post-inflammatory erythema (PIE), especially important for darker skin tones.
Preventing Keloid/Hypertrophic Scarring
High-risk patients receive preventive treatment to minimize raised scarring. Collagen and elastin remodeling continues for months.
Risks, Side Effects, and Limitations
Scarring, Texture Change, and Pigment Changes
While we minimize scarring, some mark may remain. Texture and pigmentation changes are possible, especially with larger lesions or in darker skin.
Infection, Bleeding, and Nerve Risk (Site‑Dependent)
Rare complications include infection, excessive bleeding, or nerve effects depending on location. When to call us:
Increasing redness/swelling
Pus or fever
Severe pain
Bleeding that won't stop with pressure
Spreading rash
Recurrence by Lesion Type and Method
Some lesions, especially viral warts, may return and need retreatment. Recurrence risk varies by lesion type and removal method.
Results, Longevity, and Recurrence Risk
Excision vs. Laser vs. Cryotherapy Outcomes
Surgical excision aims for histologically clear margins to lower recurrence; some lesion types may still recur. Laser and cryotherapy work well but may have higher recurrence rates for certain lesions.
Recurrence by Lesion Type (SKs, Warts, Angiomas)
Seborrheic keratoses rarely return after complete removal. Warts and cherry angiomas may recur more frequently.
Cost, Insurance, and Payment Options
Insurance Medical Necessity and CPT Codes
Insurance medical necessity coverage applies to symptomatic or suspicious lesions. We handle CPT codes and documentation for insurance claims when applicable.
HSA/FSA and Financing
HSA/FSAÂ funds typically cover lesion removal. We offer financing for larger procedures.
Transparent, Upfront Estimates After Evaluation
You'll receive clear pricing after evaluation. Cost factors include:
Lesion type/size
Body location
Method (laser/excision/cryotherapy)
Anesthesia needs
Pathology fees
Alternatives to Removal
Not all lesions require removal. Specific medical options include salicylic acid for warts; 5-FU/imiquimod or photodynamic therapy for actinic keratoses; watchful waiting for stable benign lesions. During your consultation, we'll discuss whether removal is recommended or if alternatives might suit you better.
Provider Qualifications (Board‑Certified Oversight & Master Esthetician)
All procedures have board-certified provider supervision ensuring highest standards of care. Our master esthetician performs appropriate treatments under medical direction. View our gallery to see real results from similar cases to yours.
Bellevue Location, Parking & Nearby Areas (Redmond, Kirkland, Issaquah)
Conveniently located in Bellevue, we serve the entire Eastside community including Downtown Bellevue, Overlake, Factoria, Crossroads, Redmond, Kirkland, and Issaquah. Free parking is available with easy access from I-405 and SR-520. Telehealth consultation options let you get initial evaluation from home. Note that final diagnosis and treatment plan require in-person dermoscopy; telehealth/photo triage is preliminary.
FAQs
What types of skin lesions can be removed?
Most benign lesions such as moles, skin tags, cysts, seborrheic keratoses, and some pigmented or vascular lesions can be treated, depending on evaluation.
How much does lesion removal cost in Bellevue?
Pricing varies by lesion type, size, location, and method (laser, excision, cryotherapy). Most providers give an in-person quote after examination.
Is the procedure painful?
Local anesthesia is typically used to keep you comfortable. You may experience mild tenderness afterward.
What is the recovery time after lesion removal?
Expect minor redness or tenderness for a few days. Most patients resume normal activities quickly with minimal downtime.
Are there risks or side effects?
Potential risks include scarring, infection, changes in pigmentation, and recurrence. Your provider will review risks based on the lesion and method.
How do I know if I am a candidate for lesion removal?
Most healthy adults with benign or precancerous lesions are candidates. A consultation is needed to assess the lesion and review your history.
Which technologies are commonly used?
Options may include Picosecond, Excel V, or CO2 lasers, surgical excision, or cryotherapy. The choice depends on the lesion type and your skin.
Are results permanent? Will the lesion return?
Excision usually offers permanent removal. Some lesions treated with non-excisional methods may recur and require follow-up.
Do I need a referral or consultation before my procedure?
Most clinics require an initial consultation to evaluate the lesion, discuss options, and determine if a biopsy or pathology is needed.
What are my alternatives to removal?
Alternatives may include monitoring, topical or medical therapies for certain lesions, or choosing no treatment if the lesion is harmless and asymptomatic.
Can you remove my mole or skin tag the same day as my consultation?
Often yes. If the lesion is clearly benign and you're a candidate, many Bellevue patients can have same-day removal. If biopsy is needed first, we'll explain next steps.
Will insurance cover lesion removal, or can I use HSA/FSA?
Insurance may cover medically necessary removals (e.g., pain, bleeding, suspicion). Cosmetic removals are self-pay. HSA/FSA can usually be used—bring your card to your visit.
How do you minimize scarring, especially on the face?
We optimize technique for tension lines, use fine sutures when needed, and provide aftercare (silicone, SPF). We'll tailor plans for your skin tone to reduce PIH and texture change.
Do you provide the pathology report, and how will results be communicated?
We notify you as soon as results are in and can share the formal pathology report for your records.
Can you remove multiple lesions in one visit, and is there a per‑additional‑lesion fee?
Yes—when appropriate we can treat several lesions during one appointment; pricing depends on number, size, and method.
Should I see a dermatologist vs. a med spa for lesion removal? What's the difference?
Lesion evaluation/biopsy requires medical oversight; board-certified providers can biopsy suspicious lesions and coordinate Mohs if needed.
Schedule a Consultation
Ready to address that bothersome lesion? Our experienced team in Bellevue provides expert evaluation and removal using the latest techniques. Whether you need mole removal, treatment for skin tags, or evaluation of a suspicious growth, we're here to help.
Take the First Step Toward Clearer Skin
Schedule your consultation today. Same-day removal often available for suitable lesions.
Questions? Call us at (425) 281-4325