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Should I Have a Biopsy on My Mole Before Having It Removed?

Should I Have a Biopsy on My Mole Before Having It Removed?

If you’ve spotted a mole that’s concerning you, whether it’s for cosmetic reasons or because it looks a little suspicious, you might be wondering: should I have a biopsy before removing it?

At Cleaver Medical Group Dermatology in Alpharetta, Canton, Cumming, Dahlonega, Dawsonville, Gainesville, Johns Creek, Lavonia, and Toccoa, Georgia, our expert team is here to help. The short answer: it depends on your reason for removal.

Let’s get started.

When a mole should be biopsied first 

If our team thinks your mole looks even slightly unusual, we’ll likely recommend a biopsy before removal. This is because the biopsy helps rule out skin cancer and ensures the safest treatment plan. Signs a mole may need a biopsy include: 

  • Asymmetry (one half doesn’t match the other) 
  • Uneven borders 
  • Multiple colors or unusual pigmentation
  • A diameter larger than a pencil eraser
  • Changes in size, shape, or color over time 
  • Bleeding, itching, or scabbing without reason 

A biopsy involves removing a small tissue sample (or sometimes the whole mole) so it can be examined under a microscope. 

When you can skip the biopsy

Not every mole removal needs a biopsy. If your mole is clearly benign (noncancerous) and you’re removing it for cosmetic reasons or because it’s irritating (like catching on clothing or shaving), our team may safely remove it without a biopsy. Some common noncancerous moles that often don’t need a biopsy include:

  • Flesh-colored, raised moles that have looked the same for years
  • Flat, brown moles that haven’t changed
  • Moles that are symmetrical, with smooth borders and uniform color.

Still, our team will make the final call after examining your mole. 

The benefits of biopsying before removal 

Even if you’re leaning toward skipping a biopsy, here are a few benefits of saying yes to one:

Peace of mind 

There is a huge relief that comes from knowing whether your mole is benign or not. 

Safety first 

If your mole is cancerous, removing it improperly could leave cancerous cells behind. 

Tailored treatment 

We’ll plan the right type of removal based on the biopsy results. 

Think of it like double-checking the safety net before a big leap — it’s an extra layer of protection. 

Ultimately, the bottom line is that if your mole looks suspicious, you should definitely have a biopsy before mole removal. If your mole looks harmless and you just want it gone, it may not be necessary. However, it’s always worth asking an expert. 

At the end of the day, it’s not a decision you have to make alone. If you’re ready for some guidance and peace of mind, contact us online or by phone to set up an appointment at one of our locations today!