1. Mole Removal

2. Moles

3. Context Introduction Manual excision using a conventional scalpel
Mole removal using a Laser
Removal with Voltaic Arc or Voltaic Plasma
Benign mole removal
Summary
Moles Removal Case Study – 1
Moles Removal Case Study - 2
Mole Removal on the Scalp Using Plasma.

4. Introduction
Moles and birthmarks appear within the first 20 years of our lives
Not dangerous
Those that appear later on in life present higher risk of developing into cancerous moles

5. Manual excision using a conventional scalpel
Traditional method for removing birthmarks
Best way to remove a mole or birthmark that have chances of being cancerous
It is removed as well as a part of the surrounding healthy skin
Result in scarring.
Necessary for histological examination

6. Mole removal using a Laser
Ablate the skin lesion superficially
Carried out until the mole is “flattened”
The mole is burned (or vaporized) superficially until it is level with the surrounding skin.
Some moles require a deeper ablation than others

7. Removal with Voltaic Arc or Voltaic Plasma
If the mole is removed properly and the aftercare is followed, the risks of scarring are very low
In order to minimize the risks of scarring it is recommended that the mole removed is leveled off with the surrounding skin area.
Remember that no guarantee can be made of a scar-free outcome despite the method or device used to remove the benign skin lesion.

8. Benign mole removal
The technique generally used for benign mole removal is the spray operation
If the benign lesion is rooted between the dermis and epidermis, a slightly deeper ablation (or burn) may be required to remove the lesion in one session only.
Starting from the top and working all the way down to level them off with the surrounding skin area.

9. Thick moles maybe better removed with the device set at the maximum power level
After every voltaic arc short spray, wipe the carbon residues away by using a cotton pad
As long as you feel a small bump this means that you still have some work to do to level it off.

10. Summary
Make sure that the mole your client intends to have removed is a benign growth.
Apply numbing cream on the mole.
Apply the appropriate soothing product and antiseptic immediately after the removal.
Appropriate aftercare information

11. Moles Removal Case Study - 1

12. Benign Mole Removal Case Study
This aesthetic procedure was carried out in April 2014.

13. About the mole to be removed, the subject and the aesthetic practitioner.
The subject was 20 years old at the time of the aesthetic procedure.
The type of moles in question was rather superficial, therefore the spray operation could be used in order to level off the moles with the surrounding skin in order to achieve good aesthetic results.
The aesthetic practitioner carrying out the procedure shown in this case study (Non- Medical Doctor at the time of the procedure) was under training and did not have any prior hands-on experience in removing benign skin lesions using Voltaic Plasma devices. She carried out the procedure under the direct supervision and direction of the trainer on the day.

14. The procedure is painful or uncomfortable to be carried out without any numbing product.
Some medical practitioners use injectable lidocaine, however, this is not strictly required because a good numbing product usually suffices to make the client at ease during the Voltaic Plasma mole removal procedure.
In this case study, a custom- made professional numbing topical product was used therefore no occlusion was used.
Numbing product.
Lidocaine is the main ingredient of the numbing product used in this case study.

15. Procedure description.
In this case, the mole is medium sized and medium thick.
A BeautyTeck device was used, which had a three battery configuration.
Initially, the power level was set at 20, (relatively high power) in order to remove the main bulk of the mole quickly.
During the procedure, from time to time the carbon residues are removed by rubbing the carbonized area with a cotton pad impregnated with nonflammable antiseptic.
When the area is almost flat, after the main bulk of the mole was removed, the minor mole residues are carbonized using the lowest possible power levels in this case level 5 to 6 were used to flatten the area with a high degree of precision and hence try to achieve the best aesthetic results.

16. Scar-free results and expectations from similar mole removal procedures.
As we have seen in this case study, the moles have been removed without leaving a trace. Because these types of results are possible, it has become customary to promise and advertise seamless and scar-free results after mole removal procedures.
Adverse reactions like scarring to mole removal procedures, in general, are very rare, however when they occur this may likely be due to:
→ poor after-care,
→ infection which had developed during healing,
→ the scabs have been removed forcefully or
→ skin reaction of the specific individual.
Very rarely, a long-term adverse reaction is directly caused by the mole removal procedure itself.

17. About the after-care carried out and the healing process.
The area was washed twice a day using mild neutral soap until the scab formed. Also, no creams of any type were applied during healing.
In this case, no sun protection was used as the treatment was carried out in Poland where the UV light is relatively weak.
The scab formed 3 days after the treatment. Then it fell off on its own, 7 days after the procedure. The part looked pinker and the skin texture was slightly different than the surrounding skin area for a few weeks. This is a normal reaction because of the new skin forming instead of the mole that had been removed. This change in texture and difference in color usually subsides and blends with the surrounding skin slowly over time. This process can take a few weeks. Generally two to three months.
Like in this case, if the area is looked after properly the scab should form the third or fourth day after the treatment. In case it has not formed on the fourth day, this may mean that the area is not healing correctly and the likelihood of developing long-term scarring or skin other adverse reactions is higher.

18. Picture taken in 2014
Picture taken in 2016

19. Mole Removal Case Study - 2

20. Plasma Mole Removal Case Study.
As seen in middle of the picture, 14 days after the procedure, the area is slightly red and it has a different texture. The treated area blended well 10 weeks after the treatment.

21. The subject was approximately 45 years of age at the time of the treatment.
The mole was benign and removed for aesthetic reasons only, it was neither inflamed nor red.
The objective of the aesthetic practitioner was to level off the mole with the surrounding skin area in order to achieve the best possible results.
The numbing product used, was topical anesthetic (10% lidocaine).
Although the particular numbing product was applied for a relative long time (one hour) to achieve the desired numbing effect, this does not mean that the only fast numbing alternative is injectable local anesthetic.
As seen the skin is slightly pinker soon after the scab has fallen off  (during the long-term healing).
In this case like in most others, 10 weeks after the treatment the result was almost seamless meaning that it was difficult to tell where the mole was previously located.
Case Study Summary.

22. Pictures taken before
This picture shows where the mole was previously located.
Picture Taken Before the scabbing took place.

23. Pictures taken after
10 Days After.
14 Days After.
10 Weeks After.

24. Mole Removal on the Scalp Using Plasma.

25. Mole Removal on the Scalp Using Plasma.
The subject was under 20 years of age at the time of the treatment. The skin growth was previously diagnosed as benign, therefore no medical intervention was required. Also, the lesion was neither itchy nor inflamed, therefore it could have been safely removed for aesthetic reasons. It was reported that the benign growth was only bothering the individual when combing his hair.

26. Overview Topical numbing product applied for 1 hour using occlusion.
→ The aesthetic practitioner objective was to flatten the benign growth against the scalp.
→ Using Plasma there was no need to shave the area.
The device used was the BeautyTeck set at high power level using the spray operation in order to ablate the mole quickly.
Overview

27. How was the Procedure Carried Out.
There was no need to shave the area in order to carry out the treatment.
The device was set immediately at high power to remove the main bulk of the mole quickly.
The objective of the aesthetic practitioner was to level off the benign growth as well as possible with the surrounding scalp in order to achieve the best possible aesthetic results. 
Every now and then, the carbon residues were removed by rubbing the area with a cotton pad impregnated with non-flammable antiseptic. Towards the end of the procedure after removing the carbon residues, the practitioner ran his finger a number of times on the mole to appreciate how much of the lesion had to be still carbonized in order to flatten the area properly.
Once the area looked almost flat then the finishing touches were made to flatten the mole as precisely as possible and therefore achieve the best possible aesthetic results. In any case, try not to go too deep and create a void in the skin as this, in turn, can result in a hypertrophic or atrophic scar.

28. Pictures taken
10 days after
14 days after
10 weeks after

29. No Bleeding Throughout the Treatment. Hair Regrowth.
As seen in the before picture, there was no hair growth on the benign mole itself. After healing, the area experienced hair regrowth where the mole was located. Hair regrowth may not occur after surgical excision or surgical removal, due to the depth of the incision made during certain surgical procedures. 
The area did not bleed throughout the entire procedure. As we know most other alternative surgical procedures involving the use of conventional scalpels will lead to bleeding. In this case, one of the advantages of the treatment is the bloodless type of procedure, which is often also appreciated by those undergoing the procedures.

30. Numbing the Area Before the Treatment.
The removal was carried out without the use of an injectable anesthetic. Generally, injections are not required for benign mole removal using electrical arcing. The topical numbing product contained over 10% lidocaine. This topical anesthetic was applied using occlusion for one hour to become effective. This was sufficient to carry out the procedure in complete comfort for the subject. Several medical practitioners prefer to inject the area with a local anesthetic before carrying out the procedure because local anesthetics become effective very quickly.
After-care.
During the first few days, a mild antiseptic was applied twice a day until the area scabbed. The after- care consisted in keeping the area not exposed to sources of infections. The subject used normal neutral shampoo as usual (once a day).

31. Credits

32. The End