Clinical Background: A 30-year-old student residing in Jhalawar visited Skinssence Laser & Skincare Clinic in Talwandi, Kota seeking evaluation and removal of a raised, long-standing mole on the lateral aspect of her neck. Medically asymptomatic and non-tender, the lesion caused persistent cosmetic self-consciousness during social interactions and snagged against clothing collars and necklace chains. Her clinical goal was scar-minimal, stitch-free removal with swift healing.
Clinical Case Snapshot
- Patient Profile: 30-year-old female (Student)
- Primary Concern: Benign raised cervical melanocytic nevus (neck mole) with friction irritation
- Supervising Physician: Dr. Ashima Madan (MBBS, MD, FAM – DJPIMAC, Mumbai)
- Clinical Modality: High-Frequency Radiofrequency (RF) Ablation & Micro-Cautery
- Clinic Location: Skinssence Laser & Skincare Clinic, Talwandi, Kota
Understanding the Concern: Benign Moles & Precision Removal Modalities
Benign melanocytic nevi are common localized proliferations of pigment-producing melanocytes. While clinically harmless, lesions located along the lateral neck or neckline frequently undergo recurrent micro-trauma from shirt collars, hair friction, and jewelry, leading to occasional irritation or patient anxiety.
Traditional surgical excision with scalpel sutures is often unnecessary for small, benign exophytic lesions and leaves linear suture track marks on exposed cosmetic areas. Advanced dermatological Radiofrequency (RF) ablation offers an elegant alternative: utilizing ultra-high-frequency radio waves (2.0–4.0 MHz) to vaporize cellular water within tissue layers with micron-level precision, sealing capillary vessels instantaneously while sparing surrounding healthy skin.
Doctor-Supervised Clinical Assessment
Prior to considering any interventional ablation, Dr. Ashima Madan conducted a rigorous dermatoscopic evaluation to confirm benign criteria using the clinical ABCDE rule:
- Aymmetry: Symmetrical, well-circumscribed dome-shaped raised nodule (approx. 3 mm).
- Border: Regular, smooth, well-demarcated margins.
- Color: Homogeneous uniform light brown pigmentation without irregular variegation.
- Diameter: Stable size under 5 mm with zero recent evolutionary changes.
- History: Confirmed absence of ulceration, spontaneous bleeding, rapid elevation, or pruritus.
Why Radiofrequency (RF) Cautery Was Selected
At Skinssence Kota, lesion removal is tailored to anatomic location and aesthetic considerations. For cosmetically sensitive zones like the neck, Dr. Ashima Madan selected Radiofrequency (RF) ablation over surgical excision or cryotherapy because:
- It operates at low lateral heat dispersal, preserving marginal collateral tissue and minimizing scar contraction.
- It achieves simultaneous micro-coagulation of blood vessels, eliminating intraoperative bleeding and the necessity of sutures.
- It leaves a smooth, level base that re-epithelializes with natural skin texture and minimal pigment alteration.
Dr. Ashima Madan's Customized RF Mole Removal Protocol
The procedure was performed under sterile surgical standards and completed in a single 20-minute session:
- Step 1 – Antiseptic Preparation & Local Anesthesia: Pre-procedural chlorhexidine disinfection followed by targeted local infiltration of 2% lignocaine with adrenaline, rendering the ablation completely painless.
- Step 2 – Precision RF Micro-Ablation: Using an ultra-fine wire loop electrode, high-frequency energy was applied layer-by-layer to shave and vaporize the nevus flush with the surrounding epidermal plane.
- Step 3 – Base Hemostasis & Contouring: Feathering the margins with micro-coagulation settings to eliminate sharp tissue edges and prevent step-off deformities.
- Step 4 – Protective Sterile Dressing: Immediate application of an antibacterial barrier ointment and a hydrocolloid micro-patch to facilitate moist wound healing.
Post-Procedure Tissue Repair Advice & Home Care
Flawless cosmetic healing requires diligent aftercare. Dr. Ashima Madan prescribed a strict tissue repair regimen:
- Keep the treated site dry and clean for the first 24 hours; cleanse gently thereafter with mild soap.
- Apply prescribed topical antibiotic/barrier cream twice daily until the initial protective scab naturally detaches (typically 5–7 days).
- Strict Caution: Never scratch, peel, or pick at the crusting scab, as premature removal increases scar formation risk.
- Avoid direct sun exposure and apply broad-spectrum mineral SPF 50+ daily once re-epithelialization completes to prevent post-inflammatory hyperpigmentation.
Clinical Outcome & Observations
At the 2-week follow-up, complete re-epithelialization was achieved with no residual bleeding, no infection, and excellent tissue alignment. The treated zone blended smoothly into the natural neck contour with minimal, almost imperceptible coloration differences that normalized completely over subsequent weeks. The patient reported complete satisfaction and renewed cosmetic confidence.
At Skinssence Laser & Skincare Clinic, mole removal is performed with exacting clinical judgment and aesthetic finesse right here in Talwandi, Kota. Explore more verified patient journeys on our Clinical Case Studies hub or book a consultation with Dr. Ashima Madan today.
