Skip to main content

Concierge dermatology · London

Private mole excision in London, by a consultant dermatologist or plastic surgeon.

Removal by a consultant — with dermoscopy first and histology on every excised mole. Not a cosmetic laser session that misses a melanoma.

See indicative pricing
A radiographer guides a patient onto the bed of an advanced 3 Tesla MRI scanner in a London imaging suite

Why patients choose us

  • 01

    Consultant hands, every time

    A consultant dermatologist or plastic surgeon does the excision — not a nurse-led cosmetic room.

  • 02

    Histology on every lesion

    Nothing removed is thrown away. Every excised mole goes to a UKAS-accredited lab.

  • 03

    Independent, and free

    We are paid by no clinic, so the recommendation is impartial and costs you nothing.

Indicative pricing

What private mole excision costs in London.

Indicative ranges across our partner clinics. Send the details and we quote firm figures across two or three options.

In short

A diagnostic excision with histology in our network: £400-£850, results in 7-10 days.

Excision type Indicative range
Cosmetic mole removal (shave / curette) £250–£500
Diagnostic mole excision + histology £400–£850
Excision with plastic-surgery closure £700–£1,600
Wide local excision (confirmed melanoma) £1,500–£4,000
Multiple mole removal (same visit) £600–£1,800
Follow-up scar review £150–£300

Prices vary by clinic, by whether a dermatologist or plastic surgeon does the closure, and by how many lesions the laboratory has to process. We come back with a firm quote within one working day.

The problem

Cosmetic clinics remove moles. Doctors diagnose them.

A mole is a diagnostic decision before it is a cosmetic one. Dermoscopy first, excision by a consultant, and histology on every lesion — that is the difference between a routine mark and a missed melanoma.

  • Just want it gone?

    Fine — but not until a consultant has looked at it under a dermatoscope and decided the safest way to take it off.

  • Worried it is changing?

    Rapid change, itching or bleeding is a same-week appointment, not a cosmetic booking. We route it fast.

  • Been told it is nothing?

    If you are not reassured, a second look by a consultant dermatologist is a small cost for a real answer.

The journey

From enquiry to result — what happens, in order.

One clinician from first message to histology — including the wait for the lab report.

  1. 01

    Before

    You tell us what is going on

    A short, confidential form. Send a photo of the mole if you can, plus how long you have had it and what has changed.

  2. 02

    Before

    We come back with a recommendation

    Within one working day: dermatologist or plastic surgeon, which clinic, indicative price. If it needs urgent review, we say so.

  3. 03

    Before

    We arrange the appointment

    Usually within a week. Dermoscopy first, then a decision on shave, punch or full excision — no removal without a look.

  4. 04

    On the day

    Arrival at the clinic

    Consent, dermoscopy and photography. The area is cleaned and numbed with local anaesthetic — the only sharp moment is that first injection.

  5. 05

    On the day

    The excision itself

    20-60 minutes depending on size and closure. You are awake and comfortable. The lesion goes straight into a histology pot.

  6. 06

    On the day

    Home the same day

    A dressing, stitch-care instructions, and home within the hour. Most people are back to normal the next day.

  7. 07

    After

    Results and next steps

    Histology takes 7-10 days. We chase the result, explain it plainly, and — if malignant — route you into the MDT pathway.

Typical end-to-end: 1-2 weeks, most of it the laboratory. Urgent cases: expedited.

When it is the right step

When a mole should be excised.

Not every mole needs to come off. These are the situations where excision — done properly, with histology — is the right call.

  • Cosmetic removal

    A mole that is entirely benign but sits somewhere that catches, rubs or bothers you.

  • Changing or symptomatic mole

    Itching, bleeding or a shift in size, shape or colour — dermoscopy first, then excision.

  • Dysplastic naevus

    An atypical mole flagged on skin-check. Removed with a clear margin and sent for histology.

  • Basal cell carcinoma

    The commonest skin cancer. Usually excised, sometimes treated with curettage or Mohs.

  • Squamous cell carcinoma

    Excised with a defined margin and reviewed by MDT if invasive or high-risk.

  • Suspected melanoma (urgent)

    Excision biopsy within days, then wide local excision and MDT staging if confirmed.

  • Sebaceous cyst / seborrhoeic keratosis

    Benign but visible lumps and crusted patches — removed cleanly and sent for histology.

  • Red flag: rapidly changing, bleeding or ulcerated lesion

    Do not wait. This is a same-week urgent dermatology appointment, not a cosmetic booking.

Excision types

Not all mole removals are the same.

What each option on your quote is actually for.

  • Cosmetic shave / curette

    A superficial shave for a raised benign mole. Quick, but leaves a flat mark and is not used for pigmented lesions.

  • Diagnostic excision + histology

    Full-thickness removal with a small margin. The default when the mole needs a definitive answer.

  • Plastic-closure excision

    Excision closed by a plastic surgeon for a finer scar — worth it for the face, décolletage and hands.

  • Wide local excision (melanoma)

    Re-excision with a wider margin after a confirmed melanoma. Guided by Breslow thickness.

  • Multiple mole removal

    Several lesions removed in a single visit — same anaesthetic, one histology run.

  • Cryotherapy for keratoses

    Liquid-nitrogen freezing for actinic and seborrhoeic keratoses. Not used for pigmented lesions.

  • Curettage + cautery for BCC

    Scraping and cautery for low-risk basal cell cancers in appropriate sites.

  • Mohs micrographic surgery referral

    For BCC or SCC on the face where margin-perfect removal matters. We refer into a Mohs surgeon.

Our vetted London network

A small panel of clinics, we picked them.

Partners across central, north, west and south London. Not listed publicly — introductions are made privately, once we understand your case.

Selection criteria

How we choose every clinic in our network.

A modern London dermatology procedure room set up for mole excision
Dermoscopy-led excision
  • Consultant dermatologists — with plastic surgeons for closures where the scar matters

  • Every excised lesion sent for histology, no exceptions

  • Same-day dermoscopy before any removal decision

  • Onward MDT pathway if the histology returns skin cancer

Safety and aftercare

Safer, and easier, than most people expect.

Mole excision is safe and usually straightforward. The things worth knowing are what will scar, what should never be lasered, and how to look after the wound.

  • Local anaesthetic

    Every excision is done under local anaesthetic. You feel pressure and pushing rather than pain.

  • Every removal leaves a scar

    Small, but permanent. A plastic-surgery closure gives the finest line but does not erase the scar.

  • Pigmented lesions are excised

    A mole with pigment should never be lasered off — you lose the tissue that a pathologist needs to see.

  • Never a non-medical clinic

    A beautician or aesthetician removing a suspicious mole is how melanomas get missed. Always a doctor, always histology.

  • Sun protection during healing

    Keep the healing scar out of direct sun and use SPF 50 for six months to reduce pigmentation.

  • Dissolvable and non-dissolvable

    Which stitches you have depends on the site. Non-dissolvable come out at 7-14 days.

  • Showering rules

    You will be told when the dressing can come off, when to shower normally, and when to keep it dry.

  • Biopsy result in 7-10 days

    The wait is short but real. We chase the result and make sure it is explained rather than emailed.

  • Red flags after excision

    Fever, spreading redness or worsening pain are uncommon — but if they happen, get in touch the same day.

Reading your report

A histology report can look intimidating. It isn’t.

Whatever was excised, the report keeps to the same four parts.

A consultant pathologist examining a skin excision sample under a microscope

A quiet reminder

Histology language is precise and can read coldly — we translate it for you.

If you would like us to talk you through it before your follow-up, just ask.

  1. 01 Header

    Site and reason for excision

    Where the lesion was, your details, and the clinical question — cosmetic, suspicious, or confirmed cancer.

  2. 02 Technique

    Excision method and closure

    Which technique was used — shave, punch, full excision — and how it was closed, including margin taken.

  3. 03 Findings

    Dermoscopy and macroscopic

    Dermoscopy features, the naked-eye description, and what the pathologist saw down the microscope.

  4. 04 Impression

    The conclusion: read this first

    Benign, needs re-excision, or malignant — with an MDT pathway if it is skin cancer. Your specialist plans treatment from here.

Recognised by major UK insurers

BupaAXA HealthVitalityAvivaWPACignaHealixBupaAXA HealthVitalityAvivaWPACignaHealixBupaAXA HealthVitalityAvivaWPACignaHealix

Most policies cover mole excision when clinically indicated; cosmetic-only removal is usually self-pay. We confirm cover before booking.

Frequently asked

Everything we get asked about mole excision.

Quick answers on scarring, cost, referral, and how long histology takes.

  • Shave removal or full excision — which do I need?

    A shave removal is quicker and leaves a flatter mark, but it does not take the full depth of the mole. It is only appropriate for lesions that are clearly benign. Anything pigmented, changing or suspicious needs a full-thickness excision so the pathologist can see the whole thing.

  • Will I have a scar?

    Yes. Every excision leaves a scar — the aim is to make it as fine and inconspicuous as possible. A plastic-surgery closure on the face or décolletage typically gives the best result.

  • How much does private mole removal cost in London?

    A cosmetic shave is typically £250-£500, a diagnostic excision with histology £400-£850, and a plastic-closure excision £700-£1,600. We confirm firm figures within one working day.

  • Do I need a GP referral?

    No — you can self-refer for private mole removal. That said, if the mole is changing rapidly, bleeding or you already have a two-week-wait suspected-skin-cancer letter, tell us: it changes how quickly we book you.

  • Will the mole be sent to the lab?

    Every excised lesion in our network goes to a UKAS-accredited laboratory for histology. If a clinic offers to remove a mole without sending it, walk out.

  • What happens if it is a melanoma?

    You go into an MDT pathway: wide local excision at a defined margin based on Breslow thickness, sentinel node biopsy where appropriate, and staging. We help arrange it rather than handing you a letter and stepping back.

  • Can I drive myself home afterwards?

    Yes — a local-anaesthetic excision does not affect your ability to drive. Only if you have sedation, which is very unusual, will you need someone with you.

  • When can I shower?

    Usually 24-48 hours after the excision, keeping the wound dry as instructed. You will be given specific advice for your dressing and site.

  • How long do results take?

    Typically 7-10 days. We chase the report, make sure it is properly explained, and — if anything is unclear — arrange a follow-up rather than leaving you to interpret it.

  • When should I see a GP urgently instead?

    A mole that is changing rapidly, bleeding, ulcerated, or new after age 40 should be seen this week. Contact your GP for a two-week-wait referral, or contact us and we will expedite a private appointment.

WhatsApp Call us
Pulse Healthcare concierge

Send us your enquiry

A concierge service for UK private healthcare. We match you with the best vetted clinics and consultants in our network - they then contact you directly.

Confidential. We respond within one working day.