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What procedure will be needed to remove a black nevi birthmark on my right eyebrow and what will be the cost?

Q:

I have a black nevi congenital birthmark directly on my right eyebrow.  It's about the size of a dime, oval in shape and flat. What surgical procedure will be needed to remove this and how much will it cost? 

A:

Congenital nevi can unfortunately change over time.  The issue that most physicians would be concerned about would be this large nevi changing into a melanoma.  Malignant Melanoma can be a very aggressive cancer.  May I suggest you start with a skin specialist like one of the members of the ASAPS to determine if it needs to be removed. 

Two issues are important in the eyebrow area.  One is the function of a muscle called the frontalis which raises the brow.  The second is the actual position of the brow itself.  You probably don't desire much asymmetry or a startled appearance after your surgery.  However, first and foremost is the question of the need for complete removal.  Again, consult a member of ASAPS with your issues and concerns.

 Best,

 

Gary R. Culbertson, MD, FACS

A:

Congenital nevus should be examined on a yearly basis.  A congenital nevus that size on your eyebrow needs to be seen and examined for possible removal with minimal cosmetic defect.

All options should be discussed with you, the risks, scars, shape and size of the brow, and the extent of the surgery as well as the number of surgeries needed to achieve maximal cosmetic results.  Several options are available, but they can only be determined after examination.

See a Board Certified Plastic Surgeon for a consultation.

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