Skin conditions

Mole, wart and skin tag removal in Metro Vancouver

Moles, skin tags and warts are common, and most are harmless. When one bothers you, catches on clothing or jewellery, or you simply want it gone, we can remove it after a physician has looked at it and confirmed it is benign.

Physician led. Burnaby and Richmond. The assessment comes first, every time.

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A physician looks at the spot and tells you honestly whether it is a simple cosmetic removal or something to have checked medically first. BioPlus does not diagnose or treat skin cancer.

Understanding the growths

What moles, warts and skin tags actually are

A mole, a skin tag and a wart are three different kinds of common skin growth, and each one is removed a different way once a physician has confirmed it is benign.

People group them together because they all sit on the skin and people want them gone, but they are not the same thing, and telling them apart is the first job at consultation. A fourth growth, the seborrhoeic keratosis, often gets called a mole or a wart and is neither. Removal at BioPlus is cosmetic, and it happens only after a physician has assessed the growth and judged it benign and suitable.

The growths this page covers

Moles

A benign build-up of the skin's pigment cells. Most are harmless and stay that way. It is the one growth here that occasionally needs a medical look before anything else.

Skin tags

A soft, harmless growth that hangs off the skin on a narrow stalk, common where skin rubs, such as the neck, underarms and eyelids. Removal is a cosmetic choice.

Warts

A common growth caused by a virus, HPV, so it behaves and is treated differently. Because the virus lives in the skin, warts can return, and they often start with a family doctor or pharmacist.

Seborrhoeic keratoses

A harmless, stuck-on growth of adult life that looks like a small barnacle, from skin-toned to dark brown. People often mistake it for a mole or a wart. It is neither, and it is benign.

Assessment first

What we look at, and what we will not do

BioPlus removes benign growths for cosmetic reasons after a physician has assessed them, and it does not diagnose or rule out skin cancer.

A physician looks at the growth and does one of two things: confirms it is benign and suitable for cosmetic removal, or, if anything about it needs a medical assessment, tells you plainly and points you to the right place. We do not screen for, diagnose or rule out skin cancer, we do not perform mole checks, and we do not send tissue for pathology. If a spot needs a medical opinion, that belongs with your family doctor or nurse practitioner, and a dermatologist through the public system where needed. We will tell you when that is the route, and we will not remove a spot that should be assessed medically first.

When to get a spot checked

When a spot should be seen by a doctor first

Most moles are harmless. The simple pattern doctors use to decide whether one needs a medical look is called ABCDE: asymmetry, an uneven border, colour that varies within the spot, a diameter larger than about 6 mm, and evolving, meaning any change in size, shape, colour or feel, or new itching, bleeding or crusting. If a spot shows any of these, is new in adulthood, or simply looks different from your other moles, see your family doctor or nurse practitioner before booking any cosmetic removal. If you do not have a regular provider, a walk-in clinic can help, or you can call HealthLink BC at 8-1-1.

This is the step that matters most, and it is one we cannot do for you.

How removal works

Assessment first, then removal

Nothing is removed until a physician has confirmed the growth is benign and suitable. That order is fixed, and it is the same for every patient.

1
Assessment

A physician examines the growth and confirms whether it is a benign cosmetic candidate or something to have checked medically first. Your consultation is complimentary.

2
Your plan

We match the method to the growth, because a raised mole, a skin tag, a wart and flat pigment are each removed differently, and we factor in your skin tone and how it heals.

3
Removal

Confirmed benign growths are removed in office after numbing. On deeper skin tones we work gently and test first, to keep the risk of a mark as low as possible.

4
Aftercare

We explain how to care for the small healing area, how to protect it from the sun, and what it will look like as it settles. Warts are reviewed over time, because the virus can persist.

Treatments we may use

How each growth is removed

The physical removal of a raised mole, a skin tag or a wart is a short in-office procedure. The two picosecond lasers here work only on flat, benign pigment a physician has confirmed, and they cannot remove a raised growth. Which applies to you depends on what the growth is, and on the assessment that comes first.

In-office removal by a physician

After assessment, in office

The standard way a benign, already assessed mole, skin tag or seborrhoeic keratosis comes off, done in the office after numbing. The exact method, such as freezing, a shave, snip removal or an electrosurgery device, is matched to the growth and confirmed at your consultation.

Why this oneThis is what actually removes a raised growth, once a physician has confirmed it is benign.

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PicoSure

755 nm picosecond laser

A picosecond laser that breaks up flat, benign pigment with a fast pressure effect rather than heat. Its role here is narrow: a flat pigmented spot a physician has confirmed benign, lightened without cutting.

Why this oneFor flat benign pigment only. It cannot remove a raised mole, a wart or a skin tag.

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PicoSure Pro

Picosecond laser, current generation

The updated PicoSure, the same picosecond physics with more energy and refreshed optics, and on some units a gentler pigment wavelength for deeper skin tones. Its scope is the same: flat, benign, confirmed pigment only.

Why this oneShorter sessions for flat benign pigment. It does not remove raised growths.

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Questions patients ask

Mole, wart and skin tag removal FAQs

Can you remove a mole cosmetically?

Yes, BioPlus can remove a mole for cosmetic reasons once a physician has looked at it and confirmed it is benign. A raised benign mole is removed in the office by a short procedure after numbing, and a flat, benign pigmented spot can sometimes be lightened with a picosecond laser instead. The assessment comes first every time, because a mole is the one growth on this page that occasionally needs a medical opinion. If a mole is new, changing, irregular, itchy or bleeding, we do not remove it cosmetically, we send you to your family doctor or nurse practitioner to have it assessed first.

Is mole removal safe?

Cosmetic removal of a mole that a physician has assessed as benign is a routine, low-risk procedure. The single most important safety step is the assessment before removal, because removing a spot destroys it, and a spot that needs a medical opinion has to be looked at before that happens. BioPlus does not remove any growth that should be checked medically first. Removal also leaves a small healing area that can settle to a faint mark or a slight colour difference, more so on deeper skin, which is why it is done conservatively. Your physician explains all of this before anything is removed.

Do you check moles for cancer?

No. BioPlus does not screen for, diagnose or rule out skin cancer, and we do not perform mole checks or send tissue for pathology. What a physician does at your consultation is decide whether a growth is a benign cosmetic candidate or something that needs a medical assessment first, and route you accordingly. If you want a mole checked for medical reasons, that belongs with your family doctor or nurse practitioner, who can assess it and refer you to a dermatologist through the public system if needed. You can also call HealthLink BC at 8-1-1 for guidance on where to go.

How do I know if a mole is cancerous, and when should I worry about a mole?

You cannot tell for certain at home, so the safe approach is a simple pattern called ABCDE and a low threshold for seeing a doctor. Look for Asymmetry, meaning one half unlike the other, a Border that is uneven or blurry, Colour that varies within the spot, a Diameter larger than about 6 mm, and Evolving, meaning any change in size, shape, colour or feel, or new itching or bleeding. A spot that is new in adulthood, that looks different from your other moles, or that changes over more than a month is worth having assessed. See your family doctor or nurse practitioner, or call HealthLink BC at 8-1-1. BioPlus does not diagnose skin cancer, and we route anything that fits this pattern into medical care rather than removing it.

How are skin tags removed?

Skin tags are removed by a short in-office procedure after the area is numbed, and the standard methods are snipping the tag off with sterile scissors, freezing it, or removing it with an electrosurgery device. A skin tag is benign by its nature, made of soft tissue on a narrow stalk, so removal is a cosmetic choice, usually because the tag catches on clothing, jewellery or a razor. Healing is quick, with a small scab that settles over one to two weeks. BioPlus confirms the exact method it uses at your consultation and tells you what the area will look like while it heals.

Can you remove warts, and why do warts come back?

Warts can be removed, but they are treated differently from moles and skin tags because a wart is a viral infection of the skin caused by HPV, not a simple growth. Warts often start with the freezing or topical treatments a family doctor or pharmacist offers, and physical removal is considered for stubborn ones. Warts come back because the virus lives in the surrounding skin, so removing the visible wart does not always clear the infection, and warts can recur or spread to nearby skin. In children many warts clear on their own within a year or two. Your physician will give you an honest picture of what treatment can and cannot do before you start.

I have small dark bumps on my face and neck, what are they?

Small, smooth, dark brown or black bumps on the face and neck, especially in people with deeper skin tones, are often a benign condition called dermatosis papulosa nigra. They are harmless, they are related to seborrhoeic keratoses, and they are common in Fitzpatrick IV to VI skin, affecting up to about a third of Black adults and many people of Asian background. They can be removed for cosmetic reasons, and the important part is doing it gently, because aggressive removal on darker skin can leave a dark mark, a pale mark or a scar. BioPlus treats a small test area first and reviews how it heals before doing the rest. A physician confirms the bumps are benign before any removal.

Will removing a mole or skin tag leave a scar?

Removing a growth trades it for a small healing area, which usually settles to a faint flat mark, and sometimes to a slight difference in colour from the surrounding skin. Whether a visible mark remains depends on the size and depth of the growth, the method used and your skin tone. On deeper skin tones there is a higher chance of a dark or pale mark, which is why removal is done conservatively and test first. We tell you honestly what to expect for your skin before removal, and we do not promise a mark-free result, because healing varies from person to person.

Can I remove a skin tag or mole at home?

Removing a skin tag at home with a kit or a piece of thread is not recommended, and removing a mole at home is unsafe. At-home removal risks infection, bleeding and scarring, and it destroys a growth that a physician should look at first. Removing a mole at home also removes the chance for a doctor to notice a spot that needed a medical assessment. A skin tag is benign, but home removal still carries infection and scarring risk. The safe route is a physician assessment, then a clean in-office removal if the growth is a benign cosmetic candidate.

Is mole, skin tag or wart removal covered by MSP?

Cosmetic removal of a benign mole, skin tag or seborrhoeic keratosis at BioPlus is a private service and is not covered by MSP, and we tell you the cost before anything is done. Some situations are different and belong in the public system: a spot that needs a medical assessment, or a wart that is painful, spreading or on a child, may be handled by your family doctor or nurse practitioner, and any medically necessary assessment or biopsy runs through them under MSP. At your complimentary consultation a physician tells you which category your growth falls into and quotes the cost of any cosmetic removal in writing.

Complimentary consultation

Start with the assessment

Bring us the mole, skin tag or growth that bothers you. A physician looks at it, tells you honestly whether it is a simple cosmetic removal or something to have assessed medically first, and explains what removal involves, what it costs and how the area will heal. If a spot is new, changing, irregular, itchy or bleeding, see your family doctor or nurse practitioner first, or call HealthLink BC at 8-1-1. BioPlus does not diagnose or treat skin cancer.

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BioPlus Burnaby

155-5400 Kingsway, Burnaby

604-638-2299

BioPlus Richmond

145-8155 Capstan Way, Richmond

604-256-8285

Cosmetic removal is a private esthetic service and is not covered by MSP.