Congenital hairy mole(Nevus):Treatment options.

The congenital hairy nevus denotes a pigmented surface lesion present at birth. Giant hairy nevi assume special significance because of their predisposition to malignant transformation. The most common treatment for hairy nevi is surgical removal. Removal of small nevi is typically done in just one procedure. Removal of very large nevi may require multiple stages or placement of tissue expanders to create extra skin. In cases where the hairy nevus is located on the nose, ears or eyelids removal may include a skin graft from another part of the body.

Surgical therapy. Attempts to remove large congenital nevi should be initiated early in life. will wait until the child reaches the age of 6 months. An operation before that age increases the risk of interventional and aesthetic. If direct closure was excised after the nevus is not possible reconstruction may include serial excision, excision with skin grafts, skin flaps, after tissue expansion.

The goal of treatment is to remove as much as possible nevus and reconstruction of the defect preserve function and maintaining aesthetics.

Laser Treament: Ruby and Co2 Laser

Chemical peels and laser therapy are optional adjuvant treatments. All methods of adjuvant therapy were associated with scars.

Multiple treatments with Ruby laser produced immediate thermal damage to the superficial nests nevocelule and superficial connective tissue remodeling secondary. Successful reduction of pigmentation giant moles with carbon dioxide laser has been reported.