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Aug 8, - However, some people also want moles removed for cosmetic reasons. Moles can be disfiguring — especially on the face. If they're on your. Oct 12, - He'll likely choose one of two ways: Surgical excision. Your doctor will numb the area. He'll use a scalpel or a sharp, circular blade to cut out the mole and some healthy skin around it. Surgical shave. This is done more often on smaller moles.