Congenital nevomelanocytic nevus, commonly known as congenital hairy nevus, is a type of mole present from birth that can cause significant embarrassment due to its appearance. These nevi are categorized based on their size: small (less than 1.5 cm), medium (1.5 to 20 cm), and large or giant (greater than 20 cm). The presence of hair and sometimes rough, abnormal black skin on these moles adds to the cosmetic concern for many individuals.

The approach to removing a hairy nevus varies depending on its size and the depth of the hair roots. Small nevi can typically be excised in a single procedure, whereas larger ones may require multiple surgical stages. Particularly challenging are nevi located on sensitive areas such as the nose, ears, and eyelids, where skin grafting from other parts of the body may be necessary to cover the defects left after removal.

At Cutis Hospital in Ahmedabad, Dr. Chintan Patel has considerable experience in treating such cases. A recent procedure involved the successful removal of a medium-sized nevus on a patient's ear. The operation entailed deep excision to remove both the nevus and its hair roots while preserving the delicate perichondrium layer underneath to ensure a successful skin graft. The skin defect was then covered with skin harvested from the patient's thigh. The postoperative results were cosmetically pleasing, as evidenced in the after-surgery images provided.

Conclusion

Achieving excellent cosmetic outcomes in the treatment of congenital hairy nevus is possible with experienced surgical intervention. Techniques vary depending on the nevus size and location but can lead to significantly improved physical appearance and personal comfort. Cutis Hospital remains dedicated to providing top-tier care in cosmetic and plastic surgery in Ahmedabad, India. If you're considering treatment for a hairy nevus or other cosmetic concerns, feel free to contact us.