instruction: hi doctor this is about my 5 year old son just after a couple of months of his birth a light reddish spot appeared below his nose please see pictures now it has grown as dark brownish textured spot and appears to be growing with the body although it does not make any physical problem to him now he is quite conscious about it and tries to hide from everyone even after our counseling it is a kind of social stigma for him hence we want to get it removed please answer my queries does it has any future health risk is it possible to get it removed surgically or by medication if surgery is the only way can a child of 5 years age will bear the process will this removal be permanent or any other solution
output: hi I looked into the pictures of your son and can understand your concern it is a simple nexus common mole regarding future health risk most of the common mole does not cause any problem except they may grow in size but very rarely they may get transformed into melanoma skin cancer treatment no medicines will clear it but yes it can be removed surgically the risk of it getting transformed into melanoma is not the indication to get it removed but it is a cosmetic indication in your son case yes he can withstand the surgery as it is done under local anesthesia with sedation it will not recur at that site once it is removed as mentioned only surgery can correct it but right now it is not strongly indicated unless he can cope up with it but as told there is a very small risk of it changing into melanoma actually most doctors would advise to watch for those changes sudden growth in size or changes in the color and if these changes are happening then go for the surgery but for him it is in the area of mustache so he may try to hide it from the world once he starts growing mustache and hence any changes in color of the mole might not be noticed so it is better you consider surgery now only I hope this helps