Dermatosis Papulosa Nigra

Dermatosis Papulosa Nigra is small, 1-5 mm diameter, smooth, firm, black or dark brown papules found on the face, neck and back of dark skinned people.

What is a Dermatosis Papulosa Nigra and why do they occur?

Dermatosis Papulosa Nigra affects about 35% of black people. They can also occur among dark-skinned Asians and Polynesians, but the exact frequency is unknown. Females are more frequently affected than males and they usually begin in adolescence. The incidence, number and size of lesions increases with age. Lesions occur mainly on the cheeks and forehead but may also be found on the neck, upper back and chest. The papules are symptomless but may be regarded as unsightly.

Dermatosis Papulosa Nigra Before


Dermatosis Papulosa Nigra After

Is it safe to remove moles?

I would not remove any mole without consent from a GP that it is non-cancerous, all this involves is you taking a quick trip to your GP and getting a letter confirming that the lesion is benign. Most moles are harmless and are perfectly safe to remove, however, I cannot remove any mole that is flat to the skin as this could cause scarring.

How can moles be removed?

ACP – This is the method that I use. It’s an advanced form of Electrolysis and essentially uses heat to cauterise the mole. It can take a few goes to remove it depending on the size, on average its 1-2 treatments but can take up to 4 to reach end result. The end result with ACP is to flatten it down to skin level.
Cryotherapy – This method has to be performed by a doctor. It involves freezing the moles using liquid nitrogen or other freezing products. Freezing causes the skin cells to die and the mole to fall off on its own.
Surgery – This option involves surgically cutting out the mole with a scalpel and must be performed by a surgeon.
Laser removal – Laser removal works to cauterise the mole. This is a precise technique that cuts the moles away from the skin leaving almost no bleeding as it cauterises the wound with a special magic wand like device, quite similar to ACP.

Will my mole return?

This is a possibility unless you go down the surgical route. Some moles do have roots underneath the skin of remaining cells which could continue to grow but this would take a long time. Top of treatments of ACP or laser treatments could be redone if necessary. This is less likely to happen with surgery, whoever you will be left with a scar.

What is the average cost?

With ACP you’re looking between £50-£200 to flatten the mole completely here at MediZen. Surgery and laser treatment would be significantly more.
If you’d like any further information on treatment call us on 0121 308 4373 or email

About MediZen

MediZen are one of the "first of its kind" Doctor led, and so-called "medical aesthetic" clinics opened in Birmingham. Over the years we've helped literally thousands of our clients to feel more confident. We're NOT a Beauty Salon and we're NOT a Cosmetic Surgery Clinic. MediZen are one of the few clinics in Birmingham and the UK who specialise in offering carefully researched non-surgical aesthetic treatments backed by medical evidence