“I have a birth mark around my waist that looks very ugly. Can it be removed with plastic surgery?”

Birth marks are generally treated with plastic surgery, but can also be treated with lasers. It usually depends on the type and size of the birthmark. If it is of a relatively small size, a simple excision of the lesion with closure using multiple layered stitches will do. This can be done under a local anesthesia. If it is a much larger birth mark, then it may require multiple staged excisions and closures, with tissue expansion in between each procedure. This may require general anesthesia for best comfort and control during the surgery. Please consult with a board certified plastic surgeon to discuss your goals and for full evaluation.

Yes, but the results will depend on the size, exact dermatological diagnosis, and then on the operation or operations, laser treatments, etc. that might be recommended by your plastic surgeon.

Removal of the birth mark can be done, but the trade off is a scar. If the birthmark is just a darker spot, a series of lasers can fade the color, but in most cases, as birthmarks are deeper than the darkness from sun damage, they will not work for all patients

You might be able to treat with laser, excision or tissue expanders and a scar

There are several variables that determine the correct answer. Things like age, weight, pregnancies, and changes in body mass can all affect the final answer. So the answer is maybe. See your favorite plastic surgeon for an exam, that should give you a final answer.