I had a small mole removed because I did not like the way it looked (different from any of my other moles so I thought it might be cancerous) and the dermatologist agreed that we should probably remove it. He did it right then and there. He first cut it out and then burned (?) the wound to seal it up and stop the bleeding. It looked like a crater for a while and I was supposed to keep it moist with a particular ointment. I wasn't that good with the ointment and so even now, 8 years later I still have a pale scar where the mole was. It is less noticeable than a mole but not sure that it is any more attractive. It is not in a visible spot so I don't care about that but just wanted to let you know since I'm not sure what your motivation is. It was painful but not terribly so. And my insurance covered it just as part of that dermatologist visit. I had an HMO at the time so I just paid my regular co-pay. I don't know about doing this while pregnant.