Thank you for the question. For protruding moles, they can be removed by surgical excision or shave excision. Laser ablation of a large protruding mole is a less preferred option.This is usually done under local anesthetic.
You can see your dermatologist/doctor to get the mole assessed. Your doctor will be able to advise you on the pros and cons of the different treatment options. They may advise sending the mole for histological testing if there is suspicion of an atypical mole to rule out malignancy
