I have extreme anxiety and am terrified of needles. I take medication for anxiety and panic attacks. I have 2 moderately dysplastic moles which have been suggested for removal. Both derms I've talked to will only use local anesthesia which my anxiety definitely can not handle and I'm afraid I'll have a panic attack during the procedure. Has anyone had moles removed or excised by a plastic surgeon or derm using twilight or conscious sedation? I'm losing sleep and not able to concentrate on work because of this!