Damn, i didn't see the picture of the arm before!
Is an idiotic idea, but then again, some people want to scar themselves, and i doubt using a blue laser would be much more dangerous than, say, a spoon heated in a gas stove flame or something similar.
Shaving the area is probably not required... i've had the accidental lock of hair in a laser beam, and i can assure you it will burn through readily. Ventilation would be a good idea though
As for the melanoma: 445 is by no means dna-damaging uv, so i expect the risks to be closer to that of a thermal burn than to a sunburn. I do see a fair number of moles on his arm though, and hitting those with a laser would certainly pose a risk. Disrupting them by any other means (cut, tattoo, burn etc) is also dangerous.