Samantha Toerge, M.D.LLC

Moles: What You Need to Know

Moles: What You Need to Know

Moles are common skin growths that often appear as small, dark spots or raised bumps on the skin. While most moles are harmless, some can be a cause for concern due to their potential to develop into skin cancer. In cosmetic dermatology, moles are both evaluated for potential health risks and addressed for aesthetic reasons.

Understanding Moles:

Moles, also known as nevi, are clusters of pigment-producing cells known as melanocytes. These cells give moles their distinctive color. Moles can appear anywhere on the skin and can vary in size, shape, and color. Most moles are harmless and do not require treatment. However, certain moles may be atypical or display unusual characteristics, which can be a sign of skin cancer.

Types of Moles:

  1. Common Moles: These moles are usually small, round, and have a uniform color. Common moles are generally harmless.
  2. Atypical Moles (Dysplastic Nevi): Atypical moles often have irregular shapes, uneven colors, and may be larger in size. These moles have a higher risk of developing into skin cancer and are closely monitored.

Mole Evaluation:

Cosmetic dermatologists are trained to assess moles for any signs of abnormality. The ABCDE criteria are often used for mole assessment:

  • A: Asymmetry – Moles should be symmetrical.
  • B: Border – The border of a mole should be well-defined.
  • C: Color – Moles should have a uniform color.
  • D: Diameter – Moles larger than a pencil eraser (6 mm) may warrant evaluation.
  • E: Evolution – Any changes in size, shape, or color should be examined.

Mole Removal:

If a mole is deemed suspicious or is causing cosmetic concerns, it can be removed by a cosmetic dermatologist. The two primary methods for mole removal are:

  1. Excision: This method involves cutting out the mole and stitching the wound. The removed mole is often sent for biopsy to rule out any cancerous cells.
  2. Shave Biopsy: In this technique, the mole is shaved off at the skin's surface. It is a suitable option for smaller moles and usually leaves a minimal scar.

After mole removal, it's essential to follow post-procedure care instructions provided by your dermatologist, including keeping the area clean and avoiding direct sunlight to prevent scarring and infection.

In summary, moles are common skin growths that can be evaluated for health concerns and removed for cosmetic reasons. While most moles are harmless, individuals are encouraged to have moles that display any unusual characteristics, such as changes in size, shape, or color, assessed by a qualified cosmetic dermatologist. Regular skin checks and early intervention can help ensure the health and well-being of your skin.

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