Moles
What Is a Mole?
A mole, or nevus, is a cluster of pigment-producing cells called melanocytes that grow together in one spot rather than spreading evenly through the skin. Moles can be flat or raised, smooth or slightly bumpy, and range from skin-toned to dark brown or black.
Not all moles are the same. Congenital moles are present at birth and tend to be flat with even coloring. Acquired moles develop later in life, most commonly through childhood and early adulthood, and are the type most people mean when they talk about a “normal” mole. Atypical or dysplastic moles are larger, often with irregular borders or uneven color, and carry a somewhat higher association with melanoma, which is why they’re usually monitored more closely. Spitz nevi are a less common type that typically appear in childhood or young adulthood and can be raised, reddish or brown, and occasionally mistaken for something more concerning at a glance.
How to Tell What Kind of Mole You Have
- A typical acquired mole is a single, even color (usually brown or tan), has smooth, well-defined borders, and stays roughly the same size and shape over time
- Congenital moles are present from birth and can range from small to quite large, sometimes covering a significant area of skin
- Atypical moles tend to be larger than a pencil eraser, have irregular or blurred borders, and show more than one shade of color
- Spitz nevi often appear suddenly, grow relatively quickly at first, and can look pink, red, or reddish-brown
- Any mole that's changing, itching, bleeding, or looks different from your others should be evaluated rather than self-diagnosed
When Should You See a Doctor About a Mole?
- You have a mole you'd like evaluated for removal, whether it catches on clothing or jewelry, gets irritated while shaving, or you simply don't like how it looks
- You were born with a large or unusual-looking mole and want to understand your options
- A mole is new, changing, or behaving differently than the rest of your moles, our team will always confirm a mole is benign before discussing cosmetic removal
- You have several atypical-appearing moles and aren't sure how closely they should be monitored
What Happens If a Bothersome Mole Goes Unaddressed?
Most moles are harmless and never need to be removed for medical reasons. But a mole that repeatedly catches on clothing, gets nicked while shaving, or sits in a spot that’s constantly irritated can become a recurring source of discomfort, and repeated trauma to the same mole over time isn’t ideal for the skin in that area.
For atypical or dysplastic moles specifically, going without any evaluation means missing the chance to establish a baseline and track whether the mole is stable or changing over time, information that matters for long-term monitoring. Addressing a bothersome or uncertain mole earlier, rather than living with ongoing irritation or uncertainty, is usually the simpler path.
The Genesis Dermatology Process
- A dermoscopic evaluation to characterize the mole and confirm it's benign before any cosmetic discussion
- A conversation about your goals, whether that's simply having the mole removed or better understanding what type of mole you have
- For removal, a choice of technique based on the mole's size, depth, and location: shave excision for moles that sit at or near the skin's surface, punch excision for smaller, deeper moles, or surgical excision for larger moles that extend further into the skin
- A quick in-office procedure done under local numbing, typically taking a matter of minutes for most moles
- Straightforward aftercare instructions and, when appropriate, a follow-up to check healing or review pathology results
