Should You Remove a Birthmark That Grows Over Time? - Dermatology

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A mole present at birth?


The mole was very small at birth but has now grown to 0.5 mm.
Should it be removed? It is located below the mouth.

Lin, 10~19 year old female. Ask Date: 2016/09/05

Dr. Wu Yuxin reply Dermatology


Without actually seeing the lesion, it is impossible to determine.
If it is very concerning, please seek medical attention as soon as possible.

Reply Date: 2016/09/05

More Info


When considering whether to remove a birthmark that has grown over time, several factors should be taken into account, including the characteristics of the birthmark, any changes in its appearance, and potential health implications.
Firstly, it’s important to understand what a birthmark is. Birthmarks are usually benign skin lesions that can be present at birth or develop shortly after. They can vary in size, shape, color, and texture. Common types of birthmarks include pigmented nevi (moles) and vascular lesions (like hemangiomas).
In your case, you mentioned that the birthmark has grown to about 0.5 mm and is located near your mouth. The growth of a birthmark can be a cause for concern, especially if it changes in size, shape, color, or texture. Dermatologists often advise monitoring any changes in birthmarks, as certain characteristics may indicate the need for further evaluation. For instance, if the birthmark becomes asymmetrical, has irregular borders, changes color, or becomes itchy or bleeds, these could be signs that it should be examined by a healthcare professional.

In general, if a birthmark is stable and does not exhibit any concerning changes, it may not require removal. However, if it is growing, especially in a sensitive area like near the mouth, it might be worth consulting a dermatologist. They can assess the birthmark and determine if it poses any risks or if removal is advisable for cosmetic reasons.
Additionally, the location of the birthmark is significant. Birthmarks located in areas that experience frequent friction or irritation (such as near the mouth) may be more prone to changes over time. If the birthmark is causing discomfort or affecting your self-esteem, discussing removal options with a dermatologist could be beneficial.

If you decide to pursue removal, there are various methods available, including surgical excision, laser therapy, and cryotherapy, depending on the type and characteristics of the birthmark. Each method has its own risks and benefits, which a dermatologist can explain in detail.

In conclusion, while a small birthmark that has grown slightly may not necessarily warrant removal, it is essential to monitor it for any changes. Consulting with a dermatologist is the best course of action to evaluate the birthmark's characteristics and determine the appropriate steps to take. They can provide personalized advice based on your specific situation, ensuring that any potential health concerns are addressed while also considering your cosmetic preferences. Remember, early detection and intervention are key in managing skin lesions effectively.

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