What Do Three Small Black Dots on Your Neck Indicate? - Dermatology

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What are the three small black spots on my neck?


Hello, doctor! I found three small black spots on my neck; what could they be? Additionally, there is a slightly different raised area on my buttocks; what could be the issue?

Bai, 20~29 year old female. Ask Date: 2018/10/23

Dr. Wu Yuxin reply Dermatology


Medical regulations state that "a physician must personally examine a patient before providing treatment or prescribing medication," and therefore, online diagnosis is not permissible.
If you are experiencing significant distress, it is advisable to seek medical attention promptly.

Reply Date: 2018/10/23

More Info


The appearance of three small black dots on your neck can be concerning, and while I cannot provide a definitive diagnosis without a physical examination, I can offer some insights into what these dots might indicate based on common dermatological conditions.

One possibility is that these black dots could be seborrheic keratosis, which are non-cancerous growths that often appear as small, dark, and raised spots on the skin. They are typically harmless and can vary in color from light tan to black. These growths are more common in older adults and can be caused by a combination of genetic factors and sun exposure.

Another potential explanation could be the presence of skin tags or acrochordons, which are small, benign growths that can appear on various parts of the body, including the neck. They are usually flesh-colored or slightly darker and can sometimes appear as small black dots if they become pigmented.

Additionally, if the dots are flat and dark, they might be lentigines, commonly known as age spots or liver spots, which are caused by prolonged sun exposure and are more prevalent in older individuals. These spots are also benign and typically do not require treatment unless for cosmetic reasons.

As for the raised area on your buttocks, it could be a variety of things, including folliculitis, which is an inflammation of the hair follicles that can cause small, red, or pus-filled bumps. It could also be a cyst, which is a closed sac under the skin that can be filled with fluid or semi-solid material. Cysts can vary in size and may feel firm to the touch.

In both cases, it is essential to monitor the spots for any changes in size, color, or texture. If they become painful, itchy, or start bleeding, it is crucial to seek medical attention promptly. A dermatologist can provide a thorough examination and may perform a biopsy if there is any concern about the nature of the lesions.

In summary, while the small black dots on your neck and the raised area on your buttocks could be benign conditions, it is always best to consult with a healthcare professional for an accurate diagnosis and appropriate management. Regular skin checks and being aware of changes in your skin can help in early detection of any potential issues. If you are experiencing any discomfort or if the appearance of these spots is causing you concern, I strongly recommend making an appointment with a dermatologist for a comprehensive evaluation.

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