Moles and Birthmarks: When to Seek Dermatological Advice - Dermatology

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Moles, birthmarks


Hello doctor, I have had a raised mole on the lower right corner of my face since childhood.
Recently, I noticed that the edges of the mole have started to flake.
Is this a cause for concern? Thank you!

pinggu, 10~19 year old female. Ask Date: 2018/11/28

Dr. Wu Yuxin reply Dermatology


Without actually seeing the lesion, it is impossible to make a definitive diagnosis.
If you are very concerned, please seek medical attention as soon as possible.

Reply Date: 2018/11/28

More Info


When it comes to moles and birthmarks, it's essential to understand their characteristics and when to seek dermatological advice. Moles, also known as nevi, are common skin growths that can appear anywhere on the body. They can be flat or raised, and their color can range from light brown to dark brown or even black. Birthmarks, on the other hand, are usually present at birth or develop shortly after and can vary in size, shape, and color.

In your case, you mentioned that you have a raised mole on the lower right side of your face, and you've recently noticed that the edges of the mole appear to be flaking or falling off. This change in the appearance of a mole is significant and warrants attention. While many moles are benign and do not pose any health risks, changes in their appearance can sometimes indicate a potential issue, including the possibility of skin cancer.

The ABCDE rule is a helpful guideline for assessing moles and determining whether they may require further evaluation:
1. Asymmetry: If one half of the mole does not match the other half in shape or color, it may be a cause for concern.

2. Border: Moles with irregular, scalloped, or poorly defined edges should be examined by a dermatologist.

3. Color: A mole that has multiple colors or an uneven distribution of color can be a warning sign.

4. Diameter: Moles larger than 6mm (about the size of a pencil eraser) should be evaluated.

5. Evolving: Any change in size, shape, color, or elevation, or any new symptom such as bleeding, itching, or crusting, should prompt a visit to a dermatologist.

Given that you have observed flaking or changes in the edges of your mole, it is advisable to schedule an appointment with a dermatologist. They can perform a thorough examination and, if necessary, a biopsy to determine whether the mole is benign or if further treatment is required.

In addition to the ABCDE rule, it's important to consider other factors that may affect your skin health. For instance, sun exposure can significantly impact moles and skin overall. Protecting your skin from UV radiation by using sunscreen, wearing protective clothing, and avoiding tanning beds is crucial in preventing skin damage and reducing the risk of skin cancer.

Furthermore, if you have a family history of skin cancer or if you notice any other unusual changes in your skin, it is wise to be proactive and consult a dermatologist regularly for skin checks. Early detection is key in managing skin conditions effectively.

In summary, while many moles are harmless, any changes in their appearance, such as flaking edges, should not be ignored. It is best to consult with a dermatologist who can provide a professional assessment and peace of mind regarding your skin health. Regular skin checks and sun protection are essential components of maintaining healthy skin and preventing potential issues in the future.

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