Areola Concerns: Dimpling, Dark Spots, and Itching

The areola is sunken with a black mole, peeling, and itching?

Hello, doctor.
I am 33 years old and have not engaged in sexual intercourse.
About a month ago, I noticed a slight indentation in my areola, with a dark mole in the indented area.
Occasionally, it itches a bit and peels, but there is no discharge and I do not feel uncomfortable.
I would like to ask if this is a symptom of a skin allergy or if it could be due to other reasons.
Should I prioritize seeing a dermatologist or a breast surgeon? Thank you.

Kai, 30~39 year old female. Ask Date: 2022/01/17

Dr. Yuan Tianmin reply Breast and Thyroid

I suggest you pay particular attention to the breast issue, so it's best to first see a breast surgeon for an ultrasound examination, and then follow up with a dermatologist.

Reply Date: 2022/01/17

More Info

When it comes to concerns about changes in the areola, such as dimpling, dark spots, and itching, it's important to approach the situation with a clear understanding of potential causes and the appropriate steps to take. Based on your description, you have noticed a dimpled area on your areola, a dark spot resembling a mole, occasional itching, and peeling skin, but no discharge or significant discomfort.
Firstly, it is essential to recognize that changes in the skin, especially in sensitive areas like the areola, can arise from various factors. These may include skin conditions such as eczema, contact dermatitis (which can be due to an allergic reaction), or even fungal infections. The presence of a mole or dark spot could also be a benign skin lesion, but it is crucial to monitor any changes in size, shape, or color, as these could warrant further investigation.

Given that you are experiencing symptoms like itching and peeling, it is advisable to consider the possibility of a dermatological issue. Skin allergies or irritations can manifest in these ways, and a dermatologist would be well-equipped to evaluate your symptoms, provide a diagnosis, and recommend appropriate treatment. They may perform a physical examination and, if necessary, conduct tests such as a skin biopsy to rule out any serious conditions.

However, since you mentioned the presence of a dimpled area and a dark spot on the areola, it is also prudent to consult a breast specialist or a general surgeon who specializes in breast health. Changes in the breast tissue, including the areola, can sometimes indicate underlying issues that require further assessment. A breast specialist can perform a clinical breast examination and may recommend imaging studies, such as a mammogram or ultrasound, to ensure there are no concerning changes in the breast tissue.

In summary, while your symptoms may be related to a benign skin condition, it is essential to take them seriously, especially given the changes in the areola. I recommend scheduling appointments with both a dermatologist and a breast specialist. This dual approach will allow for a comprehensive evaluation of your symptoms. The dermatologist can address the skin-related concerns, while the breast specialist can assess any potential issues related to the breast tissue itself.

Additionally, it is important to keep track of any changes in your symptoms, such as increased itching, changes in the appearance of the mole, or any new symptoms that may arise. This information will be valuable for your healthcare providers in making an accurate diagnosis.

Lastly, remember that early intervention is key in addressing any health concerns. If you notice any alarming changes or if your symptoms worsen, do not hesitate to seek medical attention promptly. Your health and peace of mind are paramount, and addressing these concerns early can lead to better outcomes.

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