Moles on the Areola: When to Seek Medical Advice

Questions about moles?

Dear Dr.
Wu,
I have recently noticed two moles on my left areola (not the nipple) that are light black in color and slightly raised.
They appear to be compound nevi, each about 0.2 centimeters in size, and they have likely been present for some time.
I would like to ask Dr.
Wu the following questions:
Q1.
Is it common for moles to develop on the areola? Is it normal to have moles on the areola?
Q2.
Upon discovering moles on the areola, what would be the best course of action? Should I simply monitor them if there are no changes, or should I seek medical evaluation and consider removal?
Thank you, Dr.
Wu.

Axiang, 40~49 year old female. Ask Date: 2023/01/18

Dr. Wu Yuxin reply Dermatology

Moles can develop on any area of the skin, so it is important to have them examined in person by a dermatologist.

Reply Date: 2023/01/18

More Info

Hello,
Thank you for your questions regarding moles on the areola. It's important to understand that moles, or nevi, can appear on various parts of the body, including the areola. Here’s a detailed response to your inquiries:

Q1: Can moles appear on the areola? Is it normal for moles to be present on the areola?
Yes, moles can indeed appear on the areola, and it is generally considered normal for moles to develop in this area, just as they can on other parts of the skin. Moles are common skin growths that can be flat or raised, and they can vary in color from light brown to black. The presence of moles on the areola is not uncommon, and many individuals have moles in this area without any associated health concerns.

However, it is essential to monitor any moles for changes in size, shape, color, or texture. The characteristics of moles can provide important information regarding their nature. For instance, moles that are symmetrical, have a uniform color, and are smaller than 6mm in diameter are generally considered benign. In contrast, moles that are asymmetrical, have irregular borders, multiple colors, or are larger than 6mm may warrant further evaluation.

Q2: What should be done if moles are found on the areola? Should they be monitored or removed?
If you have noticed moles on your areola that have been present for some time and have not changed, it is usually safe to monitor them. However, it is crucial to perform regular self-examinations of your skin, including the area around the areola, to check for any changes. If you notice any of the following changes, it is advisable to seek medical advice:
1. Change in Size: If the mole grows larger than it was previously.

2. Change in Color: If the mole becomes darker or develops multiple colors.

3. Change in Shape: If the edges become irregular or the mole becomes asymmetrical.

4. Itching or Bleeding: If the mole becomes itchy, painful, or starts to bleed.

If any of these changes occur, it is recommended to consult a dermatologist or your healthcare provider for a thorough evaluation. They may perform a dermatoscopic examination or, if necessary, a biopsy to determine whether the mole is benign or if it requires removal.

In general, if the moles are stable and do not exhibit any concerning features, regular monitoring may be sufficient. However, if you have any personal or family history of skin cancer, or if you have concerns about the moles, it is always best to err on the side of caution and seek professional advice.

Additional Considerations
While moles on the areola are typically benign, it is essential to maintain awareness of your skin health. Regular skin checks, both by yourself and by a healthcare professional, can help catch any potential issues early. If you have any other symptoms, such as changes in breast tissue or unusual discharge, these should also be discussed with your healthcare provider.

In conclusion, while it is normal for moles to appear on the areola, monitoring their characteristics is crucial. If you have any concerns or notice changes, do not hesitate to seek medical advice. Your health and peace of mind are paramount.

Best wishes for your health!

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