Cherry Angiomas: Why They Don't Disappear After Puncturing - Dermatology

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Cherry angiomas, commonly referred to as "red moles," are benign vascular lesions that are typically small, round, and red or purple in color. They are composed of clusters of small blood vessels and are quite common, especially in adults over the age of 30. One of the questions that often arises regarding cherry angiomas is why they do not disappear after being punctured or drained.
The primary reason cherry angiomas do not disappear after being punctured is that the procedure only affects the superficial layer of the lesion. When you puncture a cherry angioma, you may release some of the blood contained within the lesion, but the underlying vascular structure remains intact. The angioma is essentially a collection of blood vessels, and puncturing it does not eliminate these vessels. Therefore, once the initial bleeding stops and the skin heals, the angioma can refill with blood, leading to its return to its original appearance.

Moreover, cherry angiomas can be quite resilient. They may not only refill with blood but can also be influenced by various factors, such as hormonal changes, skin irritation, or even certain medications. For instance, some individuals may notice an increase in the number or size of cherry angiomas during pregnancy or when taking hormonal therapies. This is due to the increased blood flow and changes in vascular dynamics that occur in the body during these times.

In addition, the healing process after puncturing a cherry angioma can lead to the formation of scar tissue, which may further obscure the angioma but does not remove it. The body’s natural healing response will repair the punctured area, but the underlying blood vessels that constitute the cherry angioma will remain.

If someone is concerned about the appearance of cherry angiomas or wishes to have them removed, there are several effective treatment options available. These include laser therapy, cryotherapy (freezing), and electrosurgery. These methods target the blood vessels more effectively than simple puncturing, leading to a more permanent removal of the angioma.

It is also worth noting that cherry angiomas are generally harmless and do not require treatment unless they become bothersome or for cosmetic reasons. Regular monitoring is advisable, as any changes in size, shape, or color could warrant further evaluation to rule out other skin conditions.

In conclusion, the reason cherry angiomas do not disappear after being punctured is due to the intact vascular structure beneath the skin. While puncturing may provide temporary relief or change in appearance, it does not eliminate the underlying blood vessels. For those seeking removal, consulting with a dermatologist for appropriate treatment options is recommended. Regular observation and professional guidance can help manage any concerns regarding these benign skin lesions.