Should I Visit a Dermatologist Again for New Skin Concerns?

About the skin?

I apologize for the inconvenience! I would like to ask if I need to visit a dermatologist again.
Recently, I have developed small moles in two unusual areas on my body.
I visited a dermatologist the day before yesterday, and the response I received was that people can develop moles as they age and that I should just monitor them.
However, after returning home, I noticed two faint black spots on my palms (?).
I'm not sure if they are related to the moles.
These spots have not changed in color or size over the past two days, and they are neither painful nor itchy.
Should I go back to the dermatologist for further evaluation? It seems there is no option to attach photos, so I provided a cloud link; I hope that’s acceptable: https://drive.google.com/file/d/19IdEauG9L05t_gENFgqjMq_AjF2vYnlN/view?usp=drivesdk.
Thank you for your response, doctor.

Meng, 20~29 year old female. Ask Date: 2023/12/15

Dr. Wu Yuxin reply Dermatology

Most moles are acquired over time, and the vast majority are benign.
Whether further examination is needed should be a personal decision.

Reply Date: 2023/12/15

More Info

It's understandable to feel concerned about new skin changes, especially after receiving mixed messages from healthcare professionals. Based on your description, you have developed new moles and faint black spots on your palms, and you're unsure if these changes warrant another visit to a dermatologist.

Firstly, it's important to recognize that skin changes, such as the appearance of new moles or spots, can be quite common and often benign. However, monitoring these changes is crucial. The advice you received from your dermatologist about observing the moles is sound; many moles can develop over time without indicating a serious issue. However, certain characteristics of moles and spots can be concerning, and it's essential to know when to seek further evaluation.

The ABCDE rule is a helpful guideline for assessing moles:
- Asymmetry: If one half of the mole doesn't match the other.

- Border: Irregular, scalloped, or poorly defined edges.

- Color: Varied colors (brown, black, tan, red, white, or blue).

- Diameter: Larger than 6mm (about the size of a pencil eraser).

- Evolving: Changes in size, shape, color, or elevation, or new symptoms such as bleeding, itching, or crusting.

If your new moles or spots exhibit any of these characteristics, or if you notice any changes in existing moles, it would be prudent to return to a dermatologist for a thorough evaluation.

Regarding the faint black spots on your palms, while they may not be painful or itchy, it's still wise to keep an eye on them. Changes in skin pigmentation can result from various factors, including sun exposure, hormonal changes, or even benign conditions like lentigines (often referred to as age spots). However, if these spots change in appearance or if you have any concerns about them, a dermatologist can provide clarity and reassurance.

In summary, if you feel uncertain about your skin changes or if they are causing you anxiety, it is always better to err on the side of caution and consult a dermatologist again. They can perform a physical examination and, if necessary, conduct a biopsy or other tests to rule out any serious conditions. Remember, your skin health is important, and seeking professional advice is a proactive step in maintaining it.

In addition to monitoring your skin, consider adopting a skincare routine that includes sun protection, as UV exposure can lead to further skin changes. Using a broad-spectrum sunscreen daily can help protect your skin from harmful rays and prevent the development of new spots or moles. Keeping your skin moisturized and healthy can also contribute to its overall appearance and resilience.

Lastly, if you have any family history of skin cancer or if you notice any other concerning symptoms, such as changes in your overall health, it is advisable to communicate these factors to your dermatologist during your visit. They can provide tailored advice based on your individual risk factors and skin type.

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