Skin Moles: When to Seek Dermatological Advice - Dermatology

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Mole


Hello Doctor: I noticed a brown flat mole appearing under my right eye (at the edge of the eye bag) around the age of 20.
As I aged, it gradually became raised and has now turned into a protruding mole with hair.
The colored area is not in the center of the mole but rather on one side.
Does this count as asymmetrical? It is approximately 0.4 cm in size, and there are many small bumps (skin elevations) nearby.
I am unsure if these small bumps are what many people refer to as "sweat gland tumors." Could this be caused by skincare products? Many friends and family are concerned about this newly raised mole and have urged me to have it removed, but I have been unable to make the decision to see a dermatologist.
Is it necessary to address this situation? I am worried about the proximity to my eye and the potential risk of injury.
If treatment is needed, what method would be the most appropriate? I am really scared and hesitant to see a doctor.
Please give me your advice.
Thank you! Best regards, Ye An.

Zhu, 30~39 year old female. Ask Date: 2004/12/12

Dr. Zheng Lizhen reply Dermatology


Hello: It is not possible to make a diagnosis based solely on your description.
Please consult a nearby dermatologist for an accurate diagnosis and treatment.
Sincerely, Dr.
Cheng Li-Chen, Dermatology.

Reply Date: 2004/12/12

More Info


When it comes to skin moles, especially those that change in appearance over time, it is essential to pay close attention to any alterations. The mole you described, located under your right eye, has undergone changes such as becoming raised, developing hair, and displaying irregular coloration. These characteristics can be concerning and warrant a visit to a dermatologist for a thorough evaluation.

The asymmetry you mentioned, where the color is not uniform and is more pronounced on one side, is a classic warning sign in dermatology. According to the ABCDE rule for assessing moles, which stands for Asymmetry, Border irregularity, Color variation, Diameter greater than 6mm, and Evolving changes, your mole exhibits at least two concerning features: asymmetry and color variation. This does not necessarily mean that the mole is cancerous, but it does indicate that it should be examined by a professional.

The small bumps you mentioned nearby could potentially be seborrheic keratoses or, as you suggested, sweat gland tumors (syringomas). These are generally benign, but their presence alongside a changing mole increases the importance of a dermatological assessment. It is unlikely that these bumps are caused by skincare products, but irritation or allergic reactions can sometimes exacerbate skin conditions.

Regarding your concerns about treatment, it is understandable to feel apprehensive about visiting a dermatologist, especially when the mole is close to your eye. However, dermatologists are trained to handle such delicate areas with care. If the mole is deemed necessary to remove, there are various methods available, including excisional surgery, laser therapy, or cryotherapy, depending on the mole's characteristics and the dermatologist's recommendation.

It is crucial to prioritize your health and well-being. While it is common to feel anxious about medical appointments, especially concerning cosmetic issues, early intervention can lead to better outcomes. If the mole is found to be benign, you may feel relieved and can discuss options for removal if desired for cosmetic reasons. If it is found to be atypical or malignant, early detection is vital for effective treatment.

To avoid potential complications, it is advisable to seek a consultation sooner rather than later. You can express your concerns to the dermatologist, who can guide you through the process and address any fears you may have. Remember, taking care of your skin is an essential aspect of your overall health, and a professional evaluation can provide peace of mind.

In summary, given the changes in your mole and the presence of nearby skin bumps, it is highly recommended to schedule an appointment with a dermatologist. They will be able to assess your condition accurately and provide you with the best course of action. Don't let fear hold you back from seeking the care you deserve; your health is worth it.

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