Concerns About Moles Near Eyeliner: When to See a Dermatologist or Ophthalmologist?

Q: Concerns About Moles Near Eyeliner: When to See a Dermatologist or Ophthalmologist?

Hello： Please refer to the ABCDE principle I mentioned earlier. <br>Regardless of where your mole is located, as long as it is smaller than 0.6mm and has not shown any significant growth or changes recently, the likelihood of malignancy is very low. <br>If you still have concerns

There is a mole in the area where eyeliner is applied?

Hello, doctor.
Previously, I mentioned that I have many moles on my body.
Recently, I accidentally discovered that there are small moles in the middle of the upper eyelid where I apply eyeliner, one is lighter and the other is darker.
Additionally, there is a small black dot in one of my irises that looks like a mole.
Is this situation normal? Should I see a dermatologist or an ophthalmologist for an examination? What is the likelihood of it being malignant? Furthermore, if it is melanoma, could it be that many irregularly shaped moles on my body are all related, or would only one of them be? Thank you!

Xiao Cai, 30~39 year old female. Ask Date: 2013/06/29

Dr. Lin Xinpeng reply Dermatology

Hello: Please refer to the ABCDE principle I mentioned earlier.
Regardless of where your mole is located, as long as it is smaller than 0.6mm and has not shown any significant growth or changes recently, the likelihood of malignancy is very low.
If you still have concerns, I recommend visiting a clinic for a physician to determine if a biopsy is necessary.

Reply Date: 2013/06/29

More Info

When it comes to moles or spots near the eyes, especially in sensitive areas such as the eyelids or conjunctiva (the membrane covering the white part of the eye), it is essential to approach the situation with caution. The presence of moles, particularly if they have changed in color, size, or shape, can be a cause for concern and warrants further evaluation.

In your case, you mentioned that you have noticed two small moles in the area where you apply eyeliner, one lighter and one darker, as well as a small black dot in the iris of one eye that resembles a mole. While many moles are benign, changes in their appearance can sometimes indicate more serious conditions, including skin cancer.

When to See a Dermatologist or Ophthalmologist
1. Dermatologist Consultation: It is advisable to see a dermatologist for a thorough examination of the moles on your eyelids. Dermatologists specialize in skin conditions and can assess whether the moles exhibit any characteristics that may suggest malignancy, such as asymmetry, irregular borders, multiple colors, large diameter, or changes over time (the ABCDEs of melanoma). They may also perform a biopsy if necessary.

2. Ophthalmologist Consultation: If the small black dot in your iris is new or has changed, it would be prudent to consult an ophthalmologist. They can evaluate the dot in the context of your overall eye health and determine if it requires further investigation. Conditions such as nevi (moles) in the eye can be benign, but they can also be associated with more serious conditions, including melanoma of the eye.

Risk of Malignancy
Regarding your concern about the likelihood of malignancy, it is important to note that not all moles or spots are cancerous. However, the presence of multiple irregularly shaped moles on your body can increase the risk of melanoma, particularly if you have a family history of skin cancer or if you have had significant sun exposure.
If you have many irregularly shaped moles, it is crucial to have them evaluated by a dermatologist. They can provide guidance on monitoring these moles and may recommend regular skin checks to catch any changes early.

Conclusion
In summary, it is advisable to see both a dermatologist and an ophthalmologist for a comprehensive evaluation of the moles near your eyes. Early detection is key in managing any potential skin cancer, and both specialists can provide the necessary assessments and interventions. If you notice any changes in the moles or experience symptoms such as itching, bleeding, or changes in vision, seek medical attention promptly. Remember, it is always better to err on the side of caution when it comes to changes in your skin or eye health.

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