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Moles

Moles, also known as nevi, are common skin growths made up of melanocytes, the cells that produce melanin, the pigment responsible for your skin colour. Most people have moles somewhere on their body. They can appear alone or in clusters and are usually tan, brown, or black.

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Overview

What are moles?

Moles can be flat or raised, smooth or rough, and may develop anywhere on the body, including the face, arms, legs, and trunk. Most moles appear during childhood and adolescence, though new ones can form later in life.

It is normal for moles to change slowly over time. Some may fade or disappear, while others may darken or become slightly raised. In most cases, these changes are harmless. However, it is important to pay attention to any mole that looks different or begins to change quickly, as this can be an early sign of melanoma, a serious type of skin cancer.

Symptoms and Causes

How moles look

Typical moles are:

  • Round or oval in shape
  • Smooth-edged and uniform in colour
  • Smaller than about 6 millimetres across (roughly the size of a pencil eraser)

Some moles grow hair or feel slightly rough to the touch. Their colour may range from light brown to black, depending on your skin tone and sun exposure.

Why moles develop

Moles form when melanocytes grow in clusters rather than spreading evenly throughout the skin. Common causes and risk factors include:

  • Genetics: Moles often run in families
  • Sun exposure: Ultraviolet (UV) light from the sun or tanning beds can cause new moles to form or darken existing ones
  • Hormonal changes: Puberty, pregnancy, and menopause can trigger new moles or changes in existing ones
  • Skin type: People with lighter skin tones or freckles tend to have more moles

When to see a doctor

Most moles are harmless, but it is important to check your skin regularly and seek medical advice if you notice changes. The ABCDE rule can help you identify warning signs of melanoma:

  • A – Asymmetry: One half of the mole does not match the other
  • B – Border: The edges are irregular, blurred, or uneven
  • C – Colour: The colour varies within the mole (shades of brown, black, red, or white)
  • D – Diameter: Larger than 6 millimetres, although smaller moles can still be concerning
  • E – Evolving: The mole is changing in size, shape, or colour, or it starts to itch, bleed, or crust

If you are unsure about a mole, have it checked by a GP or dermatologist. Early evaluation is key to ruling out skin cancer and starting treatment if needed.

Diagnosis and Tests

Your doctor or dermatologist can usually identify a mole through a skin examination. A dermatoscope, a handheld magnifying device, helps them see pigment patterns more clearly.

If a mole looks unusual or suspicious, your doctor may recommend a biopsy. This involves removing part or all of the mole so a pathologist can examine the tissue under a microscope to check for cancerous or pre-cancerous cells.

In rare cases where melanoma is diagnosed, further imaging such as an MRI, CT scan, or lymph node biopsy may be used to determine if cancer has spread.

Management and Treatment

Do moles need to be removed?

Most moles do not require treatment. Your doctor may recommend removal if:

  • The mole looks suspicious or has changed
  • It becomes irritated by clothing or shaving
  • You want it removed for cosmetic reasons

Treatment options

  • Surgical excision: The entire mole and a small margin of surrounding skin are removed, and stitches are used to close the wound
  • Shave removal: The mole is shaved flush with the skin’s surface, often used for raised, benign moles
  • Laser removal: May lighten small, non-cancerous moles but is not used when cancer is suspected, as it prevents tissue testing

After removal, the tissue is usually sent to a lab for analysis. This ensures the mole is benign and fully removed.

Aftercare

Keep the treated area clean and covered as instructed by your doctor. It is normal to experience mild redness, swelling, or scabbing for a few days after the procedure. Avoid touching or picking at the site to minimise the risk of scarring. Contact your doctor if you notice any signs of infection, such as increasing pain, discharge, or persistent redness.

Avoid at-home mole removal

Never attempt to remove a mole at home using creams, razors, or online “mole removal kits.” These methods can cause infection, bleeding, scarring, and may delay the diagnosis of skin cancer.

Outlook/Prognosis

The outlook for benign moles is excellent. Once removed, they rarely grow back.

If a mole is diagnosed as melanoma, the outcome depends on how early it is detected. Early-stage melanoma that has not spread can often be cured with surgery. More advanced cases may require additional treatments such as immunotherapy, radiation, or targeted therapy.

People with a history of atypical or cancerous moles should have regular skin checks and practise sun safety.

Prevention

You cannot always prevent moles, but you can reduce your risk of abnormal growths and melanoma by following these steps:

  • Use sunscreen daily: Choose a broad-spectrum SPF 30 or higher and reapply every two hours when outdoors
  • Avoid tanning beds: Artificial UV light increases your risk of melanoma
  • Wear protective clothing: Cover exposed skin with long sleeves, hats, and sunglasses
  • Check your skin monthly: Look for new moles or changes in existing ones. Use mirrors for hard-to-see areas
  • Have regular skin exams: A dermatologist can identify early changes that may be difficult to spot on your own

Notice a Mole That Looks Different?

If you see changes in the size, shape, or colour of a mole, don’t wait to get it checked. Take a free online mole assessment with Aventus Clinic today for personalised guidance.