Can I Visit a Cosmetic Dermatologist for Weird Moles?

Have you noticed a mole or two on your body that looks a little “off.” Somewhat different than the moles around them? If so, you may feel a bit unsettled. It’s only natural to wonder whether they’re just standard, harmless moles or if you have moles to be concerned about. Moles come in all shapes, sizes, and colors. And fortunately, most are harmless or are just slightly annoying. Some, though, require closer attention. The next question then is likely: who do I turn to? Can I visit a cosmetic dermatologist for weird moles? Or should I see a different type of specialist?

Let’s explore the world of moles—how do moles form, when to be concerned about a mole, and what steps to take if you spot one that just doesn’t seem quite right.

Understanding How Do Moles Form and Their Significance

Moles are small clusters of pigmented cells that appear on the skin. How do moles form? Melanocytes (or the cells responsible for skin pigmentation) grow in groups to form moles. Most moles develop during childhood and adolescence, but new ones can form at any age. Your genetics, amount of sun exposure, and hormonal changes all play a role in the development of moles on the skin.

Moles are often confused with skin tags, but they are different. Unlike moles, skin tags are small, soft growths of skin that hang off the body by a tiny stalk. They tend to be flesh-colored or slightly darker and typically form in areas where the skin folds or rubs, like on the neck, armpits, or eyelids. And they don’t carry the same potential risks as moles.

Identifying Normal Moles

Typical moles are typically round and evenly colored and come in shades of tan or brown. Common moles usually have a smooth, even texture as well as clearly defined edges. Most people have between 10 and 40 moles on their bodies, but some people have significantly more.

If you have a family history of numerous moles or atypical moles, you may be more predisposed to developing them. While having more moles doesn’t necessarily mean there’s a health risk, it’s important to be vigilant about monitoring them.

Recognizing Abnormal Moles and Melanoma Warning Signs

Atypical moles (also known as dysplastic nevi) may require closer observation. These moles may also have irregular shapes, symmetry, or uneven borders. Atypical moles may also have a mix of colors and hues, including pink, red, black, and brown.

Though not all atypical moles are dangerous, they do carry a higher risk of turning into melanoma, a very serious type of skin cancer. So, it’s crucial to monitor them closely and consult with a dermatologist if you notice any changes in any mole.

The ABCDEs of Melanoma

To make it easier to identify moles to be concerned about, a formula known as the ABCDEs has been created to help you watch for warning signs so you know when to seek a professional opinion.

A for Asymmetry: If you draw an imaginary line through the middle of the mole, do the two halves match? A typical mole is usually symmetrical. A potential melanoma, on the other hand, is more likely to be uneven or asymmetrical.

B for Border: Healthy moles typically have smooth, even borders. A mole that looks ragged, blurred, or notched with irregular edges may need to be examined by a professional.

C for Color: A mole that’s made up of multiple shades or has an uneven distribution of colors, including black, brown, tan, white, red, or blue, could indicate the need for careful examination. Normal moles, in contrast, are usually one consistent color.

D for Diameter: Moles that are larger than 6 mm (or about the size of a pencil eraser) should also be watched carefully, though melanomas can be smaller if detected early.

E for Evolving: One of the most important signs to watch is if the mole changes—by becoming bigger, changing color, shape-shifting, or developing new symptoms (such as itching or bleeding). If you notice changes, it’s time to schedule an appointment with a dermatologist.

In addition to going through the list above, pay attention to the moles on your body. Do they all look pretty much like their neighbors? Or do any moles stand out? This is sometimes referred to as the “ugly duckling” sign. If a mole has a unique appearance, especially if it’s itchy, painful, bleeding, or oozing, it’s important to get it checked out, even if it doesn’t meet the above ABCDE criteria.

Deciding When to Consult a Dermatologist about Moles

The key to catching potential melanoma early is constant vigilance. If you notice any of the signs above, don’t wait! Schedule an appointment with a dermatologist as soon as possible. A dermatologist, including a cosmetic dermatologist, can assess whether the mole needs further testing, such as a biopsy, and can recommend appropriate next steps.

Monitoring your skin regularly and knowing what to look for in atypical moles can help you catch potential problems early.

How Dermatologists Evaluate Moles

Can I visit a cosmetic dermatologist for weird moles? Yes, you can! Both cosmetic and general dermatologists are trained to assess moles and other skin growths to help determine if they pose any health risks. They can provide a detailed examination and have diagnostic tools and, if required, can provide further testing.

During your appointment, your dermatologist will start by visually examining the mole and other areas of your skin to check for any signs of abnormality. They’re trained to recognize the subtle differences between benign or harmless moles and moles to be concerned about. They’ll also likely ask if you’ve noticed any changes in your moles, if you have any other symptoms, such as itching or bleeding, and if there’s a family or personal history of skin cancer.

To get a clearer, more detailed view of the mole in question, the dermatologist may use something called a dermatoscope. This handheld device uses magnification and light to better view the structures beneath the skin’s surface, not visible to the naked eye. By looking at patterns, colors, and structures within the mole, the dermatologist can better assess whether or not the mole appears suspicious.

For people who have a lot of moles or those with higher risks, dermatologists may use mole mapping and photographs to track any changes over time. This can be especially helpful for monitoring evolving moles.

Finally, if a mole appears abnormal, a biopsy may be needed. This involves removing part or all of the mole and sending it to the lab for testing to see if it’s cancerous. Biopsies are quick and provide vital information on the next steps.

Managing and Treating Moles: The Dermatologist’s Role

After evaluating your moles, your dermatologist will advise on monitoring, treatment, or removal based on the mole.

If moles are benign but atypical, regular checkups may be recommended to catch any changes early. This is especially important if you have a lot of moles or a history of skin cancer.

If a mole is found to be atypical or cancerous, it may need to be removed. Dermatologists can remove the mole by either shaving it, which removes the mole at the surface level, or surgical excision, in which they cut out the mole along with some surrounding tissue. Your dermatologist will choose the best method to minimize scarring while appropriately addressing the issue to protect your health.

Your dermatologist can also remove moles just because they’re bothersome or for cosmetic reasons. For example, if you find a mole is irritated by clothing, you may choose to have it removed. A cosmetic dermatologist is trained to remove moles with minimal scarring. They can also provide advice on preventing further mole or skin changes, such as using sun protection and doing regular skin self-checks.

Mole Prevention and Skin Care

Due to genetics, some moles are inevitable. However, even if you are more susceptible to developing moles, there are steps you can take to reduce the risk of new or atypical moles. That starts with proper skincare.

The most effective way to prevent mole changes is to protect your skin from UV rays. Using a broad-spectrum sunscreen with at least 30 SPF daily is a great start. That includes on cloudy days or if you spend much of your day indoors.

In addition, if you’ll be outdoors, wearing protective clothing, wide-brimmed hats and sunglasses, and seeking shade when the sun is at its peak (between the hours of 10 a.m. and 4 p.m.) can further protect the skin.

Next, monthly self-examinations should be performed to catch any changes early. Look for any new developing moles or changes to existing moles. Note any moles that appear to grow, change color, or develop irregular borders. Keeping a record, by notes or even photos, may make it easier to detect slight changes over time.

Living with Moles: What You Should Know

Having moles is normal for the vast majority of us. Whether you have a few or too many to count, the key is to know your own skin and what’s typical. Most moles are fortunately harmless, if at times bothersome. However, it’s important to stay mindful of any changes or discomfort. Keeping an eye on your moles by performing regular self-checks and keeping your regular appointments with your dermatologist can help catch any potential issues early.

It’s especially important to have an established relationship with your dermatologist if you have numerous moles, have a history of atypical moles, or have a family history of skin cancer.

Remember, moles can change over time, but if you notice rapid changes in the size, color, or shape, it’s a good idea to have them checked right away. Living with moles entails staying informed, practicing regular skin care, and seeking professional advice when needed.

Your dermatologist will use specialized tools and techniques to closely examine your skin and can also check areas of your body that are difficult for you to check, such as your scalp, back, and behind your ears.

At-Home Mole Treatments and Care

Treatments for moles often depend on the mole’s characteristics and location. For potentially cancerous moles, your dermatologist may recommend having the mole surgically excised, shaved, and or treated with a laser to ensure complete removal and promote healing. All of these procedures are typically quick and done during an in-office visit.

Moles that aren’t dangerous can be removed for aesthetic reasons or because they’re bothersome. Cosmetic dermatologists use their training to remove moles while minimizing scarring to leave the skin looking smooth and healthy.

After any treatment, proper care is essential. Follow your dermatologist’s instructions thoroughly. That typically includes keeping the area clean and patting it dry. Then, applying any prescribed ointments as well as protecting the site from sun exposure as it heals.

With regular monitoring, proper care, and timely treatments, managing your moles becomes a simple part of maintaining your overall health.

Prognosis and Long-Term Management of Moles: Can I Visit a Cosmetic Dermatologist for Weird Moles?

The long-term prognosis for most moles is generally good. This is especially true when you follow the guidelines above for consistent monitoring and care.

While most moles remain harmless, staying vigilant about any changes and visiting your dermatologist for regular checkups helps ensure early detection.

If you’re still wondering, “Can I visit a cosmetic dermatologist for weird moles?” The answer is absolutely yes. Cosmetic dermatologists can assess both the health and appearance of your moles, offering treatments that prioritize both medical and aesthetic needs.

With ongoing self-exams, sun protection, and professional guidance, you can effectively manage your moles, maintain healthy skin, and address any cosmetic concerns.

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Dessinioti C, Geller AC, Stratigos AJ. A review of nevus‐associated melanoma: What is the evidence? Journal of the European Academy of Dermatology and Venereology. 2022 Nov;36(11):1927-36.

Spaccarelli N, Drozdowski R, Peters MS, Grant-Kels JM. Dysplastic nevus part II: Molecular/genetic profiles and management. Journal of the American Academy of Dermatology. 2023 Jan 1;88(1):13-20.

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Author: Don Mehrabi

Don Mehrabi, MD, FAAD, is LA’s leading board-certified dermatologist who treats patients, builds the BHSkin clinics, and raises three kids. This blog builds on medical studies combined with Dr. Mehrabi's first-hand experiences from practicing in Encino-Tarzana, Glendale, and online