Moles appear primarily due to melanocyte clustering in specific areas rather than being evenly distributed across the skin. This clustering causes the characteristic darker spots known as moles. While typically benign, moles might also occasionally indicate skin cancer.
Moles appear in various shapes and sizes. Some people have many moles on their bodies, while some only have a few. In most instances, moles can be left alone; some people choose to undergo mole removal due to cosmetic or health concerns.
Moles are not contagious; benign ones typically do not cause discomfort, such as pain, itch, or scabbing. They normally develop between the first thirty years of one’s life. If new moles develop in your 40s and 50s, it is advisable to see a dermatologist to check if the mole is benign.
Moles, or nevi, are common skin growths that vary widely in appearance and significance. As your skin health partners, we're here to help you understand the different types of moles and their implications for your health.
Moles can be classified into:
Benign moles come in various forms. Understanding these types can help you monitor changes over time.
Changes in a mole's appearance can be a sign of development. Any mole that changes in appearance should be evaluated by a dermatologist to ensure it remains benign.
Atypical moles, or dysplastic nevi, are characterised by their irregular appearance. They may be larger than ordinary moles and have uneven colours and borders. While not cancerous, their presence can indicate a higher risk of developing melanoma. Individuals with multiple dysplastic nevi should check their skin regularly with a dermatologist and perform regular skin self-assessments.
Melanoma is a serious form of skin cancer that develops from melanocytes. It can appear anywhere, even in spots that don't get much sun exposure. Catching melanoma early is important because it can spread quickly. This is also the reason why we recommend regular skin check-ups.
Melanoma-in-situ refers to melanoma cells confined to the epidermis or top layer of the skin. While melanoma-in-situ is considered the earliest stage of melanoma and is highly curable with prompt intervention, it still requires vigilant monitoring and surgical removal.
Key factors in mole development:
While moles are generally harmless, knowing what causes them and when they might need professional attention is crucial for your skin health. Regular skin checks can help in the early detection of any issues, including skin cancer.
Benign moles are harmless and should not cause adverse side effects or symptoms. Changes in the appearance of moles or if they start bleeding or itching may indicate skin cancer.
In general, moles have the following appearances:
A skin self-examination is a simple but effective detection strategy for skin cancers. Many new and recurrent melanomas can be detected by patients or their family members. When examining your moles at home, we recommend following the ABCDE guide to identify any suspicious changes that may require a closer look by a dermatologist.
One should look out for the ABCDEs of melanoma detection, encompassing:
Special care must be taken on often overlooked sites such as acral sites (especially finger webs and toe webs), scalp, retro auricular skin, natal cleft, back, and back of the legs.
If you experience pain or discomfort, develop new moles after age 30, or have concerns about any changes in your moles, make an appointment with a dermatologist for a consultation and skin cancer screening. They can assess the mole and suggest a course of treatment if necessary.
Dermatologists use the acronym HARMM to predict a patient’s risk of developing melanoma:
Patients with 4 or 5 of these risk factors were 4.4 times more likely than those with 0 or 1 of such risk factors to develop melanoma. Thus, meticulous monitoring of changes in existing moles and new lesions is crucial for such high-risk groups.
At Lumine Dermatology & Laser Clinic, we understand the pivotal role that early detection plays in the successful treatment of skin cancer. Our dedicated skin screenings are designed to identify subtle yet critical changes in moles that may indicate malignancy or pre-malignancy, enabling timely intervention.
By opting for annual skin screenings, you are taking a proactive step towards safeguarding your skin health, ensuring any potential issues are identified and addressed as early as possible. We employ a meticulous approach to mole examination, which includes:
The treatment options for moles depend on various factors, including the type of mole, the size, and whether there is any suspicion of malignancy. Not all moles are the same.
The first step in removing moles is to have a trained dermatologist examine the mole with a dermatoscope to determine whether it is benign or malignant. If the mole is suspicious of malignancy, an excisional biopsy with a 2 mm border may be performed, and the entire mole will be submitted for histological examination.
If we are confident we are dealing with a benign mole, here are some common treatment options for moles at Lumine Dermatology & Laser Clinic:
Moles should never be removed by yourself or a friend/family member at home using natural remedies. This may cause problems and complications such as bleeding and infection. If you have a cosmetic concern about a mole and wish to have it removed, consult with a reputable dermatologist for treatment options.
Are there any side effects to mole removal?
While generally safe, mole removal involves potential side effects, as with any medical procedure.
To minimise the risks, it is essential to choose a qualified dermatologist or skin surgeon for mole removal. They can thoroughly evaluate and recommend the appropriate method based on your mole characteristics and skin type.
Are there any age restrictions for mole removal?
No, there are no age restrictions. We have the facilities and experience to perform mole removal for children. However, it is advisable to consult with your dermatologist, who will advise you on the level of urgency (or not) of removing a mole. It will also depend on your child's disposition and whether they can cooperate with medical procedures.
Does removing a mole leave a scar?
Yes, it can leave a scar. The size, location, and removal technique of the mole will also determine the scar's appearance.
What are the safest mole removal methods available in Singapore?
At Lumine Dermatology & Laser Clinic, we prioritise your safety and well-being. We offer various safe mole removal methods, including surgical excision (shave and excision biopsies), laser therapy (long pulsed 755nm laser, picosecond laser and CO2 laser), and a combination of treatment. During your consultation, we will assess your mole's characteristics and recommend the most suitable method.
How much does mole removal typically cost in Singapore?
The cost of mole removal in Singapore can vary depending on the size, location, number of moles removed, and the chosen removal method. Generally, prices range from SGD 250 to SGD 500 per mole. During your consultation, we'll provide a personalised quote based on your specific needs.
What factors should I consider before choosing a mole removal method in Singapore?
Before choosing a mole removal method, it's essential to consider factors such as the size, location, and type of mole, as well as your skin type, medical history, and expectations for mole removal. I have had patients remove specific moles on the face because it affects their self-esteem, the mole gets frequently inflamed due to location, or even some who believe a particular mole affects their job prospects or future. Our experienced dermatologist will carefully evaluate these factors during your consultation and recommend the safest and most effective removal method.
Can moles grow back after removal?
Moles can regrow after removal. A balance must be struck between the possibility of scarring and effective mole removal, and a mole removal process may involve a series of laser treatments instead of just one session. If a mole grows back, it is usually within the first six months.
Another possibility to consider is a biopsy if the mole keeps recurring, as one must always bear in mind the possibility of malignancy. However, our clinic will take great care to ensure thorough removal, minimising the chances of regrowth.
Is it necessary to get a biopsy after mole removal in Singapore?
Biopsy after mole removal is not always necessary, but it depends on several factors, including the mole's appearance and characteristics. In some cases, especially if the mole shows any suspicious features or if there's a concern about melanoma, it will be mandatory to examine the mole cells more closely under microscopy. Rest assured that we will discuss this option and ensure you're well-informed at every step.
