MOLES 101:
When you look at your skin, you’re really looking at your own little galaxy. Moles are like stars-some faint, some bold, some old, some new. You might have many or just a few, and each one has its own story.
It’s important to understand your moles because some are harmless while others need attention. Here’s a breakdown of what moles are, how they form, and how to determine when it’s time to see a dermatologist:
- Why do you have moles?
Skin moles form from pigment-producing cells that grow in clusters instead of spreading out evenly across your skin. These cells are called melanocytes.
- Ways that your skin produces moles can be from the following:
- Sun exposure
- Skin type– lighter skin has less melanin so the UV rays penetrate deeper-stimulating melanocytes to form new moles
- Genetics– Although there are factors that can cause a mole to appear throughout your life, it is important to note that moles can appear genetically and if there is a history of skin cancer or melanoma in your family- be sure to see a dermatologist to get evaluated.
- What are the characteristics of your mole?
A quick way to spot concerning moles is to use the ABCDE rule:
- Asymmetry
- Border irregularity
- Color variation
- Diameter larger than 6 mm
- Evolving or changing
If you notice any of the above, we may also ask if the spot is itchy, crusty, bleeding, or how long you’ve had it. These details will help us decide the next best steps. And if the answer is yes, we’ll get you scheduled to see one of our fabulous dermatology PA’s to get it checked out.
- Getting a mole removed
Moles are very common, and in most cases, they are harmless. However, when a mole shows concerning features, it may need to be removed for medical reasons. This is known as a medically necessary mole removal. A medically necessary mole removal is typically performed using either a standard excision or Mohs surgery, depending on the specific case.
Excisions are completed by our fabulous PA, Jessie Mallalieu.
Mohs surgeries are performed by Dr. Michael Warner. Following Mohs, the surgical site is carefully repaired by Dr. Wyatt To to ensure optimal healing and cosmetic results.
- What should you be doing to help?
There are ways that you can help your future self out- at home or with a professional
- Self-exam once per month- including between your toes and the bottoms of your feet
- Schedule annual full body skin checks with an experienced provider- if you notice a changing or new spot- get it evaluated
- Daily habits matter- sunscreen application, protective clothing, avoiding the sun during peak UV hours
- Don’t brush it off- if you see something new or ANY change to a pre-existing mole, get it evaluated
These small steps go a long way in protecting your skin and health now and in the future. Just like a galaxy, your skin is always changing. Most moles are not harmful but it is important to be aware and to stay familiar with your skin- knowing what is normal for you makes it easier to determine when a mole changes or a new one appears.
Come see one of our dermatology providers for an evaluation of a spot or a full skin check!
Until next time,
Stay aware and keep your skin maintained with care!


