Conditions We Treat

Mole

At Livingstone Dermatology, we understand that your skin is a reflection of your health and well-being. We are committed to the latest advancements in dermatological science, and dedicated to providing you with quality care.
Mole assessment and removal in Singapore.
Moles are common benign growths of melanocytes on the skin.

Moles, sometimes coined “beauty marks”, are little spots on the skin that can either add charm or raise concern. Most adults have up to 40 moles on their body, and these growths are typically harmless and can be left alone.

However, in some cases, some moles can signal changes in our skin that shouldn’t be ignored. Whether you have always had them, or a new one appears, understanding moles and what they could potentially mean for your skin health is important.

What are moles?

Moles, or nevi (singular: nevus), are small, dark brown spots on the skin composed of melanocytes, or pigment-forming cells [1]. Moles can be present at birth or form throughout your life. Typically, moles form in parts of the body exposed to the sun.

Types of moles

  • Common moles – Common moles are typical moles we see on our body, they are usually small (< 5 mm) and appear on parts of the body exposed to the sun. Common moles may also be called acquired melanocytic nevi.
  • Congenital moles – Congenital moles, or congenital melanocytic nevi, are moles that are present at birth, and may involve the deeper layers of the dermis. Although congenital moles are typically present at birth, some may also develop within the first 2 to 3 years of life [1].
  • Atypical moles (dysplastic nevi) – Dysplastic nevi are moles that do not look like common moles, they may be larger, composed of different colours, have irregular borders, or appear raised [2]. These moles may be of clinical concern and hence are biopsied by dermatologists or healthcare providers.

How are moles caused?

The exact causes of moles are not clearly understood. However, certain features in people indicate their likelihood of developing moles, these include [2]:

  • Fair skin tone
  • Light eyes and hair colour
  • Freckles
  • Increased sunlight exposure

When is a mole dangerous?

Moles can be a sign of skin cancer, and any unusual changes should never be ignored.

Most moles on our skin are harmless and can be left alone. However, moles can signify skin cancer. If you have a mole that you suspect is abnormal, a common guide to follow is the ABCDE guideline:

  • Asymmetry – Asymmetry of the mole refers to the one half of the mole not matching the other half.
  • Border – The border of your mole appears irregular or jagged, sometimes resembling a fried egg.
  • Colour – The colour of the mole is not uniform throughout, there may be different shades of tan, brown, black, red, or white.
  • Diameter – The diameter of the mole is larger than 5 mm. A common tool used as a comparison is a pencil eraser.
  • Evolution/Elevation – The mole changes or evolves in shape or size, and may be elevated or raised.

If you have moles with these characteristics, or notice these changes on a mole over a short period of time, it is highly recommended to get a dermatologist to assess the mole. Several helpful tips to take pictures and document changes of the mole include:

  • Taking pictures every day
  • Maintain the same lighting conditions or take the picture on the same time of day
  • Maintain the same angle and magnification when taking pictures
  • Placing a ruler or a coin next to the mole for size comparison

Signs your mole may be skin cancer

In addition to the features described in the ABCDE guideline, moles at risk of malignancy, or which are malignant may show the following characteristics:

  • Sudden changes of a mole
  • Itching or burning sensation on the mole
  • Scaly or rough appearance of the mole
  • The mole may ooze or crust
  • Wounds that do not heal, or returns after healing
  • A mass or lump that grows quickly
  • Swollen lymph nodes

In any case of doubt, it is always encouraged to visit a dermatologist for a thorough examination. Early detection of cancerous lesions allows treatment to be given early, preventing the spread of cancer cells. Once cancer has spread, it is more difficult to treat and manage, hence why early treatment can be life-saving.

When is mole removal recommended?

Although moles are typically harmless and do not always need treatment or removal, many people opt to get them removed for the following reasons:

  • Cosmetic reasons – Moles that are aesthetically bothersome, large, or located in prominent areas may be removed for cosmetic reasons.
  • Practical reasons – Some moles may be prone to irritation or pain from clothing or friction due to their location or size.
  • Potential malignancy – Moles that are suspected of developing into melanoma can be removed before it becomes malignant.

How are moles removed?

Typically, your dermatologist can recommend you to get a mole removed after assessment and diagnosis of the mole. A mole removal procedure can be done by the following treatments:

  • Surgical excision – Surgical excision involves using a scalpel to cut out the mole and its surrounding skin or tissue, the remaining skin will be stitched back together. This method is typically done for potentially malignant moles, or large and raised moles.
  • Shave excision – Shave excision involves the dermatologist using a razor to shave off the growth from the skin’s surface. This method leaves minimal scarring.
  • Laser removal – Laser removals involve using lasers to precisely target the dark pigments of the mole. Laser removals can be done on common or congenital moles [4, 5].
  • Electrocautery – Electrocautery involves the use of heat from a handheld device to destroy the mole tissues. Electrocautery also reduces bleeding.
  • Cryotherapy – Cryotherapy involves the use of liquid nitrogen to freeze and destroy the tissues of the mole, causing it to die and slough off.

Before undergoing a mole removal procedure, it is important to get a proper assessment by a qualified dermatologist. Certain methods of removal, such as lasers, electrocautery, and cryotherapy, do not provide tissue samples for a biopsy. If your dermatologist suspects a mole for potential malignancy, they may recommend surgical excision, which can be followed by tissue biopsy for a proper diagnosis. Some removal methods are also at risk of mole recurrence, hence it is important to consult your dermatologist before undergoing any mole removal procedures.

Post-removal care

After your removal procedure, your dermatologist will give you detailed instructions on how to care for the surgical wound. They may also ask you to come back for a follow-up visit to monitor your skin’s healing process, as well as to discuss biopsy results on the removed tissue if necessary.

Summary

Moles are common skin growths, are typically harmless, and do not necessarily require removal. However, there are cases where prompt assessment and removal are paramount in preventing skin cancer.

Regardless of the reason, it is always recommended to visit a dermatologist for a proper mole removal, as this limits the risk of infection, scarring, and mole recurrence. More importantly, if you experience a suspicious mole, book a consultation with us for a detailed assessment and personalised treatment plan.

Frequently Asked Questions

Can I remove moles on my own?

It is not recommended to perform any mole removal on your own at home, even if you use over-the-counter products. Mole removals should be done by a dermatologist to reduce risks of recurrence, infection, and scarring. Furthermore, you may unknowingly spread cancerous melanoma cells by performing at-home removals.

It is recommended to have your mole removed at a dermatologist’s office as it is medically supervised to ensure safe removal with sterile and precise techniques. More importantly, your mole can be properly assessed on whether it is benign or potentially cancerous — preventing risk of complications or missing a very serious condition.

Moles do not always need removal if they do not bother you, aesthetically or physically. However, if you notice abnormal changes of your mole, such as change in colour, size, and shape, or if it starts to itch, burn or feel painful, you should visit a dermatologist to get it assessed and diagnosed.

Some moles may not be preventable, especially if you are genetically predisposed to them. However, certain lifestyle habits can reduce mole formation, and also reduce the risk of melanoma development from moles:

  • Wearing sunscreen
  • Wearing protective clothing
  • Limiting sun exposure
Moles can grow bigger as you age. However, these changes often happen very slowly over the years. Rapid changes within a short amount of time can be concerning as it can be a sign of skin cancer. Additionally, new moles that appear later in life can be potentially malignant. Hence, routine skin screening is recommended once you enter your 30s.

The exact reason why moles appear are not entirely understood, most moles appear in childhood or adolescence, some moles can also appear later in life which may be due to exposure to the sun. Some have also argued that hormonal changes, such as during pregnancy, causes new moles to appear. However, scientists have not found a clear relationship between pregnancy and new mole development.

Benign moles are not likely to grow, and even if they did it will be very gradual over a period of several years, hence if you notice a mole growing rapidly over a short period of time, you should visit a dermatologist as it may be a sign of skin cancer. You can prevent the development of new moles by protecting your skin with sunscreen or protective clothing, as well as limiting your time outdoors.

References

  1. Navarro-Fernandez IN, Mahabal GD. Congenital Nevus. 2023 Jul 31. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan–. PMID: 32644696.
  2. Baigrie D, Tanner LS. Dysplastic Nevi. [Updated 2022 Oct 24]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK482210/
  3. Heistein JB, Acharya U, Mukkamalla SKR. Malignant Melanoma. 2024 Feb 17. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan–. PMID: 29262210.
  4. Eggen CAM, Lommerts JE, van Zuuren EJ, Limpens J, Pasmans SGMA, Wolkerstorfer A. Laser treatment of congenital melanocytic naevi: a systematic review. Br J Dermatol. 2018 Feb;178(2):369-383. doi: 10.1111/bjd.16094. Epub 2018 Jan 19. PMID: 29077988.
  5. Köse O. Carbon dioxide ablative laser treatment of acquired junctional melanocytic nevi. J Cosmet Dermatol. 2021 Feb;20(2):491-496. doi: 10.1111/jocd.13579. Epub 2020 Jul 12. PMID: 32593221.

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