Regular mole and other skin lesions check at Lucia Clinic

Regular mole checks are vital for reducing the chances of developing skin cancer or melanoma or for early detection and treatment. With skin examinations, patients get to know their moles and can inform the doctor if they develop new ones or if the present moles have changed in any way. Next to using SPF and limiting exposure to the sun, mole checks are important for keeping the skin healthy. Even if the patient’s moles are not showing any signs of changes, it is advisable to have a regular full skin check just for peace of mind. 

How It Works


Moles are skin growths that form when skin cells, known as melanocytes, get collected on the surface of the skin. These skin cells produce melanin or the pigment that gives the skin its color. That is why most moles are brown. Moles usually develop between 5 and 30 years of age and can develop the most during puberty. On average, an adult can have around 30 moles all over the body. Later in life, moles tend to disappear especially when a person turns 70. Moles are harmless unless they change in shape, size or color. 

Moles are medically known as melanocytic naevus and they can be of different types.

There are:

  • Compound or raised mole
  • Junctional or flat mole
  • Intradermal or fleshy and raised mole
  • Dysplastic or atypical mole
  • Melanoma or cancerous mole

All moles are different in size, shape or color. Regular moles are evenly brown, symmetrical and defined. Some can have hair that grows through them. Within the years, moles, usually the ones on the face, can start losing their color or become fleshy. 

Atypical or dysplastic moles are benign but can have some characteristics that resemble cancerous moles. They may have irregular size, shape or color. They are usually larger than 5 mm and can have 2 or more colors. Even though they are generally harmless, they carry a risk of turning into cancerous moles so it is important to check them regularly or remove them if the doctor requires so. 

Almost all people have moles. Even babies are born with them and their moles often appear as warts. People with fair skin are more prone to developing moles than people with darker skin tones. Also, ladies who are pregnant can develop new moles and their existing moles can get a bit darker. 


Since the skin is the largest and one of the most visible organs it is easier to be proactive about preventing melanoma. Therefore it is important to check moles on a regular basis especially if people are fair-skinned, have a lot of moles on their bodies or their family members have a lot of atypical moles or previous history of melanoma. 

The patient should always check the newly developed moles or the existing ones that 

  • Have changed their shape and look uneven
  • Have changed their color, got darker or have 2 or more colors
  • Have started crusting, itching, bleeding or flaking
  • Have become bigger 
  • Have raised more from the skin

All these changes can happen really quickly, within a few weeks or months.


There are 5 characteristics of the moles that can indicate their changes:

Asymmetry – the mole isn’t even because one side is bigger or smaller.

Border – the edges or outline of the mole are blurred, irregular or jagged. They are not sharp or clear.

Colors – there are 2 or more colors on the mole, brown, black, white, blue or red. The color of the mole is not evenly toned. 

Diameter – the mole is larger than 5 mm in its diameter.

Evolution – the mole has changed either in color or size in the last 6 or 12 months or has elevated from the skin.  Or the new one has appeared. 

In case of any of these changes, the patient should check the mole with the dermatologist. 


Skin cancers have become a common illness in today’s world so it is essential for people to check their skin and moles on a regular basis. That way any changes in the moles can be spotted immediately and any harmful consequences can be prevented. This is especially true for people who have a lot of moles or have someone in the family with a history of melanoma. 

People should monitor all the new moles that develop when they are over 30. Most of these new skin growths are harmless and associated with aging, but if they look abnormal or atypical it’s best to have them checked by a skin specialist. 

During a mole check appointment at Lucia Clinic, the patient is thoroughly consulted with a skin expert who checks the patient’s full body with a dermatoscopy. All the moles are carefully examined, especially the ones that have changed their shape, size or color recently. The doctor also explains to the patient how to monitor moles that are risky. The dermatologist can even suggest the patient have more frequent exams especially if the patient has a lot of moles. The patient can even have a suspicious mole removed for further analysis during the same appointment. Or he/she can have the mole removed because of aesthetic reasons. 

With regular mole checks, the patient can keep his skin healthy and without the risk of developing any unwanted changes. 



    Skin experts or dermatologists are in charge of checking and monitoring moles. They check the size of moles and do a biopsy if necessary. Once the results are obtained, the dermatologists decide what to do next.

    If the patient notices any changes in the moles, he/she should schedule an appointment with the dermatologist. The dermatologist evaluates if these changes are harmful. The changes include bleeding or itching moles, moles that are painful or tender or they have changed their shape, size or color.

    Moles can grow on any skin/cutaneous or mucosal surface. Mucosal surfaces are the eyes, mouth or genitals. If the patient has a history of melanoma, next to regular check-ups with the dermatologist, he/she should have check-ups with an ophthalmologist, gynecologist and dentist to see if moles have developed on these surfaces.


    During the mole examination, the dermatologist performs dermatoscopy, a technique that evaluates the colors and microstructures of the epidermis. The dermatologist uses an instrument called dermatoscope that emits transilluminating light and has magnifying optics.

    Dermatoscopy lets the dermatologist check if the mole is benign or malignant.

    The dermatologist can check for other cancerous lesions like angiomas, cylindromas, dermatofibromas or seborrheic keratosis. Also, with dermatoscopy, the dermatologist can establish surgical boundaries for skin cancers that are difficult to determine. Other cancerous lesions that have indistinct boundaries are lentigo malignant, Bowen’s disease and superficial basal cell carcinomas and they can also be determined with this method.


    When the patient arrives at his/her scheduled mole check, the dermatologist examines all skin lesions that concern the patient. The dermatologist uses a dermatoscope to diagnose a lesion right away or if necessary they inspect them more carefully. With this instrument, the dermatologist can check the pigment under the surface of the skin.

    If the patient has a history of melanoma, the dermatologist can examine his/her whole body. The dermatologist assesses the risk factors and documents any specific lesions of concern. Then the dermatologist explains to the patient why some lesions may be risky and advises an annual or six months check-up to follow if those lesions are changing. During the appointment, the dermatologist also explains to the patient how to check his/her moles alone and notice any early signs of melanoma.

    If necessary, any abnormal lesions or moles can be removed during the same appointment. These moles are removed for further analysis, but they can also be removed for aesthetic reasons especially if they are on the face. There are different methods for mole removal. The dermatologist determines which method is the most effective for the patient’s mole concerns.


    It is best to have moles checked once a year just to monitor them and prevent any harmful changes. However, if the patient has a lot of moles or someone in the family with a history of melanoma, then he/she should check the moles every 6 months. It is not uncommon to have a lot of moles, sometimes over 100. But it is always better to monitor them and spot any changes on time.


    It is advisable to check the moles alone once a month. That’s how a person can monitor and notice if some moles have started to change. The changes can be easily noticed if the patient takes photographs of the moles every month just to compare them. This is especially helpful if the patient has a lot of moles. Also, the patient can ask a friend or partner to check his/her moles at the back.