Why You Should Absolutely Never Pick At Moles: A Dermatologist’s Perspective
Picking at moles is a dangerous habit that can lead to serious health complications. Never pick at a mole because it can cause infection, scarring, and, most concerningly, increase the risk of skin cancer by disrupting the mole’s structure and making it harder to detect early signs of malignancy.
Moles, also known as nevi, are common skin growths that most people develop at some point in their lives. While generally harmless, they can become a source of anxiety, especially if they are itchy, raised, or in a visible location. However, the temptation to pick, scratch, or squeeze a mole should be resisted at all costs. This article will delve into the significant risks associated with picking at moles and provide expert advice on proper mole care and when to seek professional medical attention.
What Are Moles and Why Do We Have Them?
Moles are clusters of melanocytes, the cells that produce pigment in our skin. They can be flat or raised, round or oval, and range in color from pinkish to brown or black. Most moles appear in childhood or adolescence, and their number and appearance can change over time. While the exact cause of mole development is not fully understood, genetics and sun exposure are known to play a significant role. Most moles are benign, meaning they are not cancerous. However, some moles can develop into melanoma, a serious form of skin cancer.
The Dangers of Picking At Moles
Picking at a mole, even seemingly harmlessly, can have significant consequences.
- Infection: The skin is a barrier against infection. Breaking the skin’s surface, as occurs when picking at a mole, allows bacteria to enter, increasing the risk of infection. Signs of infection include redness, swelling, pain, pus, and warmth around the mole.
- Scarring: Trauma to the skin, like that caused by picking, can lead to permanent scarring. This is especially true for raised moles. Scars can be cosmetically unappealing and may even cause discomfort or itching.
- Increased Risk of Skin Cancer (Potentially): While picking doesn’t directly cause cancer, it can make detection more difficult. Constant irritation can cause inflammation and changes in the mole’s appearance, making it harder to distinguish a benign mole from a cancerous one. Furthermore, any bleeding or scabbing after picking may conceal the underlying characteristics of the mole, delaying diagnosis and treatment of potential melanoma. In rare cases, severe and repeated trauma may potentially contribute to cellular changes, although this is still an area of ongoing research.
How to Properly Care for Moles
Proper mole care is crucial for maintaining healthy skin and detecting potential problems early. Here are some essential tips:
- Regular Self-Exams: Examine your skin regularly, paying close attention to your moles. Look for any changes in size, shape, color, or texture. The ABCDEs of melanoma can be a helpful guide:
- Asymmetry: One half of the mole doesn’t match the other.
- Border: The edges are irregular, blurred, or notched.
- Color: The color is uneven or mottled.
- Diameter: The mole is larger than 6 millimeters (about ¼ inch).
- Evolving: The mole is changing in size, shape, or color.
- Sun Protection: Protect your skin from excessive sun exposure by wearing sunscreen with an SPF of 30 or higher, wearing protective clothing, and seeking shade during peak sun hours. Sun exposure can cause moles to darken and increase the risk of melanoma.
- Avoid Irritation: Minimize friction or irritation to moles, especially those located in areas prone to rubbing, such as under bra straps or around waistbands.
- Resist the Urge to Pick: This is paramount. Find alternative ways to manage any itchiness or discomfort, such as using a gentle moisturizer or applying a cold compress.
When to See a Dermatologist
It is crucial to consult a dermatologist if you notice any changes in your moles or have any concerns about skin cancer. Here are some specific situations that warrant a professional evaluation:
- Changes in size, shape, or color
- New moles appearing, especially after age 30
- Bleeding, itching, or pain
- Irregular borders or uneven color
- Family history of melanoma
- Moles that are significantly different from other moles on your body (the “ugly duckling” sign)
A dermatologist can perform a thorough skin examination, take biopsies of suspicious moles, and provide expert advice on mole management and skin cancer prevention.
Alternatives to Picking At Moles
If you find yourself tempted to pick at a mole, here are some healthier alternatives:
- Moisturize: Keeping the skin hydrated can help alleviate itching and discomfort.
- Cold Compress: Applying a cold compress to the area can soothe irritation.
- Distraction: Engage in activities that keep your hands busy, such as knitting, drawing, or playing a musical instrument.
- Talk to a Dermatologist: If a mole is bothersome or causing significant distress, a dermatologist can discuss options for removal, such as surgical excision or shave removal.
| Option | Description | Benefits | Risks |
|---|---|---|---|
| —————- | —————————————————————————————— | ———————————————————————————————————————————– | ————————————————————————————————————– |
| Surgical Excision | The mole is cut out along with a small margin of surrounding skin and the area is stitched up. | Complete removal of the mole; tissue can be sent for biopsy; typically leaves a clean scar. | Can leave a noticeable scar; requires local anesthesia; may not be suitable for moles in cosmetically sensitive areas. |
| Shave Removal | The mole is shaved off at the skin’s surface. | Quick procedure; minimal scarring in some cases; suitable for raised moles. | May not remove the entire mole; regrowth is possible; tissue sample may not be suitable for biopsy in all cases. |
Frequently Asked Questions (FAQs)
What exactly is a dysplastic nevus, and should I be worried if I have one?
A dysplastic nevus is an atypical mole that has a higher-than-average chance of developing into melanoma. They often have irregular borders, uneven color, and are larger than typical moles. While having dysplastic nevi increases your risk of melanoma, it doesn’t mean you will definitely get cancer. Regular skin exams by a dermatologist are crucial for monitoring these moles.
Is it ever okay to squeeze a mole like a pimple?
Absolutely not. Squeezing a mole can cause inflammation, infection, and scarring. Never attempt to treat a mole like a pimple. Consult a dermatologist for proper evaluation and treatment options.
I accidentally scratched a mole, and it bled a little. Should I be concerned?
Minor scratches that cause brief bleeding are usually not cause for immediate alarm. Clean the area gently with soap and water and apply a bandage. However, if the mole continues to bleed, becomes infected, or shows other concerning changes, seek medical attention promptly.
Can picking at a mole cause it to grow back differently, or even turn cancerous?
Picking at a mole doesn’t directly cause cancer. However, it can make detecting cancerous changes more difficult by altering the mole’s appearance and potentially concealing underlying abnormalities. It’s best to leave moles alone and consult a dermatologist if you notice any changes.
What if my mole itches constantly? Is it safe to scratch it then?
Persistent itching can be a sign of irritation, inflammation, or, in rare cases, skin cancer. Avoid scratching the mole as this can exacerbate the problem. See a dermatologist to determine the cause of the itching and receive appropriate treatment.
How often should I be checking my moles for changes?
You should perform a self-skin exam at least once a month, paying close attention to all moles and other skin markings. Regular self-exams are essential for detecting changes early.
What if I have a family history of melanoma? Does that mean I’m more likely to develop it, even if I don’t pick at my moles?
Yes, a family history of melanoma significantly increases your risk of developing the disease, regardless of whether you pick at your moles. Regular skin exams by a dermatologist are crucial if you have a family history of melanoma. They may recommend more frequent checkups or genetic testing.
Are some moles more dangerous than others?
Yes, certain moles are considered more dangerous than others. These include dysplastic nevi (atypical moles), moles with irregular borders or uneven color, and moles that have changed in size, shape, or color. Any mole that exhibits concerning features should be evaluated by a dermatologist.
What is the best way to remove a mole if it bothers me?
The best way to remove a mole is to consult a dermatologist. They can determine if the mole needs to be removed for medical reasons (e.g., if it’s suspicious for cancer) or for cosmetic reasons. Common removal methods include surgical excision and shave removal, both of which should be performed by a qualified medical professional.
Can children have moles that require special attention?
Yes, children can develop moles that require special attention. While most childhood moles are benign, it’s important to monitor them for any changes and consult a pediatrician or dermatologist if you have any concerns. Congenital nevi (moles present at birth) may have a slightly higher risk of developing into melanoma.
Is it true that moles can disappear on their own?
Yes, it is possible for moles to disappear on their own, although it’s not very common. This is more likely to happen with smaller, flat moles. However, never assume a disappearing mole is benign. Any change in a mole’s appearance, including disappearance, should be evaluated by a dermatologist.
If I have a lot of moles, am I at higher risk for melanoma?
Yes, people with a large number of moles (typically more than 50) are at higher risk for developing melanoma. This is because they simply have more opportunities for a mole to become cancerous. Regular skin exams by a dermatologist are especially important for individuals with numerous moles.