Moles are a normal part of childhood and adolescence. As children grow, new moles often appear, and existing ones may get bigger, lighter, or darker. In many cases, some moles may even fade away over time. These changes are usually harmless and rarely signal melanoma, the most serious form of skin cancer.
While melanoma in children is uncommon, it’s still important to be aware of certain signs that may require a dermatologist’s attention. Early detection is key—melanoma caught early is highly treatable.
When Should a Dermatologist Examine Your Child’s Mole?
1. Rapidly Changing or “Ugly Duckling” Moles
It’s normal for a mole to grow with your child. However, a mole that grows or changes quickly—especially if it looks noticeably different from your child’s other moles—should be examined. Dermatologists often refer to these as “ugly ducklings.” These changes can be an early warning sign of melanoma.
2. Unusual Shape, Color, or Texture
Raised, dome-shaped moles that are pink, red, tan, or brown may be something called a Spitz nevus, which is typically harmless and often appears between ages 10 and 20. However, these can resemble melanoma in appearance—especially if they have jagged borders or multiple colors. Even dermatologists sometimes find it challenging to tell the difference without a biopsy.
3. Bleeding or Open Moles
A mole that bleeds without being bumped or scratched—or looks like an open sore—should always be evaluated by a dermatologist. Spontaneous bleeding can be a sign of something more serious, such as melanoma.
4. Many Moles
Most children and teens develop new moles as they grow, with the average adult having 12–20 moles. However, if your child has more than 50 moles, it’s a good idea to have them monitored by a dermatologist. Studies show a higher number of moles can increase the risk of developing melanoma early in life.
5. Large or Giant Moles
Some children are born with large or giant moles, or develop them shortly after birth. These types of moles—especially those that are 7 inches or more in diameter—carry a higher risk for melanoma. Children with large moles should be under regular dermatologic care to monitor for any signs of change.
Healthy Habits Start Early
Teaching your child to keep an eye on their moles and to speak up if one changes is a great way to build a lifelong habit of skin awareness. At Savannah River Dermatology, we’re here to support you and your family with expert care and early detection when it matters most. If you have any concerns about your child’s moles or skin health, schedule an appointment with us.
The information presented in this blog is for informational purposes only and should not be taken as medical advice. If you have questions or concerns, please call our office or make an appointment with a medical professional. Savannah River Dermatology is located at 575 Furys Ferry Rd in Augusta, Ga. Our office can be reached at 706-691-7079.
