Moles And Blemishes

Moles and other skin abnormalities play an important role in the overall skin health. They require an appropriate diagnosis first in order to determine whether treatment is required. If removal is optional, the cosmetic outcome is most important. Dr. Fechner has extensive experience in treating moles, blemishes and tumors of the skin. He applies a gentle treatment approach finding the appropriate balance of efficacy and cosmetic outcome for these benign lesions. When skin cancer is a concern, ready diagnosis, appropriate treatment, and reconstruction are important.

woman with freckles on her face and shoulders

New Skin Blemishes Require Attention

Whenever new skin moles develop, evaluation by a specialist should be considered in order to ensure that an important condition such as skin cancer is not missed. And even “sores” that appear to be the result of scratches or other minor traumas should be checked if they fail to heal within a reasonable period of time.

Benign Skin Moles And Blemishes

Below is a short list of benign skin abnormalities. Although they may still cause an aesthetic concern, they can be treated.

Spider Veins (a.k.a. Telangiectasia)

These are small blood vessels that appear prominent through the skin. Spider veins are common on the side of the nose, the cheeks, and the forehead. They can develop after skin surgery and may be present in rosacea (see below).

Liver Spots (a.k.a. Lentigos)

Liver Spots are brown, well-demarcated spots. They can appear anywhere on the face or neck and may be the result of sun exposure. Lentigo blemishes are flat.

Skin Tags (a.k.a. Acrochordons; Fibro-epithelial Polyps)

These are common brown or pale skin growths that occur frequently around the eyes, neck, and other parts of the face and body. They have a narrow stalk and can be easily removed in the office.

Rosacea

Rosacea is a chronic skin condition that is sometimes mistaken for adult acne. It most commonly affects people in their 40s and 50s and may worsen with time. Most rosacea sufferers flush easily. They have varying degrees of redness of cheeks and nose, small pimples, and small spider veins.

Seborrheic Keratosis

These are raised brown skin growths that appear with age. They have a rough surface and can appear anywhere on the face, as sun exposure does not appear to play a role in their development. With time, their color may darken, which can lead to concern, although they are benign and can be treated in the office.

Cherry Angiomas (a.k.a. Cherry Hemangiomas)

Cherry Hemangiomas or Cherry Angiomas are small red or purple nodules that represent an abnormal growth of blood vessels. They occur later in life and can be effectively treated with minimal-invasive techniques.

Actinic Keratosis (a.k.a. Solar Keratosis)

This is a scaly pinkish plaque of the sun-exposed skin. They are common in middle-aged people of pale skin types. Because actinic keratosis carries an approximately 15% risk of developing into skin cancer (squamous cell cancer), they should be watched and treated.

Keratoacanthoma

Keratoacanthoma is a common nodule, often with a central pit, usually found on sun-exposed parts of the body. Because of its appearance, it can be easily confused with squamous cell cancer. Keratoacanthomas should be removed.

Mole (a.k.a. Nevus)

Moles are skin lesions of light brown to light brown color. Sometimes, moles are of normal skin color or even pale. They represent a benign growth of nevus cells, which are normally present in the skin. Depending on the location of these nevus cells within the various layers of the skin, nevi can be flat (macule) or raised (nodule). Development into cancer (i.e., melanoma) is very rare.

Wen (a.k.a. Sebaceous Cyst; Epidermal Inclusion Cyst; Keratinous Cyst; Pilar Cyst)

This is a cystic growth filled with a paste-like cheesy material. These skin cysts often get bigger as more material collects inside. Sometimes, cysts become infected and inflamed, and treatment may be required.

Fatty tumor (a.k.a. lipoma)

Lipoma is a benign growth originating from fat cells. They may appear as soft bumps in the skin of varying sizes. Lipomas usually grow slowly and should be removed surgically.

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