
A Closer Look at Dysplastic Moles and Melanoma Risk

When you spot a dark, irregularly shaped, or multicolored mole, melanoma is probably the first possible cause that comes to mind. This assumption is for good reason. Melanomas tend to look different than regular moles, and it’s always good to be on high alert. But cancer isn’t the only cause of unusual-looking moles.
At Hines Dermatology Associates in Attleboro, Massachusetts, Yvonne Hines, MD, and our expert clinical team can help you understand the difference between melanomas, dysplastic (atypical) moles, and their interconnected relationship.
Read more about how to identify concerning changes in your moles, when to seek professional evaluation, and what treatment options are available for both benign and malignant skin lesions.
Dysplastic moles vs. melanoma
Dysplastic nevi (moles) look very similar to melanoma, meaning they’re not as symmetrical or uniform as normal moles. Like melanoma, these moles usually have:
- More than one color
- Irregular or blurred borders
- Asymmetrical shape
- Larger size (typically greater than 6mm in diameter)
- Uneven texture or surface
You actually can’t tell the difference between dysplastic nevi and melanoma just by looking. You usually need a biopsy to be sure. That’s why it’s so important to visit Dr. Hines and our team for annual skin cancer screenings.
You have a dysplastic mole, not melanoma…now what?
If you’ve just learned that what you thought might be melanoma is actually a dysplastic mole, you can breathe a sigh of relief. But that doesn’t mean you can ignore it completely.
Dysplastic moles have a much higher risk of developing into melanoma over time, especially if you have five or more, so regular monitoring and follow-up appointments with Dr. Hines can help catch any changes early.
Your dysplastic mole game plan
Dr. Hines and our clinical team create your individualized dermatology plan based on several factors, including the number of moles (especially abnormal ones), family history of skin cancer, and previous skin cancers. Depending on your risk factors, we may recommend:
Regular professional monitoring
We’ll schedule follow-up appointments every 3-6 months initially, then annually if your moles remain stable. Dr. Hines uses dermoscopy (a specialized magnifying tool that allows her to see skin structures beneath the surface) and clinical photography to document and track any subtle changes in your dysplastic moles over time.
Monthly self-examinations
Learn to perform thorough skin checks at home using the ABCDE criteria (asymmetry, border irregularity, color variation, diameter larger than 6mm, and evolving characteristics). We can teach you what to look for and provide guidance on photographing your moles for comparison between visits.
Preventive mole removal
For high-risk dysplastic moles or patients with multiple atypical moles, Dr. Hines may recommend surgical removal to eliminate future cancer risk.
Enhanced sun protection
Implement a comprehensive ultraviolet (UV) protection strategy, including daily broad-spectrum sunscreen, protective clothing, and lifestyle modifications, to reduce your melanoma risk.
Schedule a skin check for dysplastic moles with us
The link between dysplastic moles and melanoma is too great to ignore. If you have an abnormal mole, don’t hesitate to schedule a skin check with Dr. Hines and our experienced team. We’re here to help you determine your next steps.
Call our office at 508-222-1976 or use the online booking tool to schedule a skin check with our team.
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