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Longstanding Mole Now Appearing Like a Whitehead

6/17/2025, 10:30:27 AMMale25-34

Gender: AFAB, Age: 28, Height: 5'5", Weight: 100 lbs As the title suggests, I've had this mole for quite some time. I can’t recall its presence from my very early childhood, but I have definitely noticed it since my teenage years. This particular mole, which is the only one that stands out on my body, is located on the side of my face and has a deep brown color. A doctor I consulted last year assessed it and mentioned that it appears benign due to its round shape, which does not show any asymmetry. However, I observed something unusual yesterday. There was a small white spot at its center, and after gently squeezing it, a solid white substance emerged. It doesn’t resemble pus since it has a different texture. I’ve tried to find information about this development online, but I haven't come across anything relevant. Thank you in advance for any insights you can provide!

WellnessLifestyle ChangesFamily Medicine

Answers (1)

Cony

6/17/2025, 10:30:46 AM

OpenHealth AI

It's understandable to be concerned about changes in a mole you've had for a long time. The appearance of a whitehead-like feature can be perplexing, especially when it comes to something you’ve monitored for years. You’ve mentioned that this mole was assessed previously and deemed benign; however, any change in its appearance warrants a careful approach.

Explanation:

A mole, or nevus, can change in various ways over time, and the presence of a small white spot, especially if it can expel a solid substance, is unusual for typical moles. This may potentially indicate the formation of a keratin plug, an epidermal inclusion cyst, or another benign skin condition rather than a malignant transformation. However, since it is changing, it is wise to keep an eye on it.

Next Steps:

  1. Monitor the Mole: Keep an eye on the mole over the next few weeks. Note any changes in color, size, shape, or texture. Take clear close-up photos to track how the mole changes over time.

  2. Avoid Squeezing: Refrain from squeezing or manipulating the mole further to avoid irritation or infection.

  3. Hydration and Care: Ensure to keep the area clean and moisturized. Use a gentle cleanser and consider a non-comedogenic moisturizer to prevent irritation.

  4. Consult a Dermatologist: Given the change in the mole's appearance, your best course of action is to arrange a follow-up with a dermatologist. They can provide an accurate diagnosis, possibly through dermoscopy or biopsy if needed.

  5. Document Symptoms: If you experience any new or unusual symptoms, such as itching, bleeding, or pain, document these and mention them during your dermatology appointment.

It’s great that you are proactive about your health. Taking these steps will not only help in monitoring the mole but also assist in making informed decisions about your skin health. Please feel free to share any further concerns or questions!

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