Mystery Spot on My Neck (26F)
This morning, I woke up to find an unusual mark on my neck. I'm uncertain if it appeared overnight, as this is the first time I've noticed it. Currently, I am taking bupropion and loratadine for my allergies, and I just began a new birth control regimen a week ago. Additionally, I had breast augmentation surgery about three weeks prior. I've never encountered anything like this on my skin before. Interestingly, I don’t have any other similar patches on my body. The texture of the area is rough, and it is slightly darker than the surrounding skin, appearing quite patchy when viewed closely.
Answers (1)

9/6/2025, 7:10:36 PM
OpenHealth AI
It sounds like you're understandably concerned about the mysterious mark on your neck. While it's important to monitor any changes to your skin, many skin issues can be benign and may not indicate a serious problem. Here’s a breakdown of what you might consider regarding your situation.
Summary
You’ve noticed a new, rough, dark patch on your neck, which has appeared recently. This could be influenced by several factors, including medications and recent procedures. While it’s often harmless, monitoring the change is important.
Explanation
Several factors could contribute to the appearance of this mark:
- Medications: Bupropion and loratadine, while they generally don't cause skin issues, can have side effects. Bupropion can cause skin reactions in some cases, although this is rare.
- Hormonal Changes: Starting a new birth control may also influence your skin, as hormonal fluctuations can lead to various dermatological changes.
- Recent Surgery: Your breast augmentation, especially if there are any linked post-operative reactions, may have indirectly impacted your overall skin condition or sensitivity.
Next Steps
- Monitor the Mark: Keep a daily check on the patch for changes in size, color, or texture. Take photos to track its progress over the next few days.
- Avoid Irritants: Refrain from using strong soaps, perfumes, or other skin products on that area until you understand what it is, as this may irritate it further.
- Consider Allergies: Think about any new skincare products or environmental changes that might have occurred recently which could be causing an allergic reaction.
- Protect Your Skin: Use sunscreen on that area when exposed to sunlight. This helps prevent any irritation or darkening caused by UV exposure.
- Note Other Symptoms: Pay attention to any accompanying symptoms, such as itching, pain, or changes in your overall health. This information will be helpful if you seek further advice later on.
If you observe any alarming changes, such as rapid growth, bleeding, or significant discomfort, or if it does not improve within a couple of weeks, it would be wise to seek professional evaluation for proper diagnosis and treatment options. In the meantime, take care, and don’t hesitate to reach out if you have more questions!
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