Forum
“Is it cancer?” I ask my dermatologist, pointing to the fiery red mole that’s cropped up on my chest seemingly overnight. “No, she says. “It’s just age.” Oof.
If you thought weird skin issues were just for grandpas, you’re mistaken. It turns out that once you push past your twenties, all sorts of oddities can begin to appear on your epidermis. According to New York City dermatologist Joshua Zeichner, MD, you shouldn’t actually get any new traditional moles after the time you’re 30. But, if you notice that you have new ones or your existing moles start growing or shape-shifting, he says to make sure to check with a dermatologist to make sure it’s nothing worrisome.
Aside from that, there are some totally normal (I repeat: totally normal) skin-care conditions that pop up. Below, dermatologists give me the rundown on what’s what in the world of strange skin things that might bother you but shouldn’t worry you, including my red mole (AKA cherry angioma), skin tags, and more.
Skin tags
If you find a little piece of skin that you feel as though you could pull off—but can’t—it’s a skin tag, says Danbury, Connecticut-based dermatologist Mona Gohara, MD. She tells me these charming developments can be genetic or, very rarely, that they can serve as a sign of increased blood sugar.
Skin tags appear with increasing frequency as you age, and NYC-based dermatologist Robert Anolik, MDoffers an additional origin story which explains this phenomena. “A major reason for skin tags to appear is because skin rubs against other skin,” he says. “That’s why tags tend to show up in places like folds, creases, and areas that move quite a bit.” That means you’ll find them in places like the underarm, under the breasts, the groin, and around the neck (because it’s turning constantly). “Their development isn’t necessarily age-related but time-related, from skin chronically rubbing together and allowing them to form,” he explains. Jockeys, anyone?
While you can just leave them be—they’re benign, so no reason to worry—if your skin tags bother you, your best bet is to head to the dermatologist. “They’re very easy to remove,” says Dr. Gohara, who tells me that at the doctor’s office they just medically cut them off.
Cherry angiomas
Remember that red mole I told you about? It’s since multiplied—there are now too many on my body to count. Dr. Gohara tells me these are known as cherry angiomas, or benign growths comprised of a bundle of blood vessels. “They’re usually concentrated on your trunk—chest, abdomen, and back—but they can be anywhere,” she says, a claim to which I (and my newly-speckled body) can attest.
Cherry angiomas, like skin tags, tend to develop with age. “Everybody is going to have some of them by the time they’re sixty,” says Dr. Anolik. “But really, they start appearing much younger.” (Ahem: Like, after the age of 29!) At this point, no one really knows what causes them to form, though it’s likely that there’s a genetic component. “Usually when you identify one on someone, they’ll be like ‘My mom or dad have them, too,'” says Dr. Gohara. There’s also a possibility according to Dr. Anolik, however, that there’s a hormonal connection. “They tend to flourish in a lot of people during pregnancy and they can actually self-resolve to some degree after pregnancy, which is a major indicator of a hormonal driver,” he says. “Still, hormones aren’t the cause because plenty of men and also women in their post-menopausal years (without any hormone replacement therapy) get these, too.” So: Shrug emoji.
The good news (for me, as I’ve been unable to body-positive my way into loving these angry-looking red moles) is that they can be eradicated with relative ease. “I really enjoy lasering cherry angiomas because the response is extraordinarily quick and effective,” says Dr. Anolik. “The vast majority of the time, we laser it once and it’s gone a week later.” You can also, says Dr. Gohara, cauterize them with a hot electric needle, but “it’s more likely to leave scar,” she says.
Seborrheic keratoses
The sudden appearance of these brown spots (they look like clusters of elevated moles), says Dr. Gohara, often drives people to seek a dermatologist’s care, and rightfully so. “They’re afraid they have skin cancer,” she says. “[Seborrheic keratoses] are completely benign, but they’re one of the most common melanoma mimickers so they really freak people out.” Usually, she explains, they present as round, grey growths but they, like melanomas, can be irregular and have different colors or even be crusty. “Anytime you have a lesion like that, you should be evaluated,” Dr. Gohara advises. “But usually, you can almost pick them off, and that’s not the case with a melanoma.” (Get checked anyway!)
Both doctors tell me these are exceedingly common—they’re a part of what Dr. Gohara calls the “standard milieu of a 40-something person,” AKA a delightful mix of Seborrheic keratosis, cherry angiomas, and skin tags. No one really knows what causes them, I’m told, though both doctors say they’re primarily thought to be genetic. “[Some theorize] that there’s a viral component, like with a wart, because they grow like a wart, but that’s not been proven and they’re not contagious,” Dr. Anolik explains. “They do tend to favor sun-exposed areas, though they can be anywhere on the body.”
As unpleasant as it may sound, the solution for these cuties—which Dr. Anolik says people describe to him as “stuck-on warty brown bumps”—is to have them scraped off. “They are remarkably superficial skin growths, so they’re basically growing out of the epidermis,” he says. “And when you don’t disturb the dermis, the part of the skin right underneath the epidermis, the chance of you leaving a visible scar is extremely low.”
Sebaceous hyperplasia
Another very common thing which might develop with age, both docs tell me, is called Sebaceous hyperplasia, which is an enlarged oil gland. “These are tiny bumps that can have a whitish to yellowish hue and almost have a dimple in the middle,” explains Dr. Anolik. They tend to present on the face, he says, where there are a lot of sebaceous glands which can become overgrown. Though they may be seen more often in people with a rosacea background, Dr. Anolik tells me, they can appear on anybody…of a certain age. “You don’t see many teenagers or people in their 20s with sebaceous hyperplasia,” says Dr. Gohara.
Currently, therapy for sebaceous hyperplasia involves lightly cauterizing the surface to diminish their size, says Dr. Anolik. “This does mean that over months to years, each individual one that you shrink can reform because the base is still there under the skin,” says Dr. Anolik. “Still, the treatment is easy to do.” More effective lasers, he adds, are in the works.
Milia
These tiny white cysts, says Dr. Gohara, can look like acne; however, there’s a telling difference between the two. “Milia are these little white balls that can’t pop,” she explains. A sign of sun damage, milia commonly appear on the face and can be treated at home with retinoids and chemical exfoliants or at the dermatologist’s office with lasers.
Yes getting older is a lot of fun lol. After a decade in this business I've seen all of the things mentioned above and a whole lot more. And just when you think you've seen it all a client will come in and surprise you with something new. Even though I'm not a doctor and I can't diagnose people I have no problem pointing out something if it looks suspicious to me. It just happened to me last week with and elderly sunworshipping client who had a strange black spot on her lip. WE look at people under magnifying lamps and wood lamps and we can see things that they may not notice at home. When in doubt check it out I always say. I'd rather be safe than sorry
I find it interesting that the CDC does not advocate for an annual mole/cancer screening. Most health plans do not cover wellness visits or preventative care but rather cover reactionary care.
With the advent of handheld devices and phone all photo capable I feel the best thing one can do is to take pictures of moles when noticed that way there is a visual baseline to compare any potential perceived changes to. For those at risk, I feel an annual full body checkup of all skin spots is needed.
If a client asks about a spot that to me indicates at least some level of concern. I would always suggest seeing a physician as it is better to be safe than sorry. Skin cancer has a very good rate of survival when caught early
https://www.cdc.gov/cancer/skin/basic_info/screening.htm
When i see anything that i'm unsure of or that it was not there before on my clients body/face i like to recommend them to go visit a dermatologist just to go safe as i wont be able to make any diagnosis or treat anything out of my scope of practice. I also like to tell my clients how prevention is important to me and that i go to get a skin exam once a year to check on my moles and any skin irregularities. The dermatologist also check on the scalp and my back, places that it would be very hard for me to even recognize if there was anything abnormal.
People ask me what are those white hard bumps on my face? They will try to extract them with no success. The milia look like they would be easy to extract but you can not pop them. They have to be opened on one side with a lancet, then the hardened mass of sebum and skin cells is pushed out through that opening. They can be deep and extracting them on the first try may prove to be difficult.
My dad last month actually had some basal cell skin cancer removed from his arm and beforehand he was asking me about what it was and I told him I can't diagnose it but I agree that since we're the ones looking at people's skin under a mag lamp and dealing with the skin on a regular basis we should point something out to the client if it looks concerning and tell them to see their doctor.
I agree with you Lee. We see many lesions on the skin that the client may not notice. We can ask how long it has been there, does it bleed, scale over, etc. But we do have to stop ourselves as you said from diagnosing it as we are not qualified. It is acceptable to point the lesion out to the client so they can have a doctor check it out
I agree with you Lee. We see many lesions on the skin that the client may not notice. We can ask how long it has been there, does it bleed, scale over, etc. But we do have to stop ourselves as you said from diagnosing it as we are not qualified. It is acceptable to point the lesion out to the client so they can have a doctor check it out
Being a hairstylist I have also seen many of these things Lee and others on peoples face, necks, scalp, and around the ears. Sometimes I see things that do not look normal and I suggest they be looked at. Some people do not even notice the things on their skin or can't see it so it is important to say something when we see it. I totally agree with Doreen about the annual spot checks because we so many people "needing" to tan and not using SPF it increases the risk of sun cancer. My little sister goes tanning a few times a week and used to do it daily and shes now cover in spots and the skin on her face is very sun damaged, but doesn't listen to anything I say about skin cancer. She says it doesn't happen.
Yes Mikayla,
Many people do not think the UV rays are damaging to the skin and body. Advances in educating people regarding skin cancer has come a long way. We as estheticians must stress to all our clients they need to wear sunscreen everyday all year round. Sunscreen is a necessary skin product to be used. After several uses of different brands I have found 1 for my face that I like very much.