Birthmarks: Types, Causes, and Treatments | Easy-to-Understand Guide

Birthmarks are colored skin spots that are either present at birth or develop shortly after. They come in various colors, including brown, tan, black, pale blue, pink, white, red, or purple. Some birthmarks are flat, while others are raised or extend into the tissues under the skin.

What Causes Birthmarks?

The exact cause of most birthmarks is unknown, and they are not usually inherited. Despite the many folk tales and myths surrounding birthmarks, none of these stories have been scientifically proven to explain their true causes.

Do Birthmarks Require Treatment?

In most cases, birthmarks do not need treatment and often fade as a child grows older. However, treatment may be necessary if the birthmark's location interferes with bodily functions, such as a raised birthmark near the eye affecting vision. In rare cases, birthmarks can be associated with other conditions involving growths on internal organs.

Types of Birthmarks

Birthmarks are divided into two main categories:

1. Red birthmarks: Colored, vascular (related to blood vessels) skin markings that develop before or shortly after birth.

2. Pigmented birthmarks: Skin markings that are present at birth, ranging in color from brown or black to bluish or blue-gray.

Pigmented Birthmarks

• Congenital melanocytosis (previously called Mongolian spots): Bluish, bruise-like marks that often appear on the buttocks, lower back, trunk, or arms, most commonly in people with darker skin.

• Pigmented nevi (moles): Flesh-colored, brown, or black growths that can appear anywhere on the skin, alone or in groups. Moles may darken after sun exposure, during the teen years, while taking some birth control pills, or during pregnancy.

• Congenital nevi: Moles that are present at birth, which have a slightly increased risk of developing into skin cancer. Larger congenital nevi have a greater risk than smaller ones.

• Cafe-au-lait spots: Light tan or brown spots, usually oval in shape, that may be present at birth or develop in the first few years of life. Multiple large cafe-au-lait spots may indicate neurofibromatosis or other conditions.

Diagnosing and Treating Pigmented Birthmarks

In most cases, healthcare professionals can diagnose birthmarks based on their appearance. If a mole shows potentially cancerous changes, a biopsy may be performed. Treatment is usually not necessary for the birthmarks themselves, but if needed, it varies based on the type of birthmark and any related conditions.

Large or prominent moles that affect appearance and self-esteem can be covered with special cosmetics or removed surgically. It is essential to monitor birthmarks for any changes in color, size, or texture and to report any pain, bleeding, itching, inflammation, or ulceration to a doctor immediately, as these may be signs of skin cancer.

Preventing Birthmark Complications

While there is no known way to prevent birthmarks, people with birthmarks should use a high-quality sunscreen with an SPF of 30 or higher when outdoors to minimize the risk of complications.

For more information on birthmarks, visit reputable sources such as the American Academy of Dermatology, Mayo Clinic, or Stanford Children's Health.

The Bottom Line

Most birthmarks are harmless and fade naturally, but certain types like large moles or multiple café-au-lait spots require medical monitoring due to cancer risk or genetic implications. Early intervention with laser therapy yields the best cosmetic results for permanent vascular marks. If you notice changes in existing marks or have concerns about new spots, Doctronic can help you determine if evaluation is needed.