Is that new bump completely harmless—or something to worry about? Here’s what you should know.
You look at your body in the mirror and ... wait, where’d that new spot come from? Of course, your brain jumps to the worst possible conclusion: skin cancer.
Before you freak out, you should know there are a lot of causes for a new spot or bump on your skin, and many are completely harmless (even if they are annoying to look at or deal with).
If a new spot turns up, you should still make your dermatologist aware of it, says Michelle Pelle, MD, dermatologist and medical director at MedDerm Associates in San Diego. This way, you can immediately rule out something more sinister.
Here, a breakdown of all the not-so-serious skin spots (and a couple of concern), how to identify them, and what you can do to return your skin to its former glory..
1. Cherry angioma
“Patients will come in and say they keep getting more and more,” says Nada Elbuluk, MD, assistant professor in the department of dermatology at NYU Langone Medical Center. “And it’s true, you get them as you age,” she says. They can also run in families—so if your older sister has some, chances are you will, too.
The good news: They’re totally benign. If you want them removed, Dr. Pelle treats them with intense pulsed light, a light therapy that is similar to a laser treatment.
2. Psoriasis
While there are several types of psoriasis, 80 to 90 percent of people with the disease have plaque psoriasis, according to the National Psoriasis Foundation. These skin lesions can be red or pink in color topped with white or silvery scales that feel itchy or sore. They most often show up on the elbows, knees, lower back, and scalp. If you think you may be dealing with psoriasis, be sure to talk to your doctor, as it typically requires prescribed medications and therapies, depending on the severity.
3. Keratosis pilaris (aka chicken skin)
If the appearance of them bothers you, treating dry skin will be your best, the AAD says. These bumps often get worse in the winter, thanks to lower humidity in the air. Applying body lotions regularly, or even moisturizers that contain chemical exfoliants such as lactic or salicylic acids (we like this one from CeraVe) can help even out the skin’s texture. If general exfoliation and diligent moisturizing habits don’t seem to do the trick, talk to your dermatologist about prescription treatments.
4. Skin tags
That constant friction can make them irritated and inflamed, but if your skin tag is not bothering you, you don’t have to remove it. And if they are? Don’t try to get rid of them yourself by cutting or scraping them off.
“People will use non-sterile tools and come in with inflamed, irritated, and infected skin,” Dr. Elbuluk says. The only safe course is to see your dermatologist, who will either freeze or numb it before snipping it off.
5. Folliculitis
Anything that damages your hair follicles—say, wearing tight clothing, rubbing your skin often, chafing, shaving, or even hanging out in a dirty hot tub—can make it easier for germs to set up shop and cause an infection, the AAD says.
Folliculitis will usually go away on its own if you stop doing whatever caused it. Applying warm compresses and wearing loose, breathable clothing can also help. But because it can look a lot like acne, talk to your doctor to ensure a proper diagnosis if your symptoms persist.
6. Eczema
There are several types of eczema, and they’re all triggered by different things—everything from environmental factors to stress to genetics. Atopic dermatitis, the most common type of eczema, is linked to inflammation and the immune system, while contact dermatitis is caused by allergen or irritant (like certain chemicals or acids—say, in your skin care or detergent).
After a proper diagnosis from your dermatologist (this is important, since eczema can look like other conditions), symptoms are often managed through OTC anti-inflammatory ointments and moisturizers or prescription drugs and injections.
7. Warts
The good news is, they’re typically harmless and painless if they appear on other parts of your body, like your hands or face. However, plantar warts can develop on the soles of your feet, which can become painful and interfere with running or walking, since you’re constantly putting pressure on it.
Resist the urge to yank it off yourself, because that just opens the gates for infection. Instead, talk to your derm, who will first perform a biopsy to make sure it’s not skin cancer. Then, he or she can remove it with prescription meds, laser treatment, or by freezing or burning it off. Then, make sure you take these steps to prevent another wart from popping up.
8. Dermatofibroma
“A patient will come in and tell me that she’s had this bump that’s been on her skin for years and it never goes away,” Dr. Elbuluk says.
Like a skin tag or cherry angioma, these are perfectly harmless. But because it can look like a mole, you’ll want a derm to take a look to determine which one it is, as “moles can change into melanoma, but a dermatofibroma does not,” says Dr. Pelle.
9. Solar lentigines
Still, they’re hard to tell apart from moles that could turn cancerous. Also, having a lot of them makes it even harder for you to examine your skin yourself—all the more reason to get an annual skin check from a board-certified dermatologist. If they are simply sun spots and they bother you, here is how to get rid of them.
10. Seborrheic keratosis
But it is important to note that “because it’s benign, insurance won’t cover it unless it’s in a bad spot, like on your collar and chronically irritated,” Dr. Elbuluk says.
11. Tinea infection
Fortunately, treatment is often as simple as washing the infected area with a prescription soap or shampoo, which your doctor can hook you up with.
12. Basal or squamous cell carcinoma
Basal and squamous cell carcinomas are the most common types of skin cancer; more than 3 million people are diagnosed with them each year, according to the American Cancer Society. Unlike a benign mole, they often appear red, scaly, or pearly in appearance. While they’re not as deadly as melanoma, Dr. Elbuluk still recommends telling your dermatologist if a mole looks odd or is growing, changing, or starts to itch and bleed.
13. Melanoma
To spot melanoma, use the ABCDE trick: Look for moles that are asymmetrical, have an irregular or less defined border, appear uneven in color, are greater than the size of a pea in diameter, and that evolve over time. (These melanoma pictures can help you visualize each of these changes.)
That’s why taking note of any new spots on your skin is so important. If you catch a suspicious mole early enough, your dermatologist can remove it and prevent the cancer from spreading to other parts of your body—which can save your life.