SKIN CANCER CHECKS

1-3 mole check

Get peace of mind with a medical examination of up to three moles of concern.

  • Dermoscopic examination by doctor with skin cancer qualifications
  • High-magnification digital photography
  • Further evaluation may include AI image analysis, biopsy and spectroscopic analysis
Book a consultation

If you are concerned about a single spot or mole – new, changing, or odd-looking – you can have it checked quickly and easily at Spot Check without a full body examination. We take your concerns seriously and if possible, we will check your mole on the same day.

Who should have a single mole check?

Many skin cancers are detected by a doctor or nurse without the patient knowing that they are there. This can only happen during a full-body skin cancer screening examination. If you have skin cancer risk factors, we recommend a whole-body skin check. Risk factors include white skin, age 40 or over, history of skin cancer or solar keratoses, family history of melanoma, using a solarium/tanning bed and certain medical issues such as a poor immune system.

If you don’t have any risk factors, you could consider a single mole/spot check if:

  • You have noticed a new spot that looks different from the other spots on your body. The spot might be bigger, a different colour or a different shape. It might be more raised than other spots, or it might feel different. In general, if it breaks the pattern of the other spots, it might be a skin cancer. This is called the ugly duckling rule. Most skin cancers are “ugly ducklings”, so if you notice a spot or lump that seems different from the others, especially if it’s new or changing, you should have it checked.
  • You have noticed a change in an existing spot, especially if it has been growing. Other suspicious changes might include a change in shape or the development of new structures or colours in the spot. Any of these changes might mean that the spot is a skin cancer, or sometimes that a new skin cancer has developed within a pre-existing mole.
  • You have a sore that hasn’t healed after 6-8 weeks.

If you have risk factors and have your skin checked regularly for skin cancers, you might consider a single mole/spot check between full-body examinations if you’ve noticed a spot or lump with the features described above.

Dr Chris Miller
Written by Dr Chris Miller Accredited skin cancer doctor

MBBS, MA (Virtual Comm), Grad Cert Hlth Info, Grad Dip Comp Inf Sci

How it’s done

A skin cancer doctor takes a clinical history and examines the spot of concern, then decides a management plan.

  1. We ask for your skin cancer and medical history and skin cancer risk factors in advance. This is useful background information that helps us decide what skin conditions are likely and what investigations and treatments are safe and appropriate.
  2. During your consultation, we ask about the history of your spot of concern.
  3. We examine the spot with a dermoscope, which magnifies and lights it with a polarised light, allowing us to see very small clues to the diagnosis.
  4. We take a high-magnification dermoscopic photo of your spot to allow a more detailed examination and provide a baseline for future comparison.
  5. Your doctor may decide to get further information about your spot using an AI image recognition and analysis program or elastic scattering spectroscopy, which analyses light reflected from your spot. These techniques provide a useful “second opinion” which can assist in our decision about further investigation and management.
  6. If necessary (and if time permits), the doctor may perform a quick punch or shave biopsy procedure during your consultation.
  7. You’ll leave your consultation with an understanding of the likely diagnosis of your spot of concern, how it can be managed, and how to recognise suspicious spots in future.
Dr Chris Miller with patient

How to prepare

Booked your first mole check? Here’s what to do next.

Remove make-up before your appointment
Complete our medical history form

If you haven’t visited us before, complete the medical history form at least 24 hours before your appointment to give us adequate time to create your records and consider your skin cancer risk factors.

Prepare your skin

We need to have the best possible visibility for examining and photographing your skin.

  • Please don’t wear make-up or fake tan.
  • Make sure your skin is clean.
Information to bring to your appointment

If you’ve had a skin cancer previously, bring a copy of the pathology result.

If you’ve had photos taken of your spots or body regions previously, ask your previous skin cancer clinic if they can provide these photos in electronic format. We can usually incorporate any previous photos into your medical record.

Learn more

Follow-up and next steps

In most cases, the doctor or a nurse will take a dermoscopic photograph of the spot so that it can be examined more closely. The doctor will discuss your spot and show you its features and digital analysis. Together, you will decide on the best form of follow-up. This could be:

  • A biopsy of part of the spot (often performed straight away)
  • A complete excision with stitches (performed later)
  • Keeping the spot under observation with a repeat examination and photograph some time later
  • Cosmetic removal with laser, radiofrequency surgery, cryotherapy or electrosurgery.

After your spot check, you should understand the most likely diagnosis of your spot of concern and the best follow-up plan. You will have access to any photographs taken of your spot, as well as written advice from your doctor about the most likely diagnosis, links to further information resources and information about any recommended treatments and follow-up.

Side effects & problems icon

What else do I need to know?

Sometimes a skin cancer can be missed at the first examination, if it is very early and the dermoscopic signs of cancer are not clear. If a spot grows or changes after being examined by a doctor, you should have it re-examined.

After your skin check, you should have a plan to manage current issues (e.g. skin cancers, suspicious spots, rashes), enable early diagnosis of skin cancers if they occur, reduce your risk of new skin cancers developing and treat existing sun damage to your skin.

More info

If you live in Australia, have white skin and are aged 40 or over, you should probably have a full body skin cancer check every year.

More info

If you have a very high risk of melanoma and more than 100 moles, you should consider having mole mapping every year. There is evidence that mole mapping can allow earlier detection of melanoma in high-risk patients and therefore improve the chances of successful treatment.

More info

Mole mapping adds to the cost of a skin cancer check and people often feel uncomfortable being photographed while they are nearly naked, so it's understandable to ask if molemapping is worth the expense and trouble. The answer isn't always straightforward; for some people, regular mole mapping is highly recommended, and for others, it doesn't have significant clinical benefits.

More info

A mole can come back after removal, usually if some mole tissue is left in place during the mole removal procedure. This can occur for various reasons, such as insufficient treatment width, depth or duration.

More info

Facial moles can be removed, often with minimal scarring. The procedure varies according to the type of mole, whether it's flat or raised, and if a sample of skin needs to be sent to a laboratory for examination.

More info

Moles can be removed without scarring. Unfortunately, not all moles are suitable for removal using low-scarring techniques and even these techniques can result in scarring in certain cases. An experienced skin cancer doctor or dermatologist can usually examine the mole and discuss scarring risk factors to advise whether it's realistic to expect no or minimal scarring after the removal of a given mole.

More info

Moles can be removed for cosmetic reasons. There are several methods for removing moles that give excellent cosmetic results, often with little to no scarring. These methods may not be suitable for all moles, and are usually not appropriate for skin cancers.

More info

Moles can be removed without surgery. This can be a quick, relatively painless and low-scarring way of removing moles. Non-surgical techniques include IPL, laser, cryotherapy, radiofrequency, and electrosurgery. These procedures aren't suitable for all moles. Any mole that resembles a melanoma must be surgically removed.

More info

For simple procedures on very superficial lesions, you might only need a single visit. For deeper moles with a higher risk of scarring, you may require multiple treatments over several months.

More info

Need a spot checked?

Have your moles of concern examined by an experienced skin cancer doctor. If it's urgent, we'll do our best to see you in 1-2 working days.

Get started
Serial dermoscopic photography can help early diagnosis of skin cancers