Birthmark causes and treatment options for removal

Many people have birthmarks. These are areas of pigmented marks or moles on the skin. They come in a variety of shapes and sizes. Despite their name, birthmarks aren’t always present at birth but may develop shortly after. Though many birthmarks are harmless, some can be irritating or be an early sign of cancerous activity. You should have your birthmarks checked by a dermatologist in order to make sure it is harmless. If you wish to get treatment for a birthmark, then come into Essential Dermatology to get started.

What causes birthmarks?

Researchers do not fully understand what exactly causes birthmarks. Some think that it is a build-up of cells that causes the pigmentation. Melanocytes are cells in the skin that add color. If these grow rapidly in a cluster, then they can cause patches of pigmentation. There is not one kind of birthmark; in fact, there are a few types, such as:

  • Hemangioma: This is a bright red area, which tends to grow quickly before fading away. It can cause pain and discomfort.
  • Port-wine stain: A patch of pigmented skin that usually doesn’t fade.
  • Mole: This is a small, dark-colored mark.

What are some treatment options for birthmarks?

If you are looking for treatment for your birthmark, there are many options available to you at Essential Dermatology. Depending on your personal goals, the method will vary. Dr. Michael Krathen, a board-certified dermatologist, can use laser therapy, surgical removal, or certain medications to help remove the birthmarks. It may take a few appointments or a combination of methods to achieve your desired results. It is important to track any changes to your birthmarks. This could be an indicator of cancer.

What can I expect during the removal process?

This depends greatly on the technique used to remove the birthmark. When you visit our office for your initial consultation appointment, we can evaluate your situation and make recommendations based on your needs. We then take time to educate you on the process so there are no surprises from start to finish! Just ask our team about the removal method best for your needs and get started learning about what to expect during the journey!

Birthmarks FAQs

Can a birthmark appear later in life?

Despite the name, not all birthmarks are visible at birth. Some become noticeable during infancy, childhood, or even later as pigment-producing cells become more active. While many birthmarks are harmless, any new or changing pigmented lesion should be evaluated by a dermatologist. A professional examination can determine whether the spot is a benign birthmark, a mole, or another type of skin growth that requires monitoring.

How can I tell if a birthmark should be checked by a dermatologist?

You should schedule an evaluation if a birthmark changes in size, shape, or color, or in texture, or begins to bleed, itch, or become painful. While many birthmarks remain stable throughout life, noticeable changes can sometimes indicate abnormal cell activity. Regular skin examinations help identify concerning features early and provide peace of mind when a lesion is determined to be harmless.

Are birthmarks hereditary?

Some birthmarks and pigmented lesions appear to have a genetic component, meaning they may be more common in certain families. However, researchers do not fully understand why some people develop birthmarks while others do not. Environmental factors, developmental changes, and individual skin characteristics may also play a role. Having a family history of birthmarks does not necessarily mean a child will develop the same type.

Can birthmarks become cancerous?

Most birthmarks are completely benign and never develop into skin cancer. However, certain pigmented lesions can resemble melanoma or other skin cancers, which is why regular monitoring is important. Dermatologists evaluate factors such as color variation, border irregularity, growth patterns, and other warning signs. If there is concern, Dr. Michael Krathen may recommend additional evaluation or removal to ensure an accurate diagnosis.

Can adults have a birthmark removed for cosmetic reasons?

Yes, many adults seek treatment because they feel self-conscious about the appearance of a birthmark. Depending on the type, size, location, and depth of the lesion, treatment options may include laser therapy, surgical removal, or other dermatologic procedures. During a consultation, Dr. Krathen can discuss realistic expectations, potential outcomes, and the most appropriate approach based on your goals and skin type.

Will removing a birthmark leave a scar?

Any procedure that affects the skin has the potential to leave some degree of scarring, although the extent varies depending on the treatment method and the individual’s healing response. Smaller lesions may heal with minimal visible changes, while larger or deeper birthmarks may require more extensive treatment. Dr. Krathen carefully considers both medical and cosmetic factors when recommending a treatment plan designed to achieve the best possible result.

How often should birthmarks be monitored?

The frequency of monitoring depends on the type of birthmark, your personal history, and whether any changes have been observed. Many stable birthmarks simply need routine observation during annual skin examinations. However, lesions that are changing or have unusual features may require closer follow-up. Taking photographs at home and scheduling regular dermatology visits can help track subtle changes over time and ensure that any concerning developments are identified and addressed as early as possible.

Schedule a consultation with a birthmark expert!

If you are unhappy with a birthmark or have noticed it looking abnormal, you should get it checked by a dermatologist. Dr. Krathen is a board-certified dermatologist leading the team at Essential Dermatology. He will work with you to find a treatment method that accomplishes your goals. To get started, call one of our office locations in Natick and Needham, Massachusetts, or request a consultation by filling out our online form. To book an appointment, schedule your visit as a new patient using our online scheduler or as an existing patient using the Mass General Brigham Patient Gateway.

Meet Dr. Michael Krathen

Dr. Michael Krathen is a board-certified dermatologist with over a decade of medical training and experience. He studied biology and Spanish, graduating summa cum laude from the University of Pennsylvania, where he also completed medical school. His training included a medical internship at the Beth-Israel Deaconess Medical Center in Boston and a dermatology residency at the combined Boston University/Tufts Residency Program.

Author of various medical journal articles, Dr. Krathen taught at Stanford University School of Medicine and the VA Hospital in Jamaica Plain.

Connect Dr. Michael Krathen on LinkedIn

Credentials You Can Trust

American Academy of Dermatology
American Society for Dermatologic Surgery
New England Dermatological Society
Alpha Omega Alpha
Massachusetts Academy of Dermatology
Dr. Michael Krathen


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