When to Worry About Skin Spots: What to Watch for
Dr. Narin Apisarnthanarax
8/30/2025
Not every mark on your skin is cause for alarm, but some changes should not be ignored. For example, dark spots on skin could be harmless freckles or early signs of skin cancer. The key is knowing what to watch for and when to seek help.
Patients should call Clear Lake Dermatology for a skin cancer screening if they notice new, changing, or nonhealing skin growths. Our providers can perform an assessment and detect problems such as suspicious moles. Call now to book a consultation with Dr. "Joe" Apisarnthanarax and Dr. David Raimer. We're proud to serve patients in League City, Webster, and the Greater Houston area.
Know your skin spots
It's normal to develop freckles, age spots, and other dark spots on skin over time. Most are benign and result from sun exposure, genetics, or natural aging. However, a spot that looks or feels different from the rest deserves closer attention.
Becoming familiar with your skin is the first step. When you know what your skin typically looks like, it's easier to notice when something new or unusual develops. Clear Lake Dermatology encourages patients to perform regular self-checks and book skin cancer screenings so changes can be identified early.
Monitoring suspicious skin spots
The ABCDE method is a widely recommended tool for evaluating whether a mole or spot could be concerning:
- A – Asymmetry: If you draw a line through the middle, the two halves don't match.
- B – Border: Edges appear uneven, jagged, or blurred.
- C – Color: Multiple shades or unusual colors, such as red, black, or blue.
- D – Diameter: Larger than 6mm (about the size of a pencil eraser).
- E – Evolving: A spot that changes in size, shape, or color over time.
Early signs of skin cancer
While the ABCDE method is helpful for suspicious moles, skin cancer doesn't always follow the rules. Other warning signs to watch for include:
- A sore that bleeds, scabs, or does not heal after several weeks
- Persistent redness or irritation in one area
- Rough, scaly patches that may itch or become painful
- Shiny or pearly bumps that resemble a pimple but don't go away
These could potentially be early signs of skin cancer. Basal cell carcinoma, squamous cell carcinoma, and melanoma all present differently, so scheduling a skin cancer screening is one of the only ways to know.
Why schedule routine skin exams?
At Clear Lake Dermatology in League City and Webster, our team uses advanced diagnostic tools to examine the skin. If an area appears concerning, a biopsy can confirm the diagnosis quickly, and treatment can begin without delay.
Regular screenings are especially important if you have:
- A personal or family history of skin cancer
- Fair skin, light eyes, or a history of sunburns
- A large number of moles or freckles
Protecting your skin year-round
In addition to scheduling regular exams, there are steps you can take to lower your risk of skin cancer:
- Apply sunscreen with at least SPF 30 every day
- Wear protective clothing, hats, and sunglasses when outdoors
- Stay out of the sun during peak hours (10 a.m. – 4 p.m.)
- Use the ABCDE method to self-examine any moles
Schedule your skin cancer screening
If you've noticed dark spots on skin, suspicious moles, or other changes, don't wait to get them checked. At Clear Lake Dermatology in League City and Webster, Dr. "Joe" Apisarnthanarax and Dr. David Raimer offer expertise and care to help keep your skin healthy.
If you're unsure whether a spot is harmless, schedule a skin exam. Our team is here to help you protect your health and your future.
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