Flat moles are common skin growths, also known as melanocytic nevi, that appear as flat or slightly raised spots on the skin. They form when pigment-producing cells, called melanocytes, cluster together instead of spreading evenly. These moles can range in color from light brown to black and typically have well-defined borders. Many individuals considering a tattoo often wonder if it is safe to tattoo directly over these common skin features.
Understanding the Risks
Tattooing over flat moles is not recommended due to several health considerations. The primary concern centers on the difficulty in monitoring the mole for changes, which is for the early detection of melanoma, a serious form of skin cancer. Melanomas can develop in existing moles, and tattoo ink can obscure or mask signs of change in a mole’s size, shape, color, and border. This concealment can delay diagnosis and treatment, potentially worsening health outcomes.
Tattoo ink, especially darker colors like black, blue, or red, can camouflage the changes that dermatologists look for during skin examinations. These changes, often described by the “ABCDE” method (Asymmetry, Border irregularity, Color variation, Diameter, and Evolving changes), become difficult to identify when covered by dense pigment. This masking effect is an impediment to self-checks and professional dermatological screenings.
Beyond the issue of skin cancer detection, other risks are associated with tattooing over moles. Moles can bleed more excessively than surrounding skin during the tattooing process, which can be uncomfortable and increase the risk of infection. The texture of a mole differs from normal skin, which can make it challenging for a tattoo artist to achieve clean lines or consistent ink absorption, distorting the tattoo design. Moles may also absorb ink differently, leading to oversaturation in that area.
Dermatological Recommendations
Individuals with flat moles who are considering a tattoo should consult a board-certified dermatologist before proceeding. A dermatologist can examine the moles to ensure they are benign and provide guidance on the approach. This pre-tattoo consultation allows for assessment of any existing moles, especially those that have recently appeared or changed.
There are alternatives to tattooing directly over a mole that prioritize skin health. One recommendation is to design the tattoo around the mole, leaving the mole itself untouched and visible for future monitoring. Tattoo artists can incorporate moles into the overall design, making them a natural part of the artwork without covering them. This approach ensures that the mole remains accessible for self-examinations and professional check-ups.
Another option is mole removal by a dermatologist prior to tattooing. While not always necessary, if a mole is in a problematic location or causes concern, a dermatologist can surgically remove it. Mole removal may leave a scar, and the skin needs to heal completely before a tattoo can be applied to that area. Self-skin checks remain essential for everyone, especially those with moles, to monitor for any changes in size, shape, color, or texture, regardless of tattoo presence.