Why is ethnic skin more prone to getting those unsightly moles? What is the best, safest and least expensive way to have them removed? Are they likely to return? Is there anything that can prevent them? Maritza Q, Seattle, OR

Those “moles” are called “dermatosis papulosa nigra” affecting African-American and Asian skins. These benign, pigmented lesions are generally found on the face and neck. They tend to increase with age. Generally a family history is noted. Removal should be performed by a dermatologist. He or she may use various techniques such as cryotherapy (freezing), electrodesiccation (burning), surgical intervention or laser. Any of these treatments may cause scarring or hypo-pigmentation (loss of pigment). Unfortunately, they may return.

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