Time to get skin checked by dermatologist?

I’m now 40, and am wondering if it’s time to go to a dermatologist. I got sunburned several times as a kid, once very badly, and since I make milk look dark, I’m sort-of worried about the possibility of skin cancer. So far I don’t have any of the symptoms, but I do have some broken capillaries around my nose and a couple of them on my chin. They’re not very big but still, they kind of bug me.

The biggest reason I’m wondering if it’s time is that my dad was as pale as I am and got burned many, many times over the course of his working days, and had to have many, many moles and pre-cancerous places removed. There were a couple that were thinking about changing to cancerous but were removed in time.

Thanks in advance!

I’d go right now. I am pale and spent my summers as a kid considering sunscreen was for wimps. The first time I went to the dermatologist they were able to just burn off the pre-cancerous spots with liquid nitrogen. That give you a scabby face for a week, but it goes away. I later had to have two spots cut out surgically, spending half a day in the doc’s office and stitches in my neck and arm. The first is far preferable.

Definitely go.

My friend went at about your age, and was found to have a lot of very troublesome areas. She has gotten some treatments and is monitoring things closely, and all is well. But this early care will probably pay off handsomely.

On the other hand, my mom just went for a full-body scan. She’s 65. They told her “You’ve got nothing to worry about. Get outta here!”

Regardless of your particular skin and anything that might have happened in the past, it would seem like going for a dermatological checkup is a good idea. Maybe your mind will be set at ease about the whole issue. Maybe you’ll be able to do some valuable preventative early care. Or maybe you’ll find that you are fine at this point, but that you need to keep an eye on things.

And if nothing else, it will help establish a baseline for any future changes.

As of 2001, the best research indicated no conclusion as to whether screening for skin cancer in asymptomatic or low-risk individuals was helpful: Clinical Guidelines and Recommendations | Agency for Healthcare Research and Quality

An update of this recommendation is currently in progress.

If you have a suspicious lesion, you should go to your doctor. A good internist or family physician can help you decide what to do next.

What’s a suspicious lesion? The American Academy of Family Physicians (of which I am a member) states the following…

Signs of skin cancer: The ABCDE rule

A for asymmetry: A mole that, when divided in half, doesn’t look the same on both sides.

B for border: A mole with edges that are blurry or jagged.

C for color: Changes in the color of a mole, including darkening, spread of color, loss of color, or the appearance of multiple colors such as blue, red, white, pink, purple or gray.

D for diameter: A mole larger than 1/4 inch in diameter.

E for elevation: A mole that is raised above the skin and has an uneven surface.

Also from the AAFP for completeness’ sake:

I finally went a few weeks ago (I’m 41), after years of harping by my SIL (she lost a friend to melanoma at 30 :eek: ). I wanted a few moles removed that were raised and had always bugged me.

I had six removed (I will go back for a few more soon), and he did a full-body check of the rest of me. It was quick and painless, and he suggested a full-body check every year, since I am a sun-worshipper.