Are Red Moles on Skin Risky? Experts Weigh In

Red moles, or cherry angiomas, may initially seem concerning, but they are generally harmless. These small, red spots resembling freckles can appear on anyone and tend to increase in frequency as people age.

We've reached out to two dermatologists to gain insight on what these moles are, what causes them, whether they require medical attention, and how to safely remove them.

What Are Cherry Angiomas?

Cherry angiomas are non-cancerous skin growths made up of blood vessels, which give them their characteristic red color. According to Dendy Engelman, a board-certified dermatologist and Mohs surgeon at Shafer Clinic Fifth Avenue, "They typically start off flat and may become raised as time passes. These growths are common and tend to appear after the age of 30. They can also emerge during pregnancy and are often hereditary."

Although cherry angiomas may look similar to moles, they are benign and generally harmless.

What Causes Red Moles on Skin?

While the exact cause of cherry angiomas remains unclear, they are closely associated with the aging process, with older individuals experiencing more of them. Dr. Engelman notes, "Genetics are believed to play a role in whether a person develops cherry angiomas over time."

Interestingly, Michael I Jacobs, MD, a board-certified dermatologist and Associate Professor of Dermatology at Weill Cornell Medical College, explains that prolonged sun exposure and other environmental factors can actually exacerbate cherry angiomas or even lead to more forming over time.

Should You Have Red Moles on Skin Examined?

Although there have been limited studies on cherry angiomas, it is believed that hormonal fluctuations, certain health conditions, and sun exposure may all contribute to their development. Despite being mostly harmless, Dr. Engelman recommends seeing a dermatologist if you notice any abnormal changes, sudden appearance, or an increase in their number, as this could indicate underlying medical problems like liver disease.

If you notice red moles on your skin growing or changing color, or suspect it may be a mole rather than a cherry angioma, Dr. Jacobs suggests having it checked to rule out the possibility of cancer or other skin issues.

How to Remove Red Moles on Skin

If you're looking to remove a cherry angioma for comfort or cosmetic reasons, there are several in-office options such as burning, freezing, shaving, electrodesiccation, or laser treatments like the Vbeam laser. Dr. Engelman notes, "While you can’t prevent cherry angiomas from forming, maintaining a healthy lifestyle and staying active to support good blood circulation may help reduce their risk."

Typically, cherry angiomas do not disappear on their own. Once they appear, they usually remain unless professionally treated. Dr. Jacobs advises consulting with your dermatologist to determine the best removal method, and emphasizes that attempting to remove red moles at home could result in permanent scarring and even infection.