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Birthmarks

Information about birthmarks, as well as guidance about what support is available from Changing Faces and other organisations.

What is a birthmark?

A birthmark is a coloured mark on the skin which is present at birth or soon after. About one in three babies is born with some kind of birthmark. Most birthmarks are harmless and they often disappear with age and without treatment.

Having a birthmark may affect your confidence or self-esteem. However, many organisations provide support to people living with a birthmark and can help you overcome the challenges you may experience.

On this page, we look at what birthmarks are, explore the different kinds of birthmarks – and discuss ways you can overcome the difficulties you may face if you live with one.

I’ve learned over the last few years that my visible difference cannot stop me from achieving my goals in life and that it doesn’t define me. This empowering feeling led me to want to help others feel the same way.

Prisha, who has a port wine stain birthmark caused by Sturge-Weber syndrome

Types of birthmarks

There are many different types of birthmarks, so we have listed only the most common here. For a more detailed list, please visit the Birthmark Support Group website.

Birthmarks are divided into three main groups:

  • Vascular tumours, which form from cells that make blood vessels and lymph vessels. Although the word “tumour” can sound scary, birthmarks in this group are not cancerous. Your GP will let you know if they need to be monitored.
  • Vascular malformations, which form when arteries, veins or lymph vessels don’t grow as they usually would. “Malformation” is a medical term.
  • Pigmented birthmarks, which are caused by an overgrowth of the cells which give the skin its colour.

Here is some more information about the different types of birthmarks and the ways they can be treated. In some cases there may be a medical reason to remove or treat a birthmark, but in general you don’t need to have treatment to change your appearance unless you decide this is the best option for you.

Haemangioma (a type of vascular tumour)

Haemangiomas, also known as “strawberry marks”, are the most common type of vascular tumour. They are caused when a group of blood vessels form a lump underneath the skin. Usually, the resulting tumour is the size of a penny or two-pence coin, but they can sometimes grow much bigger. The word “tumour” can sound scary but haemangiomas are not cancerous.

There are two types of haemangioma:

  • Superficial, which are red and raised, and easy to diagnose visually.
  • Deep, which may appear blue because of their depth, and which may need an ultrasound to be diagnosed. As they grow, they cause a swelling which is visible on the skin.

Haemangiomas occur in one in 10 babies and are more common in girls, premature babies, babies with a low birth weight and multiple births (i.e. twins, triplets etc). They occur most commonly on the head and neck, although they can affect any part of the body.

Haemangiomas appear shortly after birth and tend to grow fastest in the first six to 12 months before gradually shrinking (“involuting”) over the next one to seven years.

A congenital haemangioma is a haemangioma which is fully grown at birth and is often diagnosed during a prenatal ultrasound. They tend to be raised and warm to the touch, and appear pink to blue in colour, with pale skin around them. There are two types:

  • A rapidly involuting congenital haemangioma (RICH) will shrink much faster than a non-congenital haemangioma.
  • A non-involuting congenital haemangioma (NICH) will not shrink at all.

Nervus flammeus neonatorum (a type of vascular malformation)

Also known as “stork bite”, “salmon patch” or “angel kiss”, this is the most common type of birthmark. Stork bites are pinkish in colour and appear on the forehead, eyelids or the nape of the neck, and may fade under light pressure. Stork bites usually fade by age 2, although those on the nape of the neck may last longer. They tend to disappear without treatment, but laser treatment may be available in some cases.

Capillary malformation (a type of vascular malformation)

More commonly known as a “port wine stain”, capillary malformation is caused by widened capillaries (the smallest blood vessels) and causes a red or purple mark on the skin, most frequently on the face or neck. About one in every 330 babies is born with a port wine stain and they are roughly twice as common in girls. A port wine stain is diagnosed visually.

Where treatment is chosen, a laser is used to reduce the width of the capillaries and lighten the colour. This is most effective when it takes place early on. It is usually performed at around 6 months of age, before being repeated six to eight times at six to eight-week intervals. Laser treatment works best on the face, neck and chest and less well on the limbs. Treatment rarely removes the birthmark fully and repeated courses are usually needed.

In rare cases, a port wine stain may be connected to uncommon conditions including Sturge-Weber syndrome, Klippel-Trenaunay syndrome and macrocephaly-capillary malformation. Ask your GP about these conditions if you are worried.

Café-au-lait spot (a type of pigmentation birthmark)

Café-au-lait spots are flat, tan-coloured spots which can appear anywhere on the body. They are harmless in themselves and it is quite common to have a few, but if a child has six or more, it is important that they are screened for neurofibromatosis.

Blue-grey spot (a type of pigmentation birthmark)

Also known as slate-grey nevus or “Mongolian blue spot”, blue-grey spots have the appearance of a bruise and may cover a large area of skin, often on the back, bottom, arms or legs. They are more common in babies with darker skin. They usually disappear by age 4.

Mole (a type of pigmentation birthmark)

Moles, or congenital nevus, are common, raised brown spots caused by an overgrowth of pigment cells in the skin. Moles may appear anywhere on the body. They are usually harmless, however, there can be an increased risk of moles developing into skin cancer. Contact your GP if they change shape or size.

Real stories about birthmarks

What causes birthmarks? Are they genetic?

The root cause of birthmarks is unknown, however, they have not been linked to anything the mother does during pregnancy. They do sometimes seem to run in families.

How are birthmarks diagnosed?

Birthmarks are usually diagnosed based on a visual check but sometimes a biopsy or ultrasound may be taken. It depends on the type of birthmark and where it is on the body.

Treatments for birthmarks

Often, birthmarks can be left alone and disappear naturally.

Birthmarks may need to be treated if there is a risk of complications – for example, if they become cancerous. They may also be treated if they are progressing. For example, a port wine stain may be treated early on to stop it getting more pronounced over time. How effective treatment will be depends on the birthmark.

Unless there is a medical reason to have your birthmark treated, many people choose not to have treatment at all. Others decide it is right for them to have a birthmark removed for cosmetic reasons. However, this is not usually available on the NHS.

Birthmarks and my appearance

Birthmarks may affect the appearance very noticeably – such as if they are on the face – or less obviously; for example, if they are on a body part which is concealed by clothing. For some people, this is not a problem. However, for others, having a birthmark can take a significant emotional and psychological toll.

Having a birthmark can make us more self-conscious about our appearance. It can be particularly distressing when others stare, make comments or ask questions – especially if this happens a lot.

It is a pretty regular occurrence that I get stares, and people make comments as well. More often than not I just sort of move on and forget about it but sometimes it can be trickier and it’s not always the most shocking incidents that hurt the most.

Eleanor, who has a port wine stain birthmark

What birthmark support can we offer?

If you are struggling, there are a number of support services available for you to access.

Here at Changing Faces, we can offer confidential, one-to-one social, emotional and psychological help through our counselling and wellbeing support sessions. In counselling and wellbeing support, our trained wellbeing professionals will give you the chance to talk through your thoughts, feelings and experiences and provide support and guidance.

We also have a range of self-help guides designed to help you address appearance-related challenges in different aspects of your life. You may want to have a look at our guides on self-esteem and confidence, mental health or browse the entire set here.

You do not have to cover up your birthmark to fit in with so-called “societal norms”. However, some people decide that reducing the appearance of their birthmark is the best option for them. If this is what you have decided, we offer a Skin Camouflage Service which you may find helpful. Our practitioners apply creams and powders to match the colour of the surrounding area. Find out more in this dedicated section of our site.

There are a number of other ways we can support people with birthmarks here at Changing Faces:

If you would like access to our service, please contact our Support and Information Line. As well as sharing information and helping you connect with our services, our friendly team can provide a space for you to talk about the impact of birthmarks on your life.

Other organisations

Guidance, support and advice is also available from other organisations. Please follow the links to their websites to learn more.

Birthmark Support Group logo

Birthmark Support Group

The Birthmark Support Group provide information about birthmarks, guidance on managing life with a birthmark and opportunities to share your story to help raise awareness. They also offer advice on how to get a referral and information about UK hospitals which offer specialist support.

Outlook logo

Outlook

A national, highly specialist psychological service based at North Bristol NHS Trust, supporting adults (16+) with appearance-related distress. They can provide face-to-face and remote support via NHS Attend AnyWhere. Please speak to your GP or healthcare professional to discuss a referral.

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NHS

Please have a look at the NHS condition page for official guidance on the different types of birthmark, information on when to see a GP, and advice about treatments available on the NHS. You will also find information about the current impact of coronavirus (COVID-19) on NHS services.