Skin cancer is the most common cancer in the United States. One in five Americans will develop it in their lifetime, and melanoma (the most serious form) can spread quickly if not caught early. When melanoma is found early, the five-year survival rate exceeds 99 percent.
While full-body skin evaluations should be performed by a board-certified dermatologist, monthly self-checks can help you notice changes between annual visits. A new mole, a changing color, or a spot that won't heal are all things worth paying attention to.
This guide will show you how to perform a basic self-check and what signs may warrant a closer look by a medical provider, including when to reach out to Midtown Surgical for an in-office evaluation or possible biopsy.
When and How to Check
Choose one day each month to examine your skin. Many people pair it with a routine, like paying bills or flipping the calendar. After a shower, when your skin is clean and relaxed, is a good time.
You're not looking to diagnose anything, just to notice what's new or changing. If you see something concerning, it's time to call a provider.
What You’ll Need
- A full-length mirror and a handheld mirror
- Bright, natural lighting
- A comb or hairdryer to part your hair
- A phone or notebook to document spots
- A trusted partner for hard-to-see areas (optional)
Some patients use mole-mapping apps or printable tracking sheets to record changes over time.
The ABCDE Rule: Know the Signs
Use the ABCDE method as a reference point, not a diagnosis:
- A – Asymmetry: One half doesn’t match the other
- B – Border: Irregular, jagged, or blurry edges
- C – Color: More than one shade or uneven distribution
- D – Diameter: Larger than a pencil eraser
- E – Evolving: Any visible changes over time
If you notice a spot that fits one or more of these categories, it’s a good idea to bring it to a medical provider. While Midtown Surgical does not offer full skin screenings, we do evaluate individual areas of concern and perform biopsies or removals as needed.
How to Check Yourself
You don’t need to examine every inch perfectly; just build awareness. Here’s a quick walkthrough:
1. Face and Scalp
Check forehead, cheeks, ears, lips, and scalp (using a mirror or help to part your hair).
2. Neck, Chest, and Upper Torso
Don’t forget under your chin and beneath the breasts.
3. Arms and Hands
Look at both sides of your arms, elbows, palms, and between your fingers.
4. Back, Shoulders, and Buttocks
Use mirrors or a partner to view your upper and lower back and sides.
5. Legs and Feet
Look at the front and back of your legs, ankles, soles, and under your toenails.
Beyond ABCDE: Other Things to Watch For
- A sore that doesn’t heal
- A new bump or raised lesion
- A shiny, pearly, or waxy spot
- A crusty patch that bleeds or scabs
- A streak under a nail
- A spot that simply feels wrong or different
While many of these may turn out to be benign, having them examined can bring clarity and peace of mind**.**
When to Call Midtown Surgical
If you notice a specific mole or spot that looks concerning, Midtown Surgical can evaluate that area and, if needed, perform a biopsy or excision.
We do not offer full-body skin checks, and we encourage patients to establish care with a dermatologist for routine, comprehensive skin evaluations. But for those one-off spots or evolving areas of concern, our office is ready to help.
Explore our related article on The Risks of Melanoma for more education and context.
Building the Habit
- Use your phone’s calendar to set a monthly reminder
- Track the spots that make you pause
- Teach the method to others in your household
- If something keeps catching your attention—have it checked
Awareness is the goal. Diagnosis is the provider’s role.
Need a Spot Checked?
If you’ve found something new, changing, or just plain strange, we’re here to take a closer look. You can schedule an in-person appointment or telehealth consultation at Midtown Surgical and Skin Institute.