A hairy nevus (also known as a congenital melanocytic nevus) is a type of mole or birthmark that is often present at birth or develops shortly thereafter. It may vary in size, color, and texture and can sometimes grow coarse, dark hair. These nevi are caused by an overgrowth of melanocytes (pigment-producing cells) in the skin.
Types of Hairy Nevus
1. Small (<1.5 cm): Minimal risk of complications.
2. Medium (1.5–20 cm): Slightly increased risk of complications.
3. Giant (>20 cm): Increased risk of melanoma and potential cosmetic or functional concerns.
Risks and Concerns
Cosmetic concerns due to its appearance.
Malignant transformation: Larger nevi, particularly giant hairy nevi, have a higher risk (up to 10%) of developing into melanoma (a type of skin cancer).
Neurocutaneous melanosis: Rarely, large nevi may be associated with melanocytes in the brain and spinal cord, causing neurological symptoms.
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Treatment Options
Treatment depends on the size, location, associated symptoms, and cosmetic concerns.
1. Observation
For small nevi with no signs of malignant changes.
Regular monitoring by a cosmetic surgeon in Jabalpur, such as Dr. Sunit Nema, is recommended.
2. Surgical Excision
Complete removal of the nevus and underlying skin, typically for medium or giant nevi.
Methods include:
Simple excision for small nevi.
Serial excision for medium nevi (done in stages).
Skin grafting or tissue expansion for giant nevi.
This procedure can be performed by cosmetic surgeons in Jabalpur, such as Dr. Sunit Nema.
3. Laser Therapy
Used for cosmetic improvement by reducing pigmentation or hair growth.
May not completely remove the nevus or eliminate the risk of melanoma.
4. Dermabrasion or Chemical Peels
Can lighten the appearance of small nevi but may not remove deeper pigment or hair.
5. Topical Treatments
Generally ineffective for removing the nevus but may help with pigmentation or hair reduction.
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When to See a Doctor
Changes in size, color, or texture.
Development of pain, itching, bleeding, or irregular borders.
Concerns about cosmetic appearance or emotional impact.
If you’re in Jabalpur, consult a cosmetic surgeon like Dr. Sunit Nema for evaluation and to determine the best treatment plan. For large or giant hairy nevi, a personalized and multidisciplinary approach may be necessary.
Dr Nema Hair, Laser & Cosmetic Surgery Clinic 