© 2015 Nevus Support Australia PO Box 262, Seacliff Park, South Australia 5049  
ABN: 23543860400
This information on this website is for general information purposes only. It is not intended as a medical reference. Please talk with your doctor for medical advice.
Many   people   with   large   nevi   have   problems   with   itching   or   other   discomfort.   Lotions   and creams   can   alleviate   some   of   that   discomfort.   But   it   is   important   to   note   that   there   are currently   no   creams,   lotions   or   other   topical   products   one   can   rub   on   the   skin   that   can remove   a   nevus.   (There   are   quite   a   lot   of   things   one   could   rub   on   the   skin   that   would   irritate or   damage   it,   so   any   kind   of   “whitening   agent”   is   highly   discouraged,   as   they   are   always aggressive and sometimes toxic.)    Monitoring a CMN without surgical intervention   Removing   a   congenital   melanocytic   nevus   is   a   personal   decision   to   be   taken   ideally   after consultation   with   more   than   one   informed,   trusted   physician.   Many   patients   who   have   a   large CMN,   or   their   families   if   they   are   too   young   to   decide   for   themselves,   prefer   to   leave   it unoperated for various valid reasons. CMN removal Sometimes   medical   intervention   can   help   cosmetically,   sometimes   not.   It   depends   on   where the   nevus   is,   the   size,   skin   type   (nevus   can   be   thin   and   fragile   or   thick   and   bumpy)and   the patient.   There   are   various   medical   possibilities   including   shaving   the   upper   layers   of   skin (curettage   or   dermabrasion)to   reduce   the   visible   pigment   or   to   de   bulk   a   thick   CMN,   excision by   either   serial   excision,   expanded   full   thickness   skin   flaps   (expanders),   or   split   skin   grafting, and   laser   for   both   pigment   and   hair   reduction   (not   removal).   Most   children   with   a   CMN   will have   a   paediatrician,   dermatologist   and   plastic   surgeon   as   part   of   their   regular   care   team, others   may   also   have   a   neurologist,   psychologist,   GP,   ophthalmologist,   ear   nose   and   throat specialist,    dental    specialist,    scar    management    specialist,    physiotherapist,    oncologist,    or social    worker.    Regular    medical    appointments    are    usual,    particularly    in    the    early    years. Occasionally periods of absence are required while undergoing treatments. There   is   no   way   to   medically   reduce   the   risks   associated   with   CMN.   We   just   don’t   know enough about it yet. What about all those other spots?      Many   but   not   all   patients   with   CMN   will   have   other   spots   as   well   as   the   primary   nevus. These are   generally   referred   to   as   satellite   nevi.   The   skin   structure   is   the   same   as   in   the   primary nevus.   These   ‘spots’   can   continue   to   develop   after   birth   and   in   fact   can   continue   to   appear over the lifespan.
One of the most frequently asked questions is “What can be done about it?” We all want to think modern medicine has miracles to offer us, but there are no magic answers, yet.