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Birthmarks (stork bites, Mongolian spots, and moles)

Also called: Birthmarks, stork bite, salmon patch, Mongolian spot, congenital mole, strawberry mark

Colored marks on the skin that are present at birth or show up soon after. Most are harmless and many fade.

TypeSkin marks from birth
CommonVery
Harmful?Usually not

Overview

Some birthmarks come from extra blood vessels (stork bites, hemangiomas, port-wine stains). Others come from extra pigment (Mongolian spots, cafe-au-lait spots, moles).

Stork bites and Mongolian spots usually fade in childhood. Hemangiomas grow for months, then slowly shrink.

Symptoms

Common signs:

  • Dark spots or patches on the skin
  • Red, pink, or blue-gray marks present early in life

Less common

  • A raised red bump that grows

When to get medical care

Call 911A baby with trouble breathing or a hemangioma that bleeds heavily.
Get care todayA birthmark that bleeds, breaks open, or grows fast.
See a doctor soonA mark near the eye, nose, lips, or lower back; 6 or more cafe-au-lait spots; or a mole that changes.

Causes

Extra blood vessels or pigment cells in the skin. Most aren't inherited.

Who is more likely to get it

  • Premature birth (hemangiomas)
  • Darker skin (Mongolian spots)

Diagnosis

A healthcare professional can usually tell by looking.

Questions you may be asked

  • When the mark appeared and whether it changed

The exam

A skin check.

Tests

Tests, if needed:

  • Imaging: Rarely, for large marks or marks near the eye, spine, or airway.

Treatment

Most birthmarks need no treatment.

Self-care

  • Protect it from the sun
  • Watch for changes

Medicines

Medicines that may help:

MedicineHelps withGood to know
Beta blockers (prescription)
Problem hemangiomasNeeds a doctor's care.

OwieClear doesn't give doses: follow the label or your healthcare professional. Medicine names here are examples, not a full list.

Lasers can lighten port-wine stains. Medicine can shrink hemangiomas that cause problems.

Prevention

Birthmarks can't be prevented.

  • Protect birthmarks and moles from sun

Which doctor treats this

  • Urgent care or the ER can treat it first. For minor problems, your primary care provider can help.
  • They may send you to a dermatologist (skin doctor).

Back to school, work, or sports

  • Most people can go to school or work. Keep the wound clean and covered.
  • Avoid pools and hot tubs until the skin heals.

Children, pregnancy, and older adults

  • Parents: Blue-gray Mongolian spots can look like bruises. They're harmless.

Outlook

Most birthmarks are harmless, and many fade.

Getting ready for your visit

Bring a list of your symptoms and medicines.

Questions to ask

  • Will it fade?
  • Does it need treatment or checks?

Research studies

Research studies test new ways to find and treat health problems. Some are looking for volunteers. Talk with your doctor before joining one.

Search ClinicalTrials.gov for studies on Birthmarks (stork bites, Mongolian spots, and moles)

Sources

Last updated 2026-11-12.