Mr. Onur Gilleard
Qualifications & Experience
Mr Onur Gilleard is a distinguished consultant plastic surgeon on the GMC specialist register. He previously held an NHS consultant post at St Bartholomew’s Hospital in London, specialising in skin cancer and microsurgical reconstruction. In 2021, Mr Gilleard transitioned from the NHS to dedicate himself fully to private practice, allowing him to focus exclusively on providing personalised, high-quality care to his patients. He is recognised as an expert in laser treatments, having conducted research and developed advanced treatment protocols using cutting-edge laser technology to optimise both clinical outcomes and cosmetic results.
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Mole Self Examination Guide: Enhancing Your Skin Health Surveillance
This mole self examination guide explains how to leverage your digital dermoscopy report for effective skin self-checks. Readers will learn to use their professional baseline photography to identify subtle changes in moles, enhancing early detection of potential melanoma warning signs. The article details a step-by-step approach for a thorough skin self-check, integrating the ABCDE melanoma rule with sequential monitoring against your digital record. This empowers individuals to become active participants in their skin cancer awareness and proactive health management.
London Skin Clinic, led by GMC-registered consultant plastic surgeons and elite laser specialists, provides expert clinical mole screening and advanced dermatological care. This content reflects their commitment to patient education, offering evidence-based guidance for proactive skin health management and early melanoma detection.
To explore your options, contact us to schedule your consultation. You can also reach us via: Schedule a Harley Street Mole Check
Elevate Your Mole Self-Examination: Leveraging Your Digital Report
A digital dermoscopy report is a precise, high-resolution photographic baseline, turning monthly skin checks from a memory-based exercise into an evidence-based comparison. This record helps you track subtle mole changes, enhancing at-home surveillance and skin cancer awareness.
Using your report as a reference provides a structured framework for monitoring your skin. This approach is a cornerstone of a mole self examination guide, making you an active participant in your skin health.
Why a Digital Baseline Transforms Your Skin Self-Check
Human memory is unreliable for detecting gradual changes in mole size, shape, or colour. Smartphone photos lack the standardized lighting, consistent angles, and high magnification needed for accurate comparison. A professional report provides a permanent, objective record.
This baseline photography is essential for sequential monitoring. Comparing your skin to these images helps you identify new or evolving lesions with more confidence. Our guide on understanding your mole mapping report details the findings and terminology used by our consultants.
Mastering the ABCDEs: What to Look For During Your Skin Self-Check
The ABCDE melanoma rule helps identify potential melanoma warning signs. This checklist provides a systematic way to assess moles. Each letter represents a feature to watch for, helping distinguish normal moles from those that may require professional evaluation.
This is a screening tool. While many benign moles can have one or more of these features, a mole exhibiting several, or one that is changing, warrants a professional opinion from a consultant plastic surgeon or dermatologist.

View data as table
| Letter | Characteristic | Description of a Potentially Concerning Sign |
|---|---|---|
| A | Asymmetry | One half of the mole does not match the other half in shape or size. |
| B | Border | The edges are irregular, scalloped, blurred, or poorly defined. |
| C | Colour | The colour is not uniform, with shades of tan, brown, black, or even red, white, or blue. |
| D | Diameter | The mole is larger than 6mm (the size of a pencil eraser), although melanomas can be smaller. |
| E | Evolving | The mole is changing in size, shape, colour, elevation, or is exhibiting new symptoms like bleeding, itching, or crusting. |
Beyond ABCDE: Spotting New or Changing Lesions
A significant melanoma warning sign is change. Any new mole appearing after age 30, or an existing mole that changes, is suspicious until evaluated by an expert. This is the “ugly duckling” sign—a mole that looks different from others on your body. If a spot on your skin concerns you, have it checked.
Your Step-by-Step Guide: Performing a Thorough Skin Exam with Your Digital Baseline
A systematic monthly skin exam is a critical health habit. Integrating your digital dermoscopy report elevates this practice from a quick glance to a detailed review. This mole self examination guide helps you perform a thorough check.
- Preparation: Choose a well-lit room with a full-length mirror. Have a hand mirror for hard-to-see areas and your digital report open on a tablet or computer.
- Head and Neck: Examine your face, ears, and scalp. Use a comb or hairdryer to part your hair and check your scalp. Check behind your ears and your neck.
- Torso: Examine your chest and abdomen. Women should check underneath the breasts. Compare what you see with the high-resolution images of your torso in the report.
- Arms and Hands: Check your underarms, the front and back of your arms, elbows, hands, between your fingers, and your fingernails.
- Back and Buttocks: Use mirrors to inspect your entire back, from your neck to your buttocks. Your digital report is most valuable here, as these areas are difficult to monitor alone.
- Legs and Feet: Sit to check your legs, including the front, back, and sides. Examine your feet, including the soles, heels, and the spaces between your toes.
How to Systematically Check Every Area of Your Skin
Consistency is key. Performing your self-check in the same order each month ensures no area is missed. Pay attention to sun-exposed areas, but remember skin cancer can develop anywhere. Your digital report provides a complete map, ensuring all moles are monitored.

View data as table
| Body Region | Recommended Duration (seconds) | Number of Moles (Example) | Key Focus |
|---|---|---|---|
| Scalp & Face | 120 | 8 | Hairline, ears, nose, lips |
| Arms & Hands | 90 | 15 | Elbows, between fingers, under nails |
| Torso (Front & Back) | 180 | 35 | Shoulders, lower back, sides |
| Legs & Feet | 120 | 22 | Back of knees, soles of feet, between toes |
Beyond the Naked Eye: How FotoFinder Enhances Your Self-Monitoring Accuracy
London Skin Clinic’s consultant-led mole screening uses the FotoFinder Bodystudio ATBM system. This technology captures total body photography with standardized lighting, positioning, and magnification. The resulting digital dermoscopy report contains clear, consistent images, creating a reliable baseline impossible to replicate with home photography.
This detail allows our consultant plastic surgeons to identify minute changes between appointments. Your self-monitoring is based on a professional, medically validated record. You compare your skin against a precise map, making your observations more meaningful and accurate.
The Precision of Professional Baseline Photography
Professional baseline photography eliminates variables that make self-monitoring unreliable. Factors like room lighting, camera angle, and distance can alter a mole’s appearance in a photo. The FotoFinder system controls these variables, ensuring any observed change is a genuine evolution in the lesion, not a photographic artifact.
This technology enables accurate sequential monitoring, a proven method for early melanoma detection. Dermatological research shows digital dermoscopy follow-up increases the detection of early-stage melanomas. Learn more about dermoscopy from sources like DermNet NZ.
When to Act: Interpreting Changes and Seeking Expert Dermatological Review
Your monthly self-exam, using your digital report, is a screening tool. If you identify a mole that meets any ABCDE criteria, is new, or has changed, seek a professional assessment without delay. A self-check is for observation, not diagnosis.
A suspicious change includes a mole becoming darker, larger, or developing an irregular border, or a lesion that starts to itch, bleed, or feel different. Document the change with a dated photo. Bring this information and your digital report to your consultant appointment.
The Importance of Timely Professional Assessment
Early detection is critical for successful melanoma treatment. Delaying a professional evaluation of a suspicious mole can have serious consequences. A consultant plastic surgeon or dermatologist uses tools, like a dermatoscope, to examine a lesion’s subsurface structures and determine if a biopsy is needed for diagnosis.
This is part of patient education dermatology—helping you monitor your skin and know when to escalate a concern to an expert. For more on melanoma signs, see resources like the NHS guide to melanoma. Following a mole self examination guide and acting promptly on any findings are your best strategies for proactive skin health.
Proactive Skin Health: Schedule Your Consultant-Led Mole Check Today
Combining monthly self-examinations with a professional, consultant-led mole check is the most comprehensive approach to skin surveillance. At-home checks are vital for spotting interval changes, while an annual professional assessment ensures your skin is evaluated with expert precision and advanced technology.
Your Next Step Towards Comprehensive Skin Surveillance
Establish a routine of regular self-checks and professional monitoring. If you have numerous moles, a family history of skin cancer, or want the assurance of a thorough baseline, a professional mole mapping service is an invaluable investment. Our consultant plastic surgeons provide expert assessment and guidance. Contact us to book your appointment.
Secure your peace of mind with an expert evaluation. Schedule a Harley Street Mole Check.
Conclusion
A digital dermoscopy report transforms mole self-examinations from guesswork to precise, evidence-based monitoring. By applying the ABCDE rule and systematically reviewing your skin against a professional baseline, you become an active participant in your skin health. Early detection is paramount in managing skin cancer. Any new or changing lesion warrants prompt professional evaluation. Seek expert advice for any concerns.
Take the next step in proactive skin surveillance. Schedule a Harley Street Mole Check with our consultant-led team at London Skin Clinic.
Frequently Asked Questions
How frequently should I use my digital report for a skin self-examination?
We recommend performing a self-examination monthly, using your digital report as a direct comparison tool. The Skin Cancer Foundation advises this frequency for early detection, and your high-resolution baseline allows you to spot subtle changes in moles that memory alone would miss between annual consultant reviews.
How is my FotoFinder® report more reliable for self-checks than photos on my smartphone?
Your FotoFinder® report is created under medically standardised conditions, using cross-polarised lighting and fixed magnification to capture consistent, clinical-grade images. Smartphone photos suffer from variable lighting, angles, and resolution, making them unreliable for the precise sequential monitoring required to detect early-stage melanoma.
My report includes dermoscopic images; should I try to interpret these during my home skin check?
No, the dermoscopic images are for expert clinical analysis by our consultant plastic surgeons, who are trained to assess subsurface pigment networks and structures not visible to the naked eye. For your self-checks, you should focus exclusively on the full-body overview photographs to identify new lesions or macroscopic changes in existing ones.
For someone with over 50 moles, how does a digital baseline simplify the self-examination process?
A digital baseline transforms the task from a memory test into an objective comparison, which is critical for individuals with numerous moles. It allows you to quickly confirm if a mole is new or if an existing one has changed, and helps you more easily identify an “ugly duckling” mole—one that looks distinctly different from your other moles.
If a mole was flagged for monitoring, what specific changes should I look for between professional checks?
For a mole under surveillance, you should look for any evolution whatsoever, as defined by the “E” in the ABCDE rule. This includes not just growth, but also subtle changes in elevation (becoming more raised), surface texture (becoming scaly or crusty), or sensation (new itching or tenderness) that differ from your baseline report.
What is the minimum size of a new spot that I should be concerned about when using my mole self examination guide?
While the guideline for diameter is typically larger than 6mm (a pencil eraser), this applies to established moles. When using your detailed mole self examination guide and report, any new, persistent pigmented spot larger than 2-3mm that is not present on your baseline images warrants scheduling a professional evaluation with one of our consultants.
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