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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Understanding Mole Mapping Report: Deciphering Your Skin Health Findings
Achieving a comprehensive understanding mole mapping report is crucial for proactive skin health management. This guide demystifies your FotoFinder results, explaining dermoscopy findings and atypical nevus classifications. It outlines how consultant plastic surgeons interpret your melanoma screening results, providing a clear mole risk assessment and personalised follow-up recommendations. By decoding the medical terminology, patients gain actionable insights into their skin surveillance, empowering informed decisions about their dermatological care.
London Skin Clinic provides expert, consultant-led mole mapping services, ensuring precise interpretation of your skin lesion terminology and comprehensive patient guidance. Our GMC-registered consultant plastic surgeons offer authoritative insights for effective skin surveillance and early detection.
To explore your options, contact us to schedule your consultation. You can also reach us via: Schedule a Harley Street Mole Check
What is a Mole Mapping Report and Why Is It Important?
A mole mapping report is a medical document providing a baseline of your skin’s pigmented lesions (moles). It combines full-body photography with magnified dermoscopic images of individual moles. It creates a visual record to enable early detection of melanoma and other skin cancers by identifying new moles or subtle changes in existing ones over time.
The report is an expert analysis of your melanoma screening results. The baseline allows your consultant to track your skin accurately at subsequent appointments, comparing new images against the original set to spot evolution invisible to the naked eye. This approach is key for skin surveillance, particularly for individuals with multiple moles or other risk factors.
The Core Components of Your London Skin Clinic Report
Your London Skin Clinic report typically contains four key sections:
- Consultant’s Summary: An overview from your GMC-registered Consultant Plastic Surgeon, summarising findings and highlighting any lesions of note.
- Full-Body Photographic Map: Standardised photographs of your entire body, serving as the master reference to locate each mole.
- Dermoscopic Images: High-magnification images of specific moles, revealing subsurface structures not visible otherwise. Each image is catalogued and linked to its position on your body map.
- Follow-Up Recommendations: Personalised advice on next steps, including the recommended interval for your next screening and any actions required for specific moles.
For details on the procedure, review our guide on the full-body mole mapping process.
Decoding Your Report: Key Sections and What They Mean
The report is a collaborative tool between you and your consultant. The consultant’s notes provide the primary interpretation, but understanding the visual data is also beneficial.
Navigating Your Full-Body Photographic Map
The full-body map is a detailed atlas of your skin at a specific point in time, documenting the location, number, and appearance of your moles. During follow-up appointments, this map is used for sequential digital dermoscopy, where new photographs are digitally compared to the baseline. This technology can automatically flag new lesions or changes in existing ones, drawing the consultant’s attention to areas requiring closer inspection.
Understanding Individual Dermoscopic Image Analysis
Dermoscopy is a non-invasive technique using a high-powered, illuminated magnifier to examine structures beneath the skin’s surface. Dermoscopic images are the most critical element for diagnosis. The consultant analyses features such as:
- Pigment Network: The honeycomb-like pattern of a benign mole. Irregularities, thickening, or abrupt endings can be signs of atypicality.
- Dots and Globules: Regular, uniform dots and globules are common in benign moles. Irregular sizes, shapes, and distribution can be concerning.
- Streaks and Pseudopods: Radial lines or finger-like projections at the edge of a mole, which can be a feature of melanoma.
- Vascular Patterns: The arrangement and shape of tiny blood vessels, which differ between benign lesions and skin cancers.
These details inform the consultant’s assessment and the classification of each lesion.
Understanding Dermoscopy Findings and Mole Classifications
Your report uses specific terminology to classify imaged moles. Understanding these terms is key to interpreting the findings. The goal is to differentiate benign moles from atypical or potentially cancerous ones.
What Does ‘Atypical Nevus’ Mean in Your Report?
A common and often misunderstood term is ‘atypical nevus’ (or ‘dysplastic nevus’). An atypical nevus has irregular features under dermoscopy. This does not mean the mole is cancerous, but that it deviates from the pattern of a common, benign mole.
These moles are on a spectrum between benign and melanoma. While most atypical moles will not become cancerous, they can indicate an increased risk of developing melanoma elsewhere on the skin. They are therefore monitored closely or sometimes recommended for precautionary removal (excisional biopsy) for laboratory analysis.
Benign Nevus vs. Suspicious Lesion: Key Distinctions
Consultants use criteria, including the “ABCDE” rule, to assess moles. This tool is applied with more nuance during a clinical assessment with dermoscopy than in self-examination. The report will reference these features when classifying a lesion.

The Consultant’s Role: Expert Interpretation and Risk Assessment
The most critical component of mole mapping is the clinician’s expertise in interpreting the data. At London Skin Clinic, every report is analysed by a GMC-registered Consultant Plastic Surgeon with experience in skin cancer management. This expertise ensures each lesion is interpreted within the context of your personal and family medical history.
The consultant’s assessment is a mole risk assessment that creates a management plan tailored to you.
How FotoFinder® AI Technology Enhances Diagnostic Accuracy
Our clinic uses the FotoFinder® system for digital dermoscopy and skin surveillance. The system’s software includes an AI algorithm that provides a score to assist the consultant. The AI is a supportive tool, not a replacement for the consultant’s judgement. It acts as a “second reader,” flagging changes or complex patterns for human review. Learn more about how FotoFinder technology works in our detailed guide.
Personalized Mole Risk Assessment and Scoring
Your report and recommendations are based on a synthesis of all available information. The consultant considers your age, skin type (Fitzpatrick scale), personal history of sun exposure, family history of skin cancer, and the number and type of moles you have. This information, combined with the photographic and dermoscopic findings, allows for a personalised risk stratification to guide the frequency of future screenings. According to the American Cancer Society, factors like having many atypical moles can influence this risk profile.

Your Follow-Up Plan: Recommendations and Next Steps
The final section of your report contains the follow-up recommendations, which are your action plan for skin health.
Understanding ‘Recommend Monitoring’ vs. Further Action
Recommendations typically fall into one of three categories:
- Routine Surveillance: The most common outcome. No lesions of high concern were found. The recommendation is to continue monthly self-examinations and return for a follow-up mapping session in a specified timeframe, usually 12 months.
- Short-Term Monitoring: Recommended for atypical moles that do not warrant removal but merit closer observation. You may be asked to return in 3 or 6 months to re-image a specific lesion to check for any change.
- Recommendation for Biopsy/Excision: If a lesion is suspicious for melanoma or is a severely atypical nevus, the consultant will recommend its surgical removal (an excisional biopsy). This is the only way to get a definitive diagnosis via histopathological analysis.
Scheduling Your Next Steps with London Skin Clinic
Our clinical team facilitates your follow-up care. If your report recommends a future mapping appointment, you can schedule it. If an excision is recommended, our patient coordinators will help you book the surgical procedure with a consultant plastic surgeon. Ask our team any questions after reviewing your report; we can provide clarification and support.
Ready to Take Control of Your Skin Health?
Your mole mapping report is a tool for early skin cancer detection and a key part of a proactive health strategy. Regular, expert-led monitoring is the most effective method for identifying concerning changes early.
If you have concerns about your moles or wish to establish a baseline for future monitoring, Schedule a Harley Street Mole Check with one of our consultant plastic surgeons.
Conclusion
Interpreting your mole mapping results is a partnership between you and your specialist. The report is an objective record of your skin, while your consultant provides the expert analysis to create a health plan. Familiarity with the report’s sections—the full-body map, dermoscopic findings, and classifications like ‘atypical nevus’—makes you a more informed partner in your skin health. Proactive surveillance is key to early detection.
To discuss your results, please contact us. To begin monitoring, Schedule a Harley Street Mole Check at our consultant-led clinic.
Frequently Asked Questions
What are the main sections I’ll see when understanding my mole mapping report?
Your report is structured for clarity, aiding in understanding your mole mapping report. It includes a consultant’s summary, a full-body photographic map, high-magnification dermoscopic images of specific moles, and a clear set of recommendations for monitoring or action.
What does it mean if a mole is labelled ‘atypical’ in my report?
An ‘atypical’ or ‘dysplastic’ mole has irregular features, such as an uneven border or multiple colours, when viewed under dermoscopy. While not cancerous, it signifies a mole that deviates from the norm and may require closer surveillance or precautionary removal as advised by your consultant surgeon.
How will I know which moles need action after my review?
The ‘Recommendations’ section provides a clear action plan for each noteworthy mole. Moles are typically categorised as benign (no action), atypical (monitor), or suspicious (excision recommended). This direct guidance from our consultant plastic surgeon is a crucial element for understanding your mole mapping report.
How does FotoFinder® technology help in interpreting my mole screening results?
The FotoFinder® system provides exceptionally high-resolution total body photography and digital dermoscopy. Its AI-powered software assists our consultants by highlighting new or changed lesions between appointments. This technology provides the precise visual data needed for an accurate, year-on-year comparison, enhancing early melanoma detection.
What is the most important part of understanding my mole mapping report?
The most critical part is the consultant’s expert interpretation and the recommended follow-up plan. While the images provide a vital baseline, it is the surgeon’s analysis that assesses your risk and outlines the necessary steps for effective long-term skin surveillance. Understanding your mole mapping report means trusting this expert guidance.
What should I do if I have questions after reading my report?
We encourage you to contact our clinical team if any part of your report is unclear or if you wish to proceed with a recommendation. You can schedule a Harley Street mole check to discuss your skin health in detail with one of our consultant surgeons.
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