Hi,
Welcome to icliniq.com.
I understand your concern. The history and image (the attachments are removed to protect the patient's identity) appear as a scalp nevus. Scalp nevus is a mole on the scalp that may be brown to black, flat-topped or raised with or without hair growing out of the mole, asymptomatic and harmless, which appears due to the presence of clustered melanocytes that provide pigment to one's skin which is a normal phenomenon. As you have mentioned, it was not present earlier; I would like to assure you that moles may present at any time during our lifetime. Most moles appear since birth, but some may appear eventually as we grow older in new areas, including the trunk, limbs, face, and scalp. Since they are harmless, no treatment is required for them same. However, it may not be very pleasant for some individuals, which may be removed using laser therapy, where the laser beams penetrate through the skin to destroy the melanocytes. Usually, they are done in sessions till the mole appears faded. In some cases, the moles may reappear in case of a cluster of melanocytes later. But most often, they can be entirely removed with a laser. In case it is not cosmetically bothersome, they may be left untreated, and they usually get hidden due to the presence of scalp hair. I would also like to suggest you keep a check on the mole to make sure there are no changes in its appearance in terms of color, increase in size, change in the type from being flat to raised, and whether there might be presentations of symptoms of itching, pain, inflammation and spreading, etc. I would also request you consult a dermatologist to have the mole examined to rule out complications which are often helpful in case the mole is bothersome. Currently, no treatment is required as it appears as an ordinary nevus or mole which develops naturally. However, in case of any changes noted, kindly consult a doctor in person. Kindly follow up in case of further queries or after four weeks to provide details of the progress or in case of any changes in their appearance. I hope you find it helpful. Kind regards.