I Worried About How My Son's Large Birthmark Would Change Who He Was

My son was born with a large brown birthmark on his neck. We didn’t notice it much at first. For the first few months of his life, the birthmark was light pink, and looked like a slight discoloration around his neck. But as the months went on, it darkened and definitely appeared to be a “thing.”

When I showed it to his pediatrician, I assume he’d say that it was a birthmark and that it would disappear in time. My younger sister had a strawberry birthmark (hemangioma) on her forearm as a young child, and it disappeared as she got older: I thought it would be the same for my son. His pediatrician told us that he couldn’t diagnose it, but that it didn’t look like the kind that disappears over time.

We took our son to a pediatric dermatologist when he was about a year old. The doctor examined the birthmark and told us that it was a congenital nevus. “It grows as your child grows,” he said. He told us that the only way to remove it would be through surgery — likely several surgeries. It was the kind of birthmark that needed to be excised; not even laser treatments could remove it.

My heart sank. The idea of removing the skin on my little child’s neck sounded terrifying. “Do we need to remove it?” I asked. The doctor explained that this would be something we could decide as our child got older. Some children are comfortable with it, he said. The more we are able to normalize it for our son, and teach him that it’s a special part of him, the better.

This plan worked for some time. Yes, there were times that my son had to deal with some less than polite peers — like the time a fellow preschooler asked if he had poop on his neck. But for the most part, my son learned to live with it. One of my biggest concerns was bullying at school, but aside from that one remark, most kids would simply ask him what it was, he would tell them, and then they’d just accept it for what it was.

The plan of my son embracing his birthmark as something unique seemed to be working. When he was 5 or 6, I remember asking him if he’d like to get it removed someday, just so people would stop asking him what it was. He quickly responded, “I love my birthmark. It’s what makes me special.”

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