How to Check Your Own Skin: The ABCDE Guide

Health Hub · Skin cancer

Nobody sees your skin more often than you do. Cancer Council recommends getting to know your own skin and checking it regularly, so you can notice a new or changing spot. Your GP can advise how often to self-check based on your personal risk. Here is how to do a proper self-check, and what to look for.

Key points

  • ✓Check your whole body regularly, in good light, at an interval advised by your GP
  • ✓Use a full-length mirror plus a hand mirror, or ask someone to help
  • ✓Include scalp, ears, soles, between toes, and under nails
  • ✓Use the ABCDE guide for moles, and watch for sores that do not heal
  • ✓Anything new, changing or odd: book a spot check rather than wait

How to do a skin self-check

Undress fully and work through your skin systematically so nothing is missed: face, ears and scalp (a comb and a hand mirror help, or ask your hairdresser what they can see), neck, chest and trunk, both arms including armpits and palms, then legs, feet, soles, between the toes and under the nails. Use a full-length mirror with a hand mirror for your back, or better, ask a partner or family member to check the areas you cannot see. Doing it the same way each time makes changes easier to spot.

The ABCDE guide

A
Asymmetry
One half of the spot does not match the other.
B
Border
Edges that are irregular, scalloped or poorly defined.
C
Colour
More than one colour, or uneven colour through the spot.
D
Diameter
A spot that is growing, particularly beyond about 6 mm.
E
Evolving
Any change in size, shape, colour or feel, or a spot that itches or bleeds.

There is one more informal sign worth knowing: the ugly duckling. Most of a person’s moles resemble one another, so a spot that looks or feels different from all your others deserves attention even if it does not tick an ABCDE box.

Children silhouetted against a Queensland sunset
Lifetime sun exposure on the Fraser Coast starts early, which makes the self-check habit worth building.

What the ABCDE rule does not cover

ABCDE is designed around melanoma-type changes. The two most common skin cancers, BCC and SCC, often look nothing like a mole: a pearly lump, a scaly red patch, or a sore that heals and breaks down again. Our guide to the three main types of skin cancer covers what each can look like. The practical rule: any spot that is new, growing, bleeding, tender or simply not healing within a few weeks belongs in front of a GP.

Found something? Here is what to do

Do not diagnose it from the internet, and do not wait for your next routine check. Book a spot check, a quick appointment where a GP examines the specific spots you are worried about with a dermatoscope (here is how dermoscopy works). If a spot needs a definitive answer, a biopsy can usually be done promptly on site; our guide on what happens after a skin biopsy explains that process.

GP examining a specific spot with a dermatoscope at a spot check appointment
A spot check is a quick appointment focused on the exact spots you are worried about.

Self-checks work best alongside professional checks

OptimaScan total body photography platform for mole mapping at Main Street Medical Centre Hervey Bay
For higher-risk patients, mole mapping adds a whole-of-skin baseline to compare over time.

A self-check is a safety net between appointments, not a replacement for them. A full body skin check with a GP examines your skin in a detail you cannot manage at home, and for higher-risk patients, mole mapping with OptimaScan adds a whole-of-skin photographic baseline your GP compares over time. See how often you should have a professional skin check for a schedule matched to your risk.

Frequently asked questions

How often should I self-check?
Cancer Council encourages regular self-checks and prompt medical assessment of new or changing spots. There is no single interval for everyone. Ask your GP how often to check based on your risk; some higher-risk patients may be advised to check every three months or more often.
What is the 6 mm rule?
Spots larger than about 6 mm (roughly a pencil eraser) earn more attention under the ABCDE guide, but small melanomas exist. Change matters more than size alone.
I can never remember what my moles looked like. Any tips?
Photograph spots you want to track, in the same light and from the same distance, with something for scale. If you have many moles, ask your GP whether professional mole mapping is appropriate for you.

Seen something that worries you?

Book a spot check at 71 Main Street, Pialba. Consultations are bulk billed for eligible Medicare card holders, and a specific spot can usually be looked at quickly.

Book a spot check onlineCall (07) 4325 4000

This article is general information and is not a substitute for individual medical advice.

External guidance checked 7 October 2026