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What kids should know about kinds of birthmarks

There are two main types of birthmarks: pigmented birthmarks and vascular birthmarks.

Pigmented birthmarks

Pigment is a fancy word for color. These types of birthmarks happen when you have more pigment in one part of your skin. It's like a spot on your skin. The types of pigmented birthmarks are:


If you are born with a mole, it is considered a birthmark. People often call these birthmarks "beauty marks." But not all moles are birthmarks.

Moles usually are small, round brown spots (no bigger than about the size of a pencil eraser), but they sometimes can be larger and can be different colors. They can be pink, skin-colored or black. Some are flat and smooth; others are raised above the skin like a slight bump. Some moles go away, but you also might get more moles on your body as you get older.

If you notice a mole that itches or bleeds, or if it looks a lot different than your other moles, ask your parents to take you to the doctor. It is important to have it checked out and make sure it's OK. 

Some moles are birthmarks

If you're born with a mole, it might be a birthmark. If your mole itches or bleeds, tell your parents.

Mole on child's skin

Cafe-au-lait spot 

Cafe-au-lait (pronounced cafay oh lay) is French for "coffee with milk," which is the color of these spots, kind of light brown, when they're on light skin. On dark skin they can be the color of black coffee. They can be small or big and often are oval-shaped. The spots might fade as you get older, but they probably won't go away totally.

Café-au-lait spots

These birthmarks are often light brown in people with lighter skin, and dark brown in people with darker skin. They can fade as you get older.

Café-au-lait spot on child's face

Mongolian spots

These types of spots are kind of gray-blue. They mostly turn up on the backs or bottoms of babies with darker skin. They can look like bruises. Sometimes they fade away, but sometimes they don't. 

Mongolian spots look like bruises

These birthmarks can appear on your back or your bottom.

Mongolian spot on buttocks

Vascular birthmarks

Your heart and blood vessels — the little highways that move blood through your body — are your vascular system. Sometimes a bunch of extra blood vessels will clump together, and you can see this clump in your skin. This is called a vascular birthmark. More than one in 10 babies has this type of birthmark. The different kinds are:

Salmon patches

These marks are flat and kind of pink or red (like salmon). If you get them on your face, people call them "angel's kisses." If you get them on the back of your neck, they're called "stork bites" (red spots that look like bite marks — they're not, of course). Sometimes they fade away, but sometimes they don't.

Salmon patch

These birthmarks are sometimes called angel's kisses or stork bites.

A baby with a salmon patch birthmark on face


It's a big word (pronounced he-man-gee-oh-ma), and sounds scary, but these birthmarks are usually harmless.

There are two types: the kind that shows up on top of your skin and the kind that is deep in your skin. The ones on top are called strawberry hemangiomas because they're bright red and look like the fruit. Deep hemangiomas are bluish-purple and make the skin swell and bulge. This kind shows up after a baby is born.

For the first year, both types can get bigger and bigger, which can look a little scary to parents. The good news is they usually start shrinking. Most hemangiomas become flat by age 10, and many become flat even earlier. They can leave a light mark behind.


These birthmarks might look scary, but they're almost always harmless.

Strawberry hemangioma birthmark over baby's eye

Port-wine stains

These marks often show up on the face, and they're the color of wine or grape juice: pink, red or purple. They don't go away on their own and can get bigger as kids grow. 

Port-wine stains

These birthmarks look like a splash of grape juice on your skin.

Port-wine stain on a child's arm and upper chest

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