The exact cause of a halo nevus is not fully understood, but it’s linked to the immune system attacking pigment cells in and around a mole. Genetics, vitiligo, autoimmune conditions, and UV exposure may all play a role. The result is loss of pigment around the mole, forming the white halo.
On its own, a halo nevus is considered safe and does not significantly increase your melanoma risk. The main concern is when a mole inside a halo looks atypical or starts changing quickly. Any rapid change, new symptoms, or very irregular features should be checked by a dermatologist.
Most halo nevi don’t need any treatment and can simply be monitored over time. If a mole looks suspicious, is repeatedly traumatized, or changes in a worrying way, surgical removal with histology is recommended. Destructive methods like laser or freezing are not ideal because they destroy the tissue needed for proper examination.