I've found that my dermatologist usually closes out by asking if I have any specific concerns. That's a great opportunity to ask for a more thorough skin check. However, I realize not all physicians take that kind of tine with patients. Don't ever be afraid to advocate for yourself. You are your own best defender in this fight! If a doctor balks at your requests, it might be time to ask for recommendations from friends and family for a new one. April, Skincancer.net, Moderator