Early detection of melanoma is crucial to improve survival [1]. Melanoma may be clinically but also dermoscopically indistinguishable from other pigmented skin lesions, especially in incipient and small lesions [2]. Several strategies such as the ABCD(E) acronym [3,4], the “ugly duckling sign” [5] or the EFG [6], just to mention a few, have been proposed to enhance clinical recognition of atypical lesions that should undergo excision or close monitoring, but it usefulness in the detection of melanoma at a curable stage is questionable since only evolved lesions fulfil clinical criteria [7,8]. Dermoscopy has shown to improve melanoma detection by allowing the visualization of diagnostic criteria not visible to the naked eye, and its routine use for the evaluation of skin lesions is recommended in most of the clinical guidelines worldwide [9]. The use of sequential digital dermoscopy for the comparison of current and previous images in search of subtle changes over time has shown to be helpful in the diagnosis of early melanomas that might lack of specific criteria for malignancy [10]. Herein we present a series of melanomas located on the leg with a diameter less than 5 mm measured on relaxed skin before excision. This study reports the dermoscopic clues for early recognition of these lesions and highlights importance of weighing the personal and familial history as well as the clinical context.