Location of the unpigmented spots is dependent on the migration of melanoblasts (primordial pigment cells) from the neural crest to paired bilateral locations in the skin of the early embryo. The resulting pattern appears symmetrical only if melanoblasts migrate to both locations of a pair and proliferate to the same degree in both locations. The appearance of symmetry can be obliterated if the proliferation of the melanocytes (pigment cells) within the developing spots is so great that the sizes of the spots increase to the point that some of the spots merge, leaving only small areas of the white background among the spots and at the tips of the extremities.