Your skin is the heaviest organ in the body and takes up about 16 percent of your total weight.1 It serves many purposes, such as protecting your internal organs from microbes and environmental heat, as well as regulating body temperature.2 But due to its size and breadth, there's a chance that growths can unexpectedly form. One common example found among adults is skin tags.
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Michelle Nguyen, a dermatologist and the director of Mohs micrographic surgery at Tufts Medical Center in Boston, tells Allure that what we call skin tags are really just benign skin lesions composed of normal skin tissue. New York City dermatologist Joshua Zeichner adds that skin tags, comprised of extra skin and fat, can happen to anyone. There is, however, a genetic component to them, and people whose parents had them are more likely to get them themselves.
Skin tags themselves have a core of fibers and ducts, nerve cells, fat cells and a layer of skin surrounding it. They may have a stalk and generally look like a small piece of hanging skin. Skin tags may have a smooth surface or an irregular surface. They are often raised and either slightly brown or flesh colored. They generally start quite small and flat, like the bump on a pinhead. Sizes vary, and they can grow up to 5 cm in size. (2)

The cost to remove a mole is variable depending on the body location and nature of the mole. Some moles are best treated by excision with stitching. Flat moles that are not raised off the skin surface are a good example of this since trying to shave the mole could involve getting too deep into the skin and leave a "divot" or ice-pick type scar without suturing the area closed. Moles that are more raised off the skin can usually be shaved off but may also benefit from suturing to refine the scar/blemish that forms especially if on the face or other highly exposed areas. The cost will range from $200 - $350 depending on the technique used. One thing to always keep in mind is that a genuine mole should never be simply ablated, such as with laser, liquid nitrogen or radio-frequency without a biopsy being done first to ensure the mole is safe. Otherwise, an ablation type treatment may simply mask the remnants of the mole that is destined to form a melanoma.
These benign growths often appear on the folds of the skin where moisture and friction are common. This includes under arms and in the armpit region, on the neck, under the breast, near the genitals, on eyelids, or on the torso. While they can be irritated by clothing or jewelry, they typically are painless. Rarely, if a skin tag is twisted, a small blood clot can develop, which may make it tender or painful.
If you are wanting a mole removed for cosmetic reasons, it is important you first consult with a board certified dermatologist to ensure the mole is not concerning for melanoma. Once the mole has been assessed and deemed to appear benign on clinical inspection, a discussion should be had on whether a shave removal, punch biopsy or excision would have the best cosmetic outcome.  With elevated moles a shave removal is usually performed which can leave a good cosmetic result in most cases.  For flat moles, punch biopsy or excision is usually performed, but you should have a discussion with your dermatologist on whether the scar or mole will be more cosmetically appealing.  At our office, shave removal of one mole is typically quoted at $138 to $200.  Lastly, it is important the mole be sent for pathology to a board certified dermatopathologist.  Pathology is charged separately by the dermaopathologist with prices ranging from $100 to $300.
At Florida Skin Center, we specialize in a number of techniques that enable patients to achieve safe, effective mole removal. First, we offer a skin biopsy. This removes cells or skin samples from the surface of the body, which are examined to provide additional information about your medical condition or to remove an unwanted or suspicious lesion. Topical anesthetic is applied to the area before the biopsy to minimalize any discomfort during the procedure. Finally, we also offer excision mole removal, which involves cutting the mole off of the skin. At Florida Skin Center, these procedures can be performed the same day as your appointment, for your convenience.
Skin tags themselves have a core of fibers and ducts, nerve cells, fat cells and a layer of skin surrounding it. They may have a stalk and generally look like a small piece of hanging skin. Skin tags may have a smooth surface or an irregular surface. They are often raised and either slightly brown or flesh colored. They generally start quite small and flat, like the bump on a pinhead. Sizes vary, and they can grow up to 5 cm in size. (2)

Moles are pigmented skin growths, also called nevi, that can appear anywhere on the body singly or in groups. Almost all adults have at least a few and some may have up to 40. Normally appearing as a dark brown spot, a mole may also be blue, black, pink or flesh-colored or may be raised and highly visible. Some may change over time or even gradually disappear. Whatever their color or shape, most moles are harmless and cause no symptoms other than discomfort when they rub against something.
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Some other studies have suggested that skin tags may be associated with thyroid problems. An article published in December 2016 in the Journal of Evolutionary Medicine found that about 11 percent of people with thyroid issues had achrocordons, or skin tags. These patients tended to have a higher number of thyroid nodules and thyroid volume. This, they hypothesize, is because “skin tags and thyroid changes may be associated with high levels of circulating insulin.”
Tie it off. You can use fishing line, dental floss, or a thin cotton string in this method. Tie the string around the base of your skin tag. Tighten the tie until it is firm, but not painful. Snip off the excess and leave the string in place. Your skin tag should fall off due to lack of circulation. This is a version of what doctors can perform in their office using sterile tools.[24]
One final cost is pathology to determine if the mole is cancerous or precancerous. This isn't usually necessary if the mole has been there a very long time. If the mole is new, has changed recently, or has other suspicious features like bleeding, your health insurance should cover the cost of removal and pathology. If you don't have insurance or if you prefer to have a mole sent even when it's being removed for purely cosmetic reasons, then pathology will cost an additional $125-200.
Create a mixture of four to six drops of coconut oil and two to three drops of oregano oil and apply this directly to your skin tag three times a day. This should dry out the skin tag so that it falls off on its own. Make sure to always use a carrier oil to dilute the oregano oil or else you risk redness and irritation. This oil also must never be used near your eyes.
If patients have a large number of skin tags or if the lesions are bothersome, then GP treatments include cryotherapy (with liquid nitrogen), surgical excision or burning off the skin tag with a Hyfrecator (an electrosurgical device). Both surgical excision and hyfrecation give instant results. With cryotherapy patients will often need a few treatments before the lesions completely clear.
While skin tags can appear just about anywhere, they're especially common in parts of your body that rub against clothing or skin. Skin tags are most common on the neck, armpits, groin, and eyelids. They also may appear on the chest and back and in skin creases. Women are likely to develop skin tags under the breasts, where the underwire of a bra may rub against the skin.
Most people choose to remove them for cosmetic reasons, especially skin tags that surface on the neck, eyelid, or face. In rare cases, a skin tag can get irritated and infected. In that case, skin tag removal is the best course of action to prevent infection from reoccurring. But, what causes them? And once you have them, you need to know how to get rid of skin tags. We’ll explain it all.
If the skin tag is very small, the first thing Geraghty does is spray the bump with cold liquid nitrogen, a non-toxic substance. It's sprayed out of a can and is approximately -320 degrees Fahrenheit. “We direct this very cold spray of gas onto the spot for a few seconds, then we take a break and then we do a few seconds more and usually that’s enough to make the skin tag fall off within a few days,” said Geraghty.
Researchers have noticed that people with diabetes and insulin resistance are more likely to have multiple skin tags. Obesity seems to increase the risk, too. Studies have found that the heavier people are, the more skin tags they are likely to have. That may be because skin tags are more likely to pop up in folds of skin that rub against each other.
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While the unpredictability of skin tags might give off the impression that they’re uncontrollable, this isn’t entirely true. Laura Korb Ferris, MD, says that skin tags are more common in overweight or obese people, and are also associated with insulin resistance and diabetes. As such, maintaining a healthy weight may help reduce skin tag trouble. Basically, think of tags as a barometer of your health. If you live a poor lifestyle, eat a lot of saturated fats, consume too much sugar, and maintain an unhealthy BMI, your body could be alerting you there’s a problem.
These small (often) flesh-colored benign growths can develop anywhere on the face or body. And both men and women (of all ethnicities) are vulnerable to the condition. You may not even be aware that you have skin tags. The problems begin when they’re easy to see, form in a cluster or they grow in size. They can also become irritated, infected or blood-filled.

Let the doctor cut off your tag's blood supply. With this method, called ligation, your doctor will apply a small band to the base of the tag. This will cut off the blood supply to the upper portion of the tag and cause it to die and fall off your skin. The process can take up to a few days and, depending on the size and location of the tag, may be a bit more painful.
Congenital nevi are moles that are present at birth. Congenital nevi occur in about one in 100 people. These moles are slightly more likely to develop into melanoma (cancer) than are moles that appear after birth. A mole or freckle should be checked if it has a diameter of more than a pencil eraser or any characteristics of the ABCDEs of melanoma (see below).
And here’s an interesting tidbit to know: “In typical practice, every single mole that is removed is also examined under the microscope, so often we may use the terms ‘mole removal’ and ‘biopsy’ interchangeably,” Jules Lipoff, M.D., assistant professor of dermatology in the Perelman School of Medicine at the University of Pennsylvania. “Even if a patient is having a mole removed ostensibly for cosmetic reasons, it is prudent to evaluate the pathology regardless,” he explains. “We wouldn’t want to miss something.”
Other skin conditions such as warts and moles can resemble skin tags. Since some moles may be cancerous, it’s best to have your skin tags examined by a doctor. Your dermatologist or family doctor will be able to diagnose skin tags. They’ll likely do this through a visual exam. If they have any doubt about the diagnosis, they may also perform a biopsy.
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