Most doctors recommend removal of skin tags only when they are irritated or a source of discomfort, or if they constitute a cosmetic problem. Skin tags can be easily removed in the doctor's office by tying or cutting them after injecting a small amount of a local anesthetic. Freezing, a technique sometimes used to remove warts or other benign lesions of the skin, is also sometimes performed for the removal of skin tags.
But that doesn’t mean you should completely ignore skin tags. David Lorschter, MD, founder of Curology and a board-certified dermatologist in San Diego, notes there are exceptions. He says people with a genetic disorder called basal cell nevus system (BCNS) usually exhibit spots of basal cell skin cancer that look like — you guessed it — skin tags. Therefore, people with BCNS should have their skin tags biopsied and screened for cancer on a regular basis.
Cutting the skin tag off. Most doctors prefer to remove a skin tag by cutting it off quickly in office. The procedure will begin with cleaning the area with an antiseptic solution. Depending on the size and location of the skin tag, the doctor may rub a numbing solution on your skin. Then, the doctor will use a very sharp tool to simply slice the tag away. The area will be cleaned again and a bandage will be applied. You can expect to feel very little pain during the procedure. Most only feel a pinprick sensation. Occasionally. tag removal may require the doctor to stitch the resulting wound. (5)
Many people who develop skin tags simply choose to leave them alone. If, however, you find a skin tag unsightly or find that it’s becoming irritated by shaving or rubbing on clothing or jewelry, you can have it removed by a doctor. The two most common methods are cryotherapy, in which the tag is taken off using a freezing solution, or cauterization, in which the tag is burned off. There are also home kits available (similar to wart removal kits), but they may only be appropriate for certain small tags. Consult your healthcare provider for advice, especially if the tag is large (in which case a biopsy may be taken), or it is near your eye.
Dr. Lam performs careful mole removal based on the type of mole one has. If the mole is relatively flat and not very unsightly, he may elect to cauterize it off to minimize the cost and recovery compared to a surgically incised mole removal. However, if the mole is elevated and/or unsightly, he may excise the mole to ensure that it is properly eradicated since cautery can lead to recurrence. As seen in the Figure, elevated moles have a portion that remains under the skin that will lead to recurrence if not excised, so cauterization of raised moles most oftentimes fails.
Moles can be removed a number of ways, most commonly by numbing the area and then shaving them off or cutting them out and closing the area with stiches. The method of removal is determined by a number of factors including appearance, size, location, and type of mole. For example, if a mole is just bothersome because it is raised, shaving it flat is usually the best approach. Similarly, if a mole is abnormal appearing and small, it also is typically shaved. Conversely, moles that are growing irritated hairs are usually best treated with complete removal and closure with stiches. Moles can grow back after shaving (and occasionally even after removing and closing area with stiches).
The last issue to consider with the cost of mole removal is the charge for pathology. All moles, no matter how benign they may appear, should be sent for pathological study to confirm their histology. Finally, mole removal is basically elective and cosmetic when the mole appears clinically benign;however, if your dermatologist has suspicions or doubts regarding the benignity of the mole, then he is performing a medically indicated excisional biopsy.
How should anal skin tags be removed? A skin tag is a noncancerous growth of excess skin. Anal skin tags are typically small and may go unnoticed but can sometimes cause embarrassment or discomfort. We explore whether at-home removal techniques are safe for skin tags located around the anus. Also, learn about the risks and when to contact a doctor. Read now