Although skin tags are primarily a cosmetic problem, that doesn’t mean they’re not significant enough to consult a doctor. For starters, they can still bleed when they come off, so dermatologists stress never trying to cut or pull off a skin tag on your own. One theory on skin tag removal is that tying it off with dental floss will remove it—a bad idea, according to Tanya Kormeili, MD, “This may remove the small ones, but some of the bigger ones have a larger blood supply and may become very painful as you strangulate the skin tag. They are easily removed in the office by a dermatologist.”
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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.