Dr. Shiel received a Bachelor of Science degree with honors from the University of Notre Dame. There he was involved in research in radiation biology and received the Huisking Scholarship. After graduating from St. Louis University School of Medicine, he completed his Internal Medicine residency and Rheumatology fellowship at the University of California, Irvine. He is board-certified in Internal Medicine and Rheumatology.
With smaller nevi, the growth is cut or ‘shaved’ off flush with the skin with a scalpel or surgical scissors,while larger moles may require cutting out and stitching of wound edges. Very large nevi may call for gradual removal, in which case your physician will remove a little more at each appointment until the entire growth is removed. This is a more serious procedure, calling for a skin graft from another part of the body.
Skin tags, formally known as acrochordons, are small pieces of flesh that protrude from your skin. They’re attached through a stem or stalk. Skin tags are most commonly found in folds of skin around your neck, armpits, and groin area, and usually appear in people of middle age. While these growths aren’t painful, daily movement can produce friction, which may irritate them.
However, some people also want moles removed for cosmetic reasons. Moles can be disfiguring — especially on the face. If they’re on your cheek, they distort your profile. Plus, they’re distracting (to you and others). Sometimes others stare at your mole instead of looking in your eyes during a conversation. Or maybe you see it out of the corner of your eye. If it starts to block your vision, it becomes a medical concern.
Moles are extremely common skin growths, most adults have from 10 to 40 moles, and they can develop on virtually any part of the body. They may be flat or raised, and nearly color brown, black, pink, red, white, purple, blue, or flesh colored. Most moles are non-cancerous (benign), and no cause for concern. However, a mole can sometimes develop into melanoma, a dangerous form of skin cancer.
There are several scar remedies on the market, including Kinerase Scar Healing Therapy, Skin Medica Scar Recovery Gel, Mederma Skin Care for Scars, Avene Cicalfate Restorative Skin Cream, Kelo-Cote Advanced Formula Scar Gel, and many others. These all have the common feature of covering a scar and providing a healing membrane during and after the initial procedure. These provide little or no benefit over petrolatum alone.
Some common skin tag look-alikes include benign lesions such as seborrheic keratoses, common moles, warts, neurofibromas, and a fatty mole called nevus lipomatosus. While extremely rare, there are a few reports of skin cancers found in skin tags. Skin cancers like basal cell carcinoma, squamous cell carcinoma, and malignant melanoma may rarely mimic skin tags, as described above.
Essential oils contain anti-inflammatory and antimicrobial properties that may help remove skin tags naturally. One solution that's becoming popular is the use of tea tree oil, which is a potent product derived from the Melaleuca alternifolia tree from Australia.19 This plant has been studied extensively, with research pointing out that it can help fight bacteria,20 fungi21 and viruses.22 Furthermore, other experts note that tea tree oil contains anti-inflammatory properties.23,24,25
First, the good news: Skin tags are benign and cause no symptoms. These harmless growths of skin can be right on the skin surface or seem to sprout from a thin stalk of skin and hang off the body. Also called cutaneous tags, soft fibromas, acrochordons, and fibroepithelial polyps, skin tags are mostly flesh-colored growths, although some may be darker in color.
There are no currently medically approved creams for the removal of skin tags. Skin tags are typically removed by physical methods like cutting off or tying off with dental floss. It is not advisable to use unapproved products like Dermasil, wart removers, tea tree oil, nail polish, toothpaste, or hair-removal creams like Neet or Nair. Trial uses of unapproved creams may cause irritation and possible secondary complications.
More than half if not all of the general population has been reported to have skin tags at some time in their lives. Although tags are generally acquired (not present at birth) and may occur in anyone, more often they arise in adulthood. They are much more common in middle age, and they tend to increase in prevalence up to age 60. Children and toddlers may also develop skin tags, particularly in the underarm and neck areas. Skin tags are more common in overweight people.