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.
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).
Skin tags are soft, benign growths that usually form within the skin folds of your neck, armpits, breasts, groin area, and eyelids. These growths are loose collagen fibers that become lodged inside thicker areas of the skin. It’s unclear exactly what causes skin tags, but they may develop from friction or skin rubbing against skin. One study found a link between skin tags and obesity and type 2 diabetes. Hormonal changes in pregnancy may also contribute to skin tags.
It is important to stress that any changes in your skin, including moles and skin tags, should be looked at by your physician or dermatologist to rule out skin cancer including melanoma, basal cell carcinoma, and squamous cell carcinoma. Routinely check your skin for any changes, and photograph areas of concern so you can keep track of any variations easily.
The vast majority of skin tags are benign tumours but one study of 1,335 lesions found that four were basal cell carcinomas and one was a squamous cell carcinoma. Nevertheless, the authors suggest that the malignancy potential of skin tags is low. Patients experience few, if any, problems with skin tags although pruritus and discomfort can occur if the lesions are snagged by jewellery.
Abnormal or unsightly moles can generally be excised in a brief and straightforward outpatient procedure performed under local anesthesia by Dr. Rapaport. Dr. Rapaport has vast experience in skin cancer treatment, particularly in the treatment of malignant melanoma. Dr. Rapaport’s experience and expertise in skin cancer treatment makes him an ideal specialist for the identification and treatment of both “normal” non-cancerous moles and “abnormal” pre-cancerous moles. Along with his knowledge of skin cancer treatment, Dr. Rapaport’s aptitude for cosmetic surgery enables him to minimize the potential of an unsightly scar formation during the mole removal.
Simply thinking about having a mole removed might send a few shivers down your spine, but sometimes it’s just necessary for your health, Gary Goldenberg, M.D., assistant clinical professor of dermatology at the Icahn School of Medicine at Mount Sinai Hospital, tells SELF. If, for example, you have a mole that your doctor suspects or has confirmed through a biopsy is cancerous, excising the mole can help to stop any cancer from potentially growing more. But people also have moles removed for cosmetic reasons or because they’re simply annoying, like if one falls just under your bra strap and always gets irritated, Dr. Goldenberg says.
Aside from genetic predisposition, UV exposure causes most moles to develop. This provides you with the opportunity to minimize your risk of new moles by practicing healthy sun habits. Moles result from all UV exposure, not just from a sunburn or excessive time in the sun. To minimize the chance that sun damage will cause new moles – or skin cancer – to develop on your body use broad-spectrum sunscreen on a daily basis, and avoid indoor tanning.
Skin tags are thought to occur from skin rubbing up against skin, since they are so often found in skin creases and folds. Studies have shown existence of low-risk HPV 6 and 11 in skin tags, hinting at a possible role in its pathogenesis. Acrochorda have been reported to have a prevalence of 46% in the general population. A causal genetic component is thought to exist. They also are more common in women than in men. Acrochorda were once thought to be associated with colorectal polyps, but studies have shown no such connection exists. Rarely, they can be associated with the Birt–Hogg–Dubé syndrome, acromegaly, and polycystic ovary syndrome.
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.
The punch biopsy has been done, and now the area has the mole in the middle but not yet removed. It will be taken out with forceps (a tweezer-like instrument) and put in a specimen bottle to be sent to the lab for analysis. It is important that every mole be sent for analysis in order to make sure that no atypical cells remain or that it isn't a precancerous type of mole. Photo courtesy Joel Schlessinger, MD, Board Certified Dermatologist, lovelyskin.com.Click to view larger image.
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.
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.
So you’ve decided that your skin tag is bothering you. As long as the tag is not infected or near a sensitive area, you can treat it yourself at home. Below, you can read about three of the best skin tag removal methods that you can try in the comfort and convenience of your own home. The fourth method is not recommended for home use, though many still attempt to try it despite its dangers.
My skin tags, of course — like the skin tags of millions of people — were fine. They didn’t irritate or bother me, though some doctors mentioned them getting twisted in necklace or irritated by rubbing on clothing. When that happens, or for cosmetic reasons, skin tags are easily removed. “There are several methods of removal — clip them with sharp scissors; freeze them with liquid nitrogen; or burn them off with heat,” meaning cauterize them, Dr. Besser says. (All of this should be performed by a medical professional, not at home.)
A skin tag, or acrochordon (pl. acrochorda), is a small benign tumor that forms primarily in areas where the skin forms creases (or rubs together), such as the neck, armpit and groin. They may also occur on the face, usually on the eyelids. Perianal skin tags can be associated with Crohn's disease. Acrochorda are generally harmless and painless and usually do not grow or change over time. Though tags up to a half-inch long have been seen, they are typically the size of a grain of rice. The surface of an acrochordon may be smooth or irregular in appearance and is often raised from the surface of the skin on a fleshy stalk called a peduncle. Microscopically, an acrochordon consists of a fibrovascular core, sometimes also with fat cells, covered by an unremarkable epidermis. However, tags may become irritated by shaving, clothing, jewellery or eczema.
Someone should have told me all this and urged me to get my blood sugar checked immediately. A standard physical a few years later (I wasn’t doing them regularly like I should have been; I was young and stupid) in fact revealed that my fasting blood sugar levels were high. The skin tags could have been a clue. A study published in March 2017 in the journal Dermatology Review found that nearly 42 percent of patients with skin tags fulfilled the criteria for metabolic disease. About 37 percent of the participants had abnormally high glucose tolerance tests.