Acrochordons are harmless and do not require removal. Typical skin tags can be removed for comfort or cosmetic purposes either by scissor excision, electrocautery (burning), or cryosurgery (freezing). Skin tags with long, narrow stalks can become twisted, cutting off the blood supply and abruptly turning the tag dark brown or black. If a skin tag appears that it is changing or becomes painful, it should be examined by a dermatologist to exclude other, potentially harmful diagnoses.
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“My preferred method is snip excision (cutting off the skin tag base with sterile surgical scissors) and cautery of the base to help stop bleeding and reduces the chance of regrowth,” says Dr Yip. “This method allows multiple skin tags to be removed in the one session and is usually scarless. Extensive treatment may need local anaesthetic. Other methods used by dermatologists include cryotherapy (freezing), surgical excision and ablative laser.”
While the presence of skin tags can be unsightly and annoying there really aren’t that many reasons to remove them. If they are in locations where they get stuck in clothing or zippers you may want to have them taken off to avoid pain and bleeding. You may also want to have skin tags near the eyes removed. “Some skin tags can become very large and cause problems with vision,” said Sorensen.