Make a dermatologist appointment. The majority of skin tags are harmless, but it is best to talk with a dermatologist if you notice that the tag is darker than your skin color, large in size, or unusual in shape. If you remove the tag without consulting a professional you could lose valuable time in the event that it is a sign of a larger problem.
Skin tags are usually harmless, so treatment isn’t necessary unless the lesion causes irritation. Although home remedies and over-the-counter products are effective, inexpensive solutions, see a doctor if a skin tag doesn't respond to home treatment, bleeds, or continues to grow. Several procedures can successfully remove a skin tag with minimal pain and scarring.
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.
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.)
Skin tags themselves have a core of fibers and ducts, nerve cells, fat cells and a layer of skin surrounding it. They may have a stalk and generally look like a small piece of hanging skin. Skin tags may have a smooth surface or an irregular surface. They are often raised and either slightly brown or flesh colored. They generally start quite small and flat, like the bump on a pinhead. Sizes vary, and they can grow up to 5 cm in size. (2)
Doctors do not recommend that you snip off you skin tag yourself. "I see patients come into my office and you know they’re in pain because they've tried to clip the skin tags off themselves," says Geraghty. "Maybe part of it was left behind so it’s just having a hard time healing, or they’ve tried to do that trick where they try to tie dental floss or thread around it to strangulate the skin tag and end up killing part of the tissue but not the other, which is still hanging on. These patients will end up with a sore, red, inflamed, tender bump."
The cost to remove a mole is variable depending on the body location and nature of the mole. Some moles are best treated by excision with stitching. Flat moles that are not raised off the skin surface are a good example of this since trying to shave the mole could involve getting too deep into the skin and leave a "divot" or ice-pick type scar without suturing the area closed. Moles that are more raised off the skin can usually be shaved off but may also benefit from suturing to refine the scar/blemish that forms especially if on the face or other highly exposed areas. The cost will range from $200 - $350 depending on the technique used. One thing to always keep in mind is that a genuine mole should never be simply ablated, such as with laser, liquid nitrogen or radio-frequency without a biopsy being done first to ensure the mole is safe. Otherwise, an ablation type treatment may simply mask the remnants of the mole that is destined to form a melanoma.
Moles are pigmented skin growths, also called nevi, that can appear anywhere on the body singly or in groups. Almost all adults have at least a few and some may have up to 40. Normally appearing as a dark brown spot, a mole may also be blue, black, pink or flesh-colored or may be raised and highly visible. Some may change over time or even gradually disappear. Whatever their color or shape, most moles are harmless and cause no symptoms other than discomfort when they rub against something.
Skin tags can happen on any part of the body but are most commonly found on the neck, under arms, under the breasts and in the groin area. Why these areas? “It is thought that they are related to chronic friction, which is why they are more common in overweight or obese persons,” said Sorensen. “Higher levels of growth factors (like during pregnancy), insulin resistance (more common in people with diabetes) and possibly a genetic component also could all play a part as well.”
Insulin resistance, which may lead to type 2 diabetes and prediabetes, may also play a role in the development of skin tags. People with insulin resistance don’t absorb glucose effectively from the bloodstream. According to a 2010 study, the presence of multiple skin tags was associated with insulin resistance, a high body mass index, and high triglycerides.