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.”
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.”
While the majority of skin tags are simply destroyed, sometimes tissue is sent for microscopic exam by a health care specialist known as a pathologist, who will determine the exact diagnosis and determine whether an abnormality such as skin cancer is present. Irregular skin growths that are larger, bleed, or have an unusual presentation may require pathology examination to make sure there are no irregular cells or skin cancers.
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.
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.
And I was getting them exactly where I was expected to. Michele Farber, MD, of Schweiger Dermatology Group in New York City, says they can happen anywhere, but “they are normally on the neck, underarms, [and] underneath the breasts and the groin folds.” Cynthia Abbott, MD, who works with Dermatology Affiliates in Marietta, Georgia, says that while “skin tags are an outgrowth of skin most commonly occurring due to constant rubbing and irritation,” that they “can form anywhere, but the waistline, underarms, groin, neck, and other areas of friction with necklaces and clothes are the most common locations.”
"Skin tags are these fleshy little bumps that are just annoying as can be. Skin tags can rub against clothing or get caught on jewelry and then they can get really irritated and inflamed. Some people’s skin tags even bleed. Skin tags often form in areas of friction. They'll appear around the neck, under the arms, on our thighs, even around the eyelids," says Geraghty. If you want to get rid of skin tags, read on for advice from Geraghty about how to remove skin tags at the dermatologist's office.
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What's to know about bumps on the skin? Bumps on the skin can be harmless. However, they can also point to more severe conditions, such as skin cancer. Learn all about common types of bumps found on the skin in this MNT Knowledge Center article, from skin tags to melanomas, including their causes, treatment options, and when to see a doctor. Read now