Congenital nevi are moles that are present at birth. Congenital nevi occur in about one in 100 people. These moles are slightly more likely to develop into melanoma (cancer) than are moles that appear after birth. A mole or freckle should be checked if it has a diameter of more than a pencil eraser or any characteristics of the ABCDEs of melanoma (see below).
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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.”
I never knew what skin tags were until about 10 years ago. They’re annoying more than anything, but I know some people who are very concerned when they have them (even if they’ve gone to the doctor and been cleared). Good to see there are a number of home remedies. Not surprised to see apple cider vinegar listed as a possible solution. If ever nature produced a universal elixir, that would be it.
Repetitive friction and wearing tight clothes may contribute to skin tags in people who are overweight. According to a medical paper written by dermatologists in Spain, an obese patient, whose job required repeating lifting of her arms, developed a pattern of skin tags along her bra straps from the constant friction. Avoiding tight clothing if you are overweight is suggested.
As far as other DIY methods for skin tag removal at home, such as applying apple cider vinegar, coconut oil, tea tree oil, etc., Geraghty notes that there's no compelling evidence to show that those therapies are effective. "You can't make tissue disappear by putting a little vinegar on it. It just doesn’t work... You really need that to physically be removed."
A biopsy usually involves taking cells or samples from the mole to be analyzed in a lab, according to the Mayo Clinic. Moles are usually just clusters of pigment cells called melanocytes, according to the Cleveland Clinic, but sometimes they can become cancerous. A biopsy helps determine if there is anything wrong with the mole, like melanoma, the deadliest form of skin cancer.
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.
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.