And here’s an interesting tidbit to know: “In typical practice, every single mole that is removed is also examined under the microscope, so often we may use the terms ‘mole removal’ and ‘biopsy’ interchangeably,” Jules Lipoff, M.D., assistant professor of dermatology in the Perelman School of Medicine at the University of Pennsylvania. “Even if a patient is having a mole removed ostensibly for cosmetic reasons, it is prudent to evaluate the pathology regardless,” he explains. “We wouldn’t want to miss something.”
Mole removal typically takes place in under an hour using a local anesthesia. Larger moles that are excised will require sutures. This treated area may feel a little discomfort, which typically goes away within a few days after the procedure. The skin will scab over and will completely heal within 2-3 weeks with proper application of topical medications.
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.”
Soft, fleshy growths that hang from the skin are commonly referred to as skin tags. Acrochordons — as they are referred to within the medical community — are not cancerous. They are generally considered a cosmetic concern, not a medical issue. They rarely cause pain or discomfort. But many people find them unsightly and want to know how to remove skin tags. (1)
I went on my way after my doctor’s appointment, relieved. But maybe I shouldn’t have been. Many doctors I've spoken to say people with obesity are more likely to get skin tags due to the increase in skin friction. I probably weighed 120 pounds (lbs) booted out in snow gear. But there are other risk factors for skin tags — factors that, if you’re suffering from them, may be worth investigating.
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."
Those who are concerned about scarring should consider seeking out a plastic surgeon as they understand the cosmetic approach to take. This is recommended especially to those who have larger moles. A plastic surgeon will focus on minimizing scarring as much as possible. Post-surgery care is especially important to create a natural, attractive outcome.
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.
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).