There are two types of cauterization that can be applied, which are electrocautery and chemical cautery. You can guess from the names of them. Electrocautery is burning off skin tissue with a thin metal bar from the heat of electric current; whereas chemical cautery is the use of chemical reactions on the skin so that you can get rid of small lesions. However, due to its ability to affect surrounding areas of the wounds, chemical cauterization is not always recommended for removing skin tags.
There are several scar remedies on the market, including Kinerase Scar Healing Therapy, Skin Medica Scar Recovery Gel, Mederma Skin Care for Scars, Avene Cicalfate Restorative Skin Cream, Kelo-Cote Advanced Formula Scar Gel, and many others. These all have the common feature of covering a scar and providing a healing membrane during and after the initial procedure. These provide little or no benefit over petrolatum alone.
"If the skin tags are a little bigger or they have more of a thicker stalk at the bottom, then I like to just do a miniature injection of lidocaine to numb the skin and just snip them right off with some very sharp sterile scissors. It only takes a second to do," says Geraghty. "Even with that method I usually do a little bit of cautery after to burn the base because these skin tags have their own blood vessel supply. Burning the base also puts a little scab on it."
I'm happy to say this product worked great on one large brownish raised mole which is the one I most wanted to be gone. PTL! I was faithful in its application as directed to this mole and a couple others that weren't the same in size or color. Unfortunately I still have the others but will continue to apply and see what happens. To me this product was worth it just to get rid of the one big mole without going to the doctors office and having it cut off and have stitches leaving a scar. * - Chandra
Other skin conditions such as warts and moles can resemble skin tags. Since some moles may be cancerous, it’s best to have your skin tags examined by a doctor. Your dermatologist or family doctor will be able to diagnose skin tags. They’ll likely do this through a visual exam. If they have any doubt about the diagnosis, they may also perform a biopsy.