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."
Create a mixture of four to six drops of coconut oil and two to three drops of oregano oil and apply this directly to your skin tag three times a day. This should dry out the skin tag so that it falls off on its own. Make sure to always use a carrier oil to dilute the oregano oil or else you risk redness and irritation. This oil also must never be used near your eyes.
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Certain endocrine syndromes, metabolic syndrome, and hormonal imbalances. Researchers have found that certain hormone-related syndromes, including polycystic ovarian syndrome and metabolic syndrome, may be related to skin tags. In fact, a small study of 110 patients with skin tags found 70 had diabetes. Additionally, researchers noted that patients with skin tags also had higher blood pressure. (4)
Dr. Lam performs careful mole removal based on the type of mole one has. If the mole is relatively flat and not very unsightly, he may elect to cauterize it off to minimize the cost and recovery compared to a surgically incised mole removal. However, if the mole is elevated and/or unsightly, he may excise the mole to ensure that it is properly eradicated since cautery can lead to recurrence. As seen in the Figure, elevated moles have a portion that remains under the skin that will lead to recurrence if not excised, so cauterization of raised moles most oftentimes fails.
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.”
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.