Skin Tag Removal

Skin tags, medically known as acrochordons, are small, soft growths that hang off the surface of the skin. They are typically flesh-colored or slightly darker and may be smooth or slightly wrinkled. Most skin tags are attached to the skin by a thin stalk called a peduncle, which gives them their characteristic dangling appearance.

These growths most often develop in areas where skin rubs against skin or clothing. Common locations include the neck, underarms, eyelids, groin, beneath the breasts, and along skin folds. While a single skin tag may appear on its own, many people develop multiple lesions over time.

Skin tags are not contagious and are not considered cancerous. However, any new or changing growth should be evaluated by a dermatologist to confirm the diagnosis and rule out other conditions that can resemble a skin tag.

Hormonal influences may also contribute, which is why skin tags frequently appear during pregnancy. Genetics can be a factor, as some individuals are more prone to developing them.

Skin tags are more frequently seen in adults, particularly after middle age. They are also more common in individuals with obesity or metabolic conditions. Even so, they can occur in people of all body types and ages.

Although they are medically harmless, skin tags can bleed if twisted or pulled. Larger lesions may become painful if they are repeatedly irritated. In these cases, removal is often recommended.

Diagnosis is typically straightforward. During a consultation, Dr. Richey examines the growth visually and may gently palpate the area. Skin tags have a distinct appearance and texture that differentiate them from warts, moles, or other benign lesions.

Skin tag removal is a quick outpatient procedure performed in the office. The choice of method depends on the size, location, and number of lesions, as well as patient preference.

• One common technique is snip excision. After cleansing the area, Dr. Richey carefully removes the skin tag at its base with surgical scissors. This method provides immediate results and is particularly effective for pedunculated lesions.
• Cryotherapy is another option for small skin tags. In this technique, liquid nitrogen is applied to freeze the skin tag. The extreme cold destroys the tissue, and the lesion typically falls off within several days.
• Occasionally, the base of the skin tag will need to be cauterized after removal. This helps seal blood vessels to prevent any bleeding.

Over-the-counter remedies and home removal attempts are strongly discouraged, as they can lead to infection, scarring, incomplete removal, or misdiagnosis of a more serious condition.

Recovery is generally uncomplicated. Most patients experience mild redness or tenderness at the treatment site for a few days. If a larger skin tag is removed, there may be a small superficial wound that forms a scab as it heals.

Patients are usually advised to keep the area clean and dry. A simple bandage may be applied initially, especially if the site is in a location prone to friction. Healing typically occurs within one to two weeks, depending on the size and depth of the lesion.

Scarring is uncommon when the procedure is performed by a board-certified dermatologist. In most cases, any mark left behind fades over time and becomes barely noticeable.

When properly performed, skin tag removal is highly effective. The treated lesion does not grow back once it has been completely removed. However, removal does not prevent new skin tags from forming in other areas. Individuals who are prone to developing them may notice additional lesions over the years.

The procedure offers immediate cosmetic improvement and relief from irritation. For patients who are bothered by the appearance of skin tags or who experience repeated snagging and bleeding, removal can significantly improve comfort and confidence.