What are skin tags and why do they appear. How can you identify skin tags. Are skin tags harmful or cancerous. What are the most effective treatments for skin tags. Can skin tags be prevented or reduced.

Understanding Skin Tags: What Are They and Why Do They Occur?

Skin tags, medically known as acrochordons, soft fibromas, or fibroepithelial polyps, are benign growths that commonly appear on the skin’s surface. These small, flesh-colored bumps are connected to the skin by a narrow stalk, giving them a distinct appearance. But what causes these harmless yet sometimes bothersome growths?

The exact cause of skin tags remains unclear, but several factors have been associated with their development:

• Friction: Areas where skin rubs against skin or clothing are prone to developing skin tags.
• Age: As people get older, they tend to develop more skin tags.
• Obesity: Excess weight may increase the likelihood of skin tag formation.
• Genetics: Some individuals may be more predisposed to developing skin tags due to their genetic makeup.
• Hormonal changes: Pregnancy and certain endocrine disorders may contribute to skin tag growth.

While these factors may increase the risk of developing skin tags, it’s important to note that they can occur in anyone, regardless of age, gender, or overall health status.

Identifying Skin Tags: Symptoms and Characteristics

Recognizing skin tags is crucial for proper diagnosis and treatment. How can you identify a skin tag? Here are the key characteristics to look out for:

• Appearance: Small, soft, flesh-colored or slightly darker growths
• Texture: Smooth or slightly wrinkled surface
• Size: Usually between 2-5 mm, but can grow larger
• Shape: Often described as teardrop-shaped or oval
• Attachment: Connected to the skin by a thin stalk (peduncle)

Skin tags are most commonly found in areas where skin folds or experiences friction, such as:

• Neck
• Armpits
• Groin
• Under the breasts
• Eyelids
• Other body folds

Do skin tags cause any symptoms? In most cases, skin tags are asymptomatic. However, they may become irritated if they frequently rub against clothing or jewelry, leading to discomfort or even minor bleeding.

The Health Implications of Skin Tags: Are They Harmful?

One of the most common concerns people have about skin tags is whether they pose any health risks. Are skin tags harmful or cancerous? The good news is that skin tags are generally harmless and non-cancerous (benign) growths. They do not typically develop into skin cancer or indicate an increased risk of cancer.

However, it’s essential to note that in rare cases, the development of multiple skin tags may be associated with underlying health conditions, such as:

• Polycystic ovary syndrome (PCOS)
• Acromegaly (a hormonal disorder)
• Type 2 diabetes
• Obesity

While skin tags themselves are not harmful, their presence in large numbers may warrant a medical evaluation to rule out these underlying conditions. Additionally, it’s crucial to have any new or changing skin growths examined by a healthcare professional to ensure they are indeed skin tags and not other skin conditions that may require different treatment approaches.

Treatment Options for Skin Tags: Medical and Home Remedies

Although skin tags are benign, many people choose to have them removed for cosmetic reasons or if they cause discomfort. What are the most effective treatments for skin tags? Let’s explore both medical and home remedies:

Medical Treatments

Medical treatments for skin tags should be performed by a qualified healthcare professional, typically a dermatologist. These methods include:

1. Surgical excision: The skin tag is cut off using sterile surgical scissors.
2. Cryotherapy: The growth is frozen off using liquid nitrogen.
3. Electrocautery: The skin tag is burned off using an electrical current.
4. Ligation: The blood supply to the skin tag is cut off using a tiny band, causing it to fall off.

These procedures are generally quick, effective, and can be performed in a doctor’s office with minimal discomfort. Local anesthesia may be used for larger skin tags or sensitive areas.

Home Remedies

While medical treatments are the safest and most effective options, some people explore home remedies for skin tag removal. However, it’s important to note that these methods are not scientifically proven and may carry risks. Some popular home remedies include:

• Apple cider vinegar
• Tea tree oil
• Banana peel
• Garlic
• Over-the-counter freezing kits

Can you safely remove skin tags at home? While some of these methods may work for small skin tags, it’s generally not recommended to attempt home removal. Doing so can lead to bleeding, infection, or scarring. Always consult with a healthcare professional before attempting any home remedies.

Prevention and Risk Reduction: Can Skin Tags Be Avoided?

While it’s not always possible to prevent skin tags entirely, there are steps you can take to reduce your risk of developing them. Can skin tags be prevented or reduced? Here are some strategies that may help:

• Maintain a healthy weight: Obesity is a risk factor for skin tags, so keeping your weight in check may help reduce their occurrence.
• Avoid friction: Wear loose-fitting clothing and jewelry to minimize skin-on-skin or skin-on-fabric friction.
• Practice good skin hygiene: Keep skin folds clean and dry to reduce irritation.
• Manage underlying conditions: If you have conditions like diabetes or hormonal imbalances, proper management may help reduce skin tag formation.
• Stay hydrated: Keeping your skin well-hydrated may help maintain its elasticity and reduce the likelihood of skin tag development.

While these measures may help, it’s important to remember that some people may be genetically predisposed to developing skin tags, making complete prevention challenging.

When to Seek Medical Attention: Distinguishing Skin Tags from Other Growths

While skin tags are generally harmless, it’s crucial to be able to distinguish them from other skin growths that may require medical attention. When should you see a doctor about a skin growth? Consider seeking medical advice if:

• The growth changes in size, color, or shape
• It bleeds or becomes painful without obvious cause
• You’re unsure if it’s a skin tag or another type of skin growth
• You develop multiple skin tags in a short period
• The skin tag is in a sensitive area, such as near the eyes

A dermatologist can accurately diagnose skin tags and differentiate them from other conditions that may mimic their appearance, such as:

• Moles
• Warts
• Seborrheic keratoses
• Early-stage skin cancers

In some cases, a biopsy may be performed to rule out any malignancy, especially if the growth has atypical features or is located in an unusual area.

Living with Skin Tags: Psychological and Social Impacts

While skin tags are medically benign, they can have psychological and social impacts on those who have them. How do skin tags affect a person’s self-image and confidence? For some individuals, especially when skin tags are visible or numerous, they may cause:

• Reduced self-esteem
• Anxiety about appearance
• Discomfort in social situations
• Avoidance of certain clothing styles

It’s important to remember that skin tags are extremely common and do not reflect on a person’s health or hygiene. If skin tags are causing significant distress, consider these strategies:

• Speak with a dermatologist about removal options
• Use makeup or clothing to conceal visible skin tags if desired
• Practice self-acceptance and body positivity
• Seek support from friends, family, or a mental health professional if the impact on self-esteem is significant

Remember, your worth is not determined by your skin or any physical feature. If skin tags are affecting your quality of life, don’t hesitate to discuss your concerns with a healthcare provider.

Future Perspectives: Advancements in Skin Tag Research and Treatment

As medical research continues to advance, what does the future hold for skin tag understanding and treatment? While skin tags are generally considered a minor cosmetic concern, ongoing research may provide new insights into their formation and more effective treatment options.

Some areas of potential advancement include:

• Genetic studies to better understand hereditary factors in skin tag development
• Research into the relationship between skin tags and systemic diseases
• Development of non-invasive removal techniques
• Exploration of preventive measures based on a deeper understanding of skin tag formation

As our knowledge grows, we may see more personalized approaches to skin tag management, taking into account individual risk factors and genetic predispositions. While current treatments are generally effective, future advancements may offer even more precise, comfortable, and accessible options for those seeking skin tag removal.

In conclusion, while skin tags may be a cosmetic nuisance for some, they remain a benign and common skin condition. With proper understanding and medical guidance, individuals can make informed decisions about their management and treatment. As always, any concerns about skin growths should be discussed with a healthcare professional to ensure proper diagnosis and care.

Mayo Clinic Q and A: What are skin tags?

• By

  Cynthia Weiss

  October 18, 2021

DEAR MAYO CLINIC: I have several unsightly skin tags on different areas of my body. As I age, I notice more of these skin tags appearing out of nowhere. What are skin tags, and are they harmful? Can I do something to get rid of them myself, or do I need to see a dermatologist?

ANSWER: Skin tags are common, and, as in your situation, they can become even more common as people age. It is not known what causes skin tags, but the good news is they are not cancerous and do not pose other health concerns.

The technique for removing skin tags is simple and usually effective. To avoid unnecessary health risks, however, skin tag removal should be performed under the guidance of a physician. Occasionally, an ophthalmologist may have to remove skin tags close to an eyelid. It is not recommended that people attempt home remedies.

Skin tags, also called acrochordons, soft fibromas or fibroepithelial polyps, are small noncancerous, or benign, skin growths. Usually, they are flesh-colored bumps of tissue connected to the skin’s surface by a narrow stalk. The color, texture, size and width of the base can vary.

It may be valuable to talk to a dermatologist about the growths to diagnose whether you have skin tags or another skin disorder that can mimic the appearance of a skin tag. These include benign conditions such as moles, warts and seborrheic keratoses, as well as malignant skin cancers, including melanomas.

Also, in rare cases, development of multiple skin tags may be a sign of an underlying hormonal or endocrine syndrome, such as polycystic ovary syndrome or acromegaly. So medical evaluation is always recommended before treatment.

Friction can play a role in the development of skin tags. Commonly, they are located where skin rubs against skin or clothing. Frequently, they develop on the neck, underarms and eyelids, as well as within body folds, such as under the breasts or in the groin area. In some cases, skin tags seem to be associated with obesity, and genetic factors also appear to play a role. Unfortunately, there’s no way to minimize the risk of developing skin tags.

Most skin tags don’t cause symptoms, unless they are repeatedly irritated by rubbing against jewelry, clothing or other items. The tags are harmless, but they won’t go away without treatment. Reasons for treatment include irritation of a skin tag or if you don’t like the way the skin tag looks.

In some cases, after removal, a specimen may be submitted to a pathology laboratory to rule out the possibility of skin cancer.

If the diagnosis is a benign skin tag, treatments include removal with sterile surgical scissors; freezing with liquid nitrogen; and electrical burning, or cautery. These treatments often can be completed with minimal discomfort. Small tags usually are removed easily without anesthesia, while larger growths may require some local anesthesia prior to removal. For multiple tags, applying an anesthetic cream before the procedure may help. If the skin tag is large or has a broad base, a physician may decide that removal by surgical excision is necessary.

Removal of skin tags is not completely without risk. A skin tag can be removed immediately in the office with surgical scissors or excision, but minor bleeding or a local infection could occur. With freezing or burning, the skin tag may require a short time to fall off, and these procedures have a risk of skin discoloration — darkening or lightening — following the procedure. Sometimes, repeat treatments are necessary if the tag doesn’t fall off or it grows back, or if new tags grow in other areas.

If you’re interested in having skin tags removed, talk to your primary health care provider about the best option for you. Perhaps the condition can be treated during an office visit. Or you may be referred to a dermatologist for evaluation. Simple, effective treatments are available. — Dr. Jason Sluzevich, Dermatology, Mayo Clinic, Jacksonville, Florida

****************************

Related Articles 

• Consumer Health: Treating polycystic ovary syndrome published 5/11/21
• Consumer Health: What do you know about melanoma? published 5/3/21
• Mayo Clinic Q and A: What are seborrheic keratoses? published 10/8/19

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Skincare FAQs | What causes skin tags?

Skin tags are common growths that develop on the surface of the skin. In most cases, people who develop one skin tag are significantly more likely to develop multiple skin tags. While they’re not typically harmful, they can have an unwanted appearance or be uncomfortable and irritating. According to Dr. Stephen Matlock of U.S. Dermatology Partners in Joplin, Missouri, “The main problem with skin tags is usually the locations where they develop. While these skin growths don’t necessarily present a danger to your skin health or overall well-being, they can be uncomfortable and unwanted. If you’re dealing with one skin tag or you have a chronic issue with skin tags, a dermatologist can help you address these issues to keep your skin looking and feeling its best. ” If you’re interested in learning more about just what skin tags are, what causes them, and how to treat them, keep reading or reach out to Dr. Matlock and the U.S. Dermatology Partners team near you to learn more.

What Exactly Is a Skin Tag?

Skin tags are small growths that protrude from the surface of the skin. They are usually small, thin, cylindrical-shaped protrusions of skin that match natural skin tone or may be a shade or two darker. Usually very small, about the size of a grain of rice or pebble, they can grow larger if not removed. Individuals may develop single or multiple skin tags. These soft tags of skin are malleable, meaning they can be moved around easily without giving much resistance or causing any discomfort.

Skin tags most often develop in areas where there is excess skin that folds or sags, causing friction as the skin rubs together. Skin tags may also develop in areas that receive repeated friction against the skin. For instance, people may develop skin tags along the neck or chest where seatbelts or bag straps rub against the skin. While skin tags are completely benign, they may be irritating, and can get caught in jewelry or clothing causing discomfort or bleeding.

Skin tags are sometimes mischaracterized as other common skin conditions, including moles and warts. While these growths may look similar, some important differences set skin tags apart from moles and warts. The most significant difference is that moles and warts can both be warning signs of more serious health issues, but skin tags are almost always completely benign. Moles are usually a different color than the rest of the skin. In most cases, moles are darker in color, but they may also be red, pink, or brown. Some moles are slightly raised from the skin, but for the most part, they are flat. In many cases, moles are harmless, but new or changing moles can be an early warning sign of skin cancer, specifically melanoma skin cancer. Warts are skin growths that are caused by the human papillomavirus. They may look more like skin tags as both types of lesions are usually similar in tone to the skin. However, unlike soft, malleable skin tags, warts are often rough in texture, and they are typically firm and unmovable.

What Causes Them?

When it comes to cause, Dr. Matlock says “Skin tags aren’t necessarily tied to one specific underlying cause. Instead, several factors increase one’s risk of developing skin tags. These risk factors include excess weight, sagging skin or skin folds, repeated rubbing or friction against one area of skin, poorly managed diabetes, and genetics. Additionally, older adults are significantly more likely to develop skin tags than younger people. For the most part, these underlying causes can’t really be changed, but understanding you’re at greater risk can make it easier to plan for the management and treatment of skin tags.”

Are They Preventable?

According to Dr. Matlock, “There’s not necessarily a specific way to prevent skin tags, but you can make lifestyle adjustments to reduce your risk of developing skin tags. Specifically, skin tags are more common within folds of skin, so addressing skin folds by removing sagging or excess skin or losing weight if skin folds are caused by fat stores can help prevent the development of skin tags. Additionally, poorly managed diabetes can lead to skin tags, so taking steps to address diabetes symptoms and keep insulin levels stable can reduce the risk of skin tags. Finally, avoiding friction, especially repetitive friction, is a great way to reduce your risk of skin tag development.”

How Do You Remove Skin Tags?

If your skin tag needs to be removed due to an uncomfortable location, itching, irritation, bleeding, or cosmetic concern, a dermatologist will always be happy to help. Some of the common options for removing skin tags include:

• Cryotherapy – Using liquid nitrogen to create extreme cold that freezes the skin tag, which kills the skin cells, so the skin tag can be removed.
• Curettage and cautery – Using heat to destroy the skin tag and cauterize the wound to prevent bleeding and promote healing.
• Laser therapy – Using laser light to destroy the skin tag. Then, the skin tag is easily removed.
• Surgical excision – Using a scalpel to remove the skin tag and closing any open wound with a suture.

Many at-home treatments purport to be effective in removing skin tags. But, because these products can be damaging to healthy skin, it’s important to ask your dermatologist for guidance before attempting any at-home treatments.

Want to Work with a Dermatologist?

If you are concerned about removing skin tags, please don’t hesitate to reach out to us at a U.S. Dermatology Partners location near your home or office. Our knowledgeable professionals are dedicated to providing exceptional care to help you maintain healthy, beautiful skin. Simply take a few minutes to complete our scheduling request form. Once we hear from you, we’ll be in touch to finalize the details of your appointment. In addition to providing numerous treatment options for skin tags, U.S. Dermatology Partners also offers annual skin exams, support in choosing the right skincare products, and more advanced medical and cosmetic dermatologic treatments. Our dermatologists and trusted staff members are here to support all of your skin health needs.

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Acrochordon (skin tags): why do they appear?

Disclaimer

If you have any medical questions or concerns, contact your doctor. Articles in the Health Guide are based on peer-reviewed research and information from medical societies and government agencies. However, they are not a substitute for professional medical advice, diagnosis or treatment.

Skin tags, also known as acrochordons, are soft pieces of extra skin that appear on the body. They can appear anywhere, but are especially common in areas where skin rubs against skin, such as underarms, under the breasts, and in the groin area. They are also often found on the neck.

Fortunately, skin tags are benign (harmless) growths and do not need to be removed for health reasons. That being said, if they bother you – like clinging to clothes or jewelry – or itchy or unattractive, there are ways to remove them.

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Vitals

• Skin tags (acrochordons) are small extensions of normal skin.
• These benign (harmless) lesions can usually be left alone.
• It is unclear what causes skin marks, which are more common in people who are obese or older than 50 years of age.
• Relatively easy to remove most skin tags.

What are skin tags?

Skin tags are small extensions of normal skin usually attached to the body by a thin, fleshy stalk called a stalk. They range in color from flesh to dark brown or reddish and are generally oval in shape and small in size (1 to 5 millimeters, although larger ones are possible). While most are painless, itching and irritation from contact with clothing, rough fabrics, or jewelry bothers some people.

Note. Your dermatologist or other healthcare professional may refer to the skin tag as acrochordon or another name such as fibroepithelial polyp, soft fibroma, or dermal papilloma or tag.

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Who gets skin tags?

Skin tags are common, especially in adults over 50 whose skin has naturally lost some of its elasticity over the years, making it less likely to bounce back. According to the American Osteopathic College of Dermatology (AOCD), nearly half of all adults have at least one of these lesions somewhere on the body.

Although men and women are equally likely to develop skin marks, certain conditions increase the risk. These include obesity, diabetes, or metabolic syndrome or an inherited predisposition to develop lesions.

What causes skin tags?

Doctors and researchers are still trying to figure out why people get skin tags. While the reasons remain nebulous and largely unconfirmed, there are several popular theories.

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It is widely believed that skin blemishes are most likely the result of friction, where the skin rubs against the skin in irritation, which leads to the accumulation of excess tissue. This theory may help explain why acrochordons are so common in body folds and are more likely to develop in people who are overweight or obese, as being overweight likely means having more skin folds.

Skin marks have been associated with insulin resistance, a common blood sugar problem. According to this theory, hyperinsulinemia (excess insulin in the bloodstream in response to excess blood sugar) activates insulin growth factor receptors. These, in turn, cause the growth of keratinocytes and fibroblasts, two types of cells involved in inflammation and skin repair and regeneration (González-Saldivar, 2017).

Remarkably, insulin resistance can develop into prediabetes and eventually type 2 diabetes, a disease that numerous studies have shown to be associated with skin marks.

Another common skin marking disease is human papillomavirus (HPV) infection. This association has been explored in several studies, including a 2018 Italian study that found that out of 20 people with skin tags examined, 50% of the lesions contained HPV (Dianzani, 2018). To learn more about HPV, click here.

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Skin marks are common during pregnancy due to hormonal changes, especially in the second trimester, but tend to disappear after pregnancy.
People with a rare hereditary disorder, Birt-Hogg-Oak syndrome, tend to have many skin marks along with other skin and medical problems.

What are the treatment options for skin tags?

There is usually no reason to remove a skin tag unless its appearance is a concern. But, if you want it to go away, professional treatment options and even home treatment options can be considered.
Ideally, a dermatologist or specially trained healthcare professional will perform one of the following procedures after discussing the pros and cons of each approach with you. It is important to consider variables such as the size and location of the skin tag, as well as the risk of scarring.

(Warning: Lesions anywhere on or near the eyelid require special care. To protect your vision, it is wise to let only an ophthalmologist or ophthalmologist treat the area.)

Popular treatments include:

• Moxibustion : Small and superficial spots on the skin are burned off using electrolysis, a treatment method that involves heat and electric current.
• Cryosurgery (Freezing): Using a probe containing liquid nitrogen, the healthcare provider freezes the skin tag and painlessly removes it with a scalpel. This is considered to be a very effective way to remove many skin tags in one visit.
• Scissor (scissor) excision: In this approach, the healthcare provider cuts off smaller skin marks using short-bladed Iris scissors. If the skin tag is small, anesthesia for pre-anesthetic is not required. When the skin tag is on the larger side, your healthcare provider may recommend injecting a local anesthetic into the base and then shave or cut off the tag.

In most cases, unless there are any questions about the diagnosis, these procedures do not include a tissue biopsy and are simple one-time visits to the doctor.

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While it’s usually best to ask a dermatologist or other healthcare professional for advice on skin tag removal options – to make sure the lesion is in fact an acrochordon and to minimize the risk of bleeding and infection – there are home approaches such as the following:

• Freeze it yourself: Pharmacies sell products you apply at home to freeze a skin tag so it falls off after seven to ten days.
• Turn and hold: Dermatologist on the ACOD website indicates this might work (again, only if you’re sure it’s a skin tag): clean the area with alcohol, take the skin tag, turn it and hold for the full 5 minutes before letting go. The skin tag should be gone next week.

Conclusion

For most people, skin tags are not worth trying to remove. But this is a personal decision. Some just want them to leave because of how they look or feel. And that’s okay.

However, it’s always wise to pay attention to what’s going on in your body and on your skin and contact your healthcare provider if you notice that the skin tag is starting to noticeably change in color or size.

Recommendations

1. American Osteopathic College of Dermatology (AOCD). Skin tags are a daily routine in dermatology. Retrieved from: https://www.aocd.org/page/SkinTags.
2. Dianzani C., Paolini F., Conforti C., Sylvester M., Flagiello F. & Venuti A. (2018). Human papillomavirus in skin tags: a case series. Practical and Conceptual Dermatology, 295–296. https://doi.org/10.5826/dpc.0804a08
3. Gonzalez-Saldivar, G., Rodriguez-Gutierrez, R., Ocampo-Candiani, J., Gonzalez-Gonzalez, J. G., and Gomez-Flores, M. (2016). Skin manifestations of insulin resistance: from biochemical position to clinical diagnosis and treatment. Dermatology and Therapy, 7(1), 37–51. https://doi.org/10.1007/s13555-016-0160-3
4. Khainer B.L., Usatin R.B. (2002, October). Skin electrosurgery. Retrieved from https://www.aafp.org/afp/2002/1001/p1259.html
5. Pandey A, Sontalia S. Skin tags. [Updated June 1, 2020]. Q: StatPearls [Internet]. Treasure Island (Florida): StatPearls Publishing; 2020 Jan. Available from: https://www.ncbi.nlm.nih.gov/books/NBK547724/

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Wortie Skin Tag Skin Tag 50ml

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Reva Health

Wortie Skin Tag Remover is designed to remove skin tags. It contains a pressurized metal container with 50 ml of dimethyl ether liquefied gas with a conical metal tip used to apply cold to the skin tag; and a set of reusable foam protectors to protect the skin around the tag and for more precise application.

Wortie Skin Tag Remover freezes treated skin tag (isolated with patch). When using a frozen applicator, freezing starts within a few seconds and the skin turns white. Frostbite causes mild pain, itching, or tingling. When the applicator is removed, the skin color returns to its normal color, and the sensation of pain/itching/tingling disappears quickly, disappearing after a few hours. After the skin returns to normal temperature and color, frostbite-sized redness may appear. As a result of freezing, after a few days, in some cases, a blister may appear under the skin wart. This is not always visible.

Frozen skin with a treated mark flakes off after 10-14 days, and new skin is formed in its place or its size decreases.

1. Remove the center guard and discard. Apply a ring around the skin tag.
2. Remove the lid and place the container on the table, holding it by the ring.
3. Hold the ring firmly between your thumb and ring finger, turn the crown counterclockwise with your other hand and press firmly for 3 seconds without touching the metal tip. You will hear an activation whistle. Do not press the crown for more than 3 seconds.
4. The head will automatically return to position 0 and the metal tip will start to freeze. Ensure that the head automatically returns to position 0 before applying the product.
5. Place the metal tip exactly on the skin mark for 40 seconds to freeze it.

Warnings/Cautions:

• Do not use unless you can clearly read the information on the package or in this leaflet. Use only as directed.
• Do not use if you have or have had any type of skin cancer as the tumor may be malignant and delaying proper treatment may worsen your condition.
• Do not use this product on skin tags that you cannot see clearly or are difficult to access. You can use a mirror to better see the skin tag (for example, if it is located on the front of your neck) or allow another adult to apply the product. If the tag is located in an area with hair, first remove the hair without touching the tag.