What is a skin tag?
A skin tag, also known as an acrochordon, is a small, soft, benign growth of skin that is typically flesh-coloured or slightly darker. They often appear on areas where the skin folds, such as the neck, armpits, groin, under the breasts, or on the eyelids. Skin tags are composed of collagen fibers, blood vessels, and skin cells, and they hang off the skin by a thin stalk called a peduncle.
They are generally harmless and not painful, although they can become irritated if they are rubbed or caught on clothing or jewellery. Skin tags are more common in people as they age, and factors like genetics, obesity, and conditions like diabetes may increase their likelihood.
If you want a skin tag removed, it can be done through various methods like cryotherapy (freezing), cauterisation (burning), or excision (cutting it off). These procedures are typically quick and safe.
What methods do doctors use to remove skin tags?
Dermatologists employ several safe and efficient methods to remove skin tags:
- Snipping: The area is numbed, and surgical scissors are used to cut off the skin tag.
- Cryotherapy: Liquid nitrogen is applied to freeze the skin tag, causing it to fall off within a week.
- Electrocautery: An electric probe burns off the skin tag, effectively cauterising the area.
- Ligation: Surgical thread is tied around the base of the skin tag to cut off its blood supply.
- Radiocautery: High-frequency radio waves pass through the tissue to remove the skin tag precisely.
- Excision: A scalpel is used to cut off larger skin tags, resulting in a small scar.
Each method is highly effective, ensuring complete removal with minimal downtime.
Why should you see a doctor for skin tag removal?
Consulting a dermatologist for skin tag removal is crucial for several reasons:
- Accurate diagnosis: A professional can ensure the growth is indeed a skin tag and not another condition like a wart, mole, or potentially serious skin issue.
- Reduced risk of infection: Dermatologists use sterile conditions and proper techniques to minimise infection risk.
- Minimal scarring: Professional techniques can result in less noticeable scarring compared to home removal attempts.
- Controlled bleeding: Skin tags contain blood vessels, and doctors are equipped to handle any bleeding safely.
- Peace of mind: A dermatologist’s evaluation can rule out any serious conditions, ensuring appropriate treatment if necessary.
While skin tags are generally harmless, professional care ensures safe, effective removal and addresses any underlying skin health concerns.
Are skin tag removal procedures usually covered by insurance?
Skin tag removal is typically considered cosmetic and often not covered by health insurance. However, exceptions may apply:
- Medical necessity: If a skin tag causes complications like recurrent irritation, bleeding, or infection, insurance might cover removal.
- Suspicious growths: If a dermatologist suspects malignancy, removal for diagnostic purposes may be covered.
Coverage varies based on individual policies and providers. It’s advisable to:
- Consult your insurance company to understand your coverage.
- Discuss the situation with your dermatologist for guidance on potential insurance coverage.
Taking these steps early can help avoid unexpected out-of-pocket expenses.
What should you expect during a skin tag removal procedure?
A skin tag removal procedure at a dermatologist’s office is generally quick, safe, and comfortable. Here’s what to expect:
- Examination: The dermatologist will thoroughly examine the skin tag to confirm it’s benign.
- Method selection: The most suitable removal technique will be chosen based on the tag’s size, location, and your preferences.
- Preparation: The area will be cleaned, and local anaesthesia may be applied if necessary.
- Removal: The chosen method (snipping, cryotherapy, electrocautery, or ligation) will be performed with minimal discomfort.
- Aftercare: You’ll receive instructions on keeping the area clean and dry to prevent infection.
- Healing: The site typically heals quickly, with minor wounds healing within days.
It’s important to monitor the area for any signs of infection and report concerns to your dermatologist promptly. Overall, the procedure is straightforward and designed for your comfort and safety.
Can skin tags reappear after removal?
While properly removed skin tags generally don’t grow back in the same spot, new ones can appear in other areas over time. Factors influencing skin tag development include:
- Genetics: A family history of skin tags may increase your susceptibility.
- Aging: Skin becomes more prone to growths as we age.
- Medical conditions: Diabetes, metabolic syndrome, and conditions linked to insulin resistance can contribute to skin tag formation.
Managing underlying health issues and maintaining good skin care can help reduce the risk of new skin tags. If new ones appear, consulting a dermatologist can provide options for safe removal and advice on managing contributing factors.
If you have any concerns about skin tags or other health issues, speak to one of our GP’s.
Remember, while recurrence at the exact removal site is unlikely, the development of new skin tags elsewhere is possible. Stay informed and seek timely medical advice to maintain healthy skin.
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- American College of Obstetricians and Gynecologists. Weight gain during pregnancy. Committee Opinion No. 548. Obstet Gynecol. 2013;121:210-2.
- Banik R, Lubach D. Skin tags: localization and frequencies according to sex and age. Dermatologica. 1987;174(4):180-183.
- Centers for Disease Control and Prevention. National Diabetes Statistics Report. Atlanta, GA: Centers for Disease Control and Prevention, US Dept of Health and Human Services; 2022.
- Afshar M. Skin Tag Removal: What to Expect. Scripps Health. 2021.
