Neck Skin Tags: Causes, Symptoms, and Treatment Options - Dermatology

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Neck granuloma


Hello, doctor.
I recently noticed a small growth on my neck, which I believe is a polyp.
Generally, what happens when there are growths on the neck? I usually wear a necklace, and sometimes it gets caught on one of the growths, which I can feel, but there is no bleeding.
Will the growth on my neck disappear on its own, or is there something that needs to be done?

Niming, 20~29 year old female. Ask Date: 2019/08/19

Dr. Wu Yuxin reply Dermatology


It is merely an aesthetic issue and can be removed with laser treatment.

Reply Date: 2019/08/19

More Info


Skin tags, medically known as acrochordons, are benign growths that often appear on areas of the body where skin rubs against skin or clothing, such as the neck, armpits, and groin. They are typically small, soft, and can vary in color from flesh-toned to darker shades. While they are generally harmless and painless, they can become irritated if they are frequently rubbed or pulled, such as when wearing jewelry like necklaces.


Causes of Skin Tags
The exact cause of skin tags is not fully understood, but several factors may contribute to their development:
1. Friction: Skin tags often occur in areas where skin rubs against skin or clothing. This friction can stimulate the growth of skin tags.


2. Genetics: There may be a hereditary component, as skin tags can run in families.

3. Hormonal Changes: Hormonal fluctuations, particularly during pregnancy, can lead to the development of skin tags.

4. Obesity: Overweight individuals are more prone to developing skin tags, likely due to increased friction in skin folds.

5. Age: Skin tags are more common in older adults, although they can occur at any age.


Symptoms of Skin Tags
Skin tags are usually asymptomatic, meaning they do not cause any symptoms unless they are irritated. When they do become irritated, you may experience:
- Mild discomfort or pain, especially if the tag is caught on clothing or jewelry.

- Redness or inflammation around the area.

- Occasionally, they may bleed if they are torn or pulled.


Treatment Options
In most cases, skin tags do not require treatment unless they are bothersome or cause discomfort. If you decide to have them removed, there are several options:
1. Cryotherapy: This involves freezing the skin tag with liquid nitrogen, causing it to fall off after a few days.

2. Electrosurgery: This method uses electrical currents to burn off the skin tag.

3. Excision: A healthcare provider can cut off the skin tag with a scalpel or scissors.

4. Ligation: This involves tying off the skin tag with a surgical thread to cut off its blood supply, causing it to eventually fall off.


Will Skin Tags Disappear on Their Own?
Skin tags typically do not disappear on their own. They may remain the same size or grow larger over time. If you have a skin tag that is causing discomfort, such as being pulled by a necklace, it may be worth consulting a dermatologist. They can assess the tag and recommend the best course of action, whether that be removal or simply monitoring the tag for any changes.


Prevention
While it may not be possible to prevent skin tags entirely, you can reduce the risk by:
- Maintaining a healthy weight to minimize friction in skin folds.

- Wearing loose-fitting clothing to reduce irritation.

- Avoiding tight jewelry that may rub against the skin.

In conclusion, while skin tags on the neck are generally harmless, they can be a source of irritation, especially if they catch on clothing or jewelry. If you are concerned about the appearance or discomfort caused by a skin tag, it is advisable to consult with a healthcare professional for an evaluation and potential treatment options.

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