Skin Tags: When to Worry and Seek Medical Advice - Dermatology

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Skin tags, also known as acrochordons, are benign growths that commonly appear on the skin, often in areas where skin rubs against skin or clothing. They are typically small, soft, and can vary in color from the same shade as your skin to darker hues. While they are generally harmless, any changes in their appearance, such as sudden pain, redness, or bleeding, can understandably cause concern, especially in individuals over the age of 50.

In your case, the sudden pain and redness around the skin tag warrant attention. While skin tags are usually not a cause for alarm, changes in their characteristics can sometimes indicate a different issue. The fact that you have had this skin tag for many years without any problems is reassuring, but the recent changes suggest that it may be worth investigating further.

The dermatologist's decision to freeze the skin tag (cryotherapy) is a common treatment method. This procedure involves applying extreme cold to the growth, which can cause it to fall off over time. However, it is important to monitor the area after treatment. If the skin tag does not fall off or if the pain and redness persist or worsen, you should definitely follow up with your healthcare provider.

Regarding your concern about whether a biopsy (skin sample for examination) is necessary, it is a valid question. In many cases, if a skin tag appears typical and has been present for a long time, a dermatologist may choose to treat it without a biopsy. However, if there are atypical features or if the lesion does not respond to treatment as expected, a biopsy may be recommended to rule out other conditions, including skin cancers or other dermatological issues.

As you are 50 years old, it is prudent to be vigilant about any skin changes. Skin cancer can sometimes present as a change in a mole or growth, and early detection is key to successful treatment. If you have any family history of skin cancer or if you notice any additional changes in your skin, it is advisable to seek further evaluation.

In summary, while skin tags are generally benign, any recent changes in their appearance or sensation should be taken seriously. It is important to follow up with your dermatologist if the symptoms do not resolve or if you have ongoing concerns. Regular skin checks and being proactive about any changes can help ensure your skin health remains a priority. If you feel uncertain about the treatment plan or have lingering concerns, do not hesitate to seek a second opinion or ask for further evaluation, including a biopsy if deemed necessary. Your health and peace of mind are paramount.