Skin Tags: Causes, Concerns, and Treatment Options - Dermatology

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The growth of small fleshy masses?


Hello Doctor: I am 28 years old this year.
In recent years, I have developed small protrusions on my neck and shoulders.
They are not very visible, but they are quite noticeable to the touch.
I am worried that they will continue to grow in number and size.
My mother also has them, but she only developed them in recent years as she aged, so she hasn't paid much attention to them.
Am I experiencing premature aging at such a young age? Thank you!

A-Dai, 20~29 year old female. Ask Date: 2007/10/01

Dr. Jiang Zheen reply Dermatology


It is not necessarily related to aging; it is associated with genetics and individual constitution.
Sometimes, individuals who are overweight are more prone to it.
It is a type of dermatofibroma, which can be left untreated and is also easy to manage.
Wishing you peace, Jesus loves you.

Reply Date: 2007/10/01

More Info


Skin tags, also 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, groin, and under the breasts. They are typically small, soft, and can vary in color from flesh-toned to darker shades. While they are generally harmless, many individuals seek treatment for cosmetic reasons or due to discomfort caused by friction.


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 develop in areas where skin rubs against skin or clothing. This friction may stimulate the growth of skin tags.

2. Genetics: There is a hereditary component to skin tags. If your family members have them, you may be more likely to develop them as well.

3. Age: Skin tags are more common in older adults, but they can appear at any age. Your observation about your mother developing them later in life aligns with this trend.

4. Obesity: Individuals who are overweight may be more prone to skin tags due to increased friction in skin folds.

5. Hormonal Changes: Hormonal fluctuations, such as those that occur during pregnancy, can also lead to the development of skin tags.


Concerns Regarding Skin Tags
While skin tags are generally harmless, there are a few concerns to keep in mind:
- Cosmetic Appearance: Many people find skin tags unattractive and may feel self-conscious about their appearance, especially if they are located in visible areas like the neck or face.

- Irritation: Skin tags can become irritated if they rub against clothing or jewelry, leading to discomfort or pain.

- Misdiagnosis: Occasionally, skin tags can be confused with other skin conditions, such as warts or moles. It is important to have any new or changing skin growths evaluated by a dermatologist to ensure an accurate diagnosis.


Treatment Options
If you are concerned about the appearance of your skin tags or if they are causing discomfort, there are several treatment options available:
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 cut off the skin tag.

3. Surgical Excision: A dermatologist can remove the skin tag using a scalpel. This is typically done under local anesthesia.

4. Ligation: This technique involves tying off the skin tag with a suture or string to cut off its blood supply, causing it to fall off.

5. Over-the-Counter Treatments: While there are products available for at-home removal, it is advisable to consult with a healthcare professional before attempting to remove skin tags yourself to avoid complications.


Conclusion
In summary, skin tags are common and generally harmless growths that can occur due to various factors, including friction, genetics, and hormonal changes. While they may not pose any health risks, they can be a source of cosmetic concern or discomfort. If you notice new skin tags or changes in existing ones, it is best to consult with a dermatologist for an accurate diagnosis and appropriate treatment options. Remember, early intervention can help alleviate concerns and ensure your skin remains healthy and comfortable.

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