Skin Tags: When to See a Dermatologist or Surgeon - Dermatology

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Skin tags, also known as acrochordons, are benign growths that commonly appear on the skin, particularly in areas where skin rubs against skin or clothing, such as the armpits, neck, and groin. They are typically small, soft, and can vary in color from flesh-toned to darker shades. While they are generally harmless, they can cause discomfort, especially if they are frequently irritated by clothing or movement, as you have described.

In your case, you mentioned that you have had a skin tag in your armpit for seven years, and it has not grown larger, which is a good sign. The fact that it causes discomfort when wearing undergarments is a valid concern. Additionally, the appearance of a new, smaller skin tag nearby may understandably cause you some anxiety.
When considering whether to see a dermatologist or a surgeon, it is essential to understand the roles of each specialist. A dermatologist is a medical doctor who specializes in skin conditions, including benign growths like skin tags. They can evaluate your skin tags, confirm their benign nature, and provide treatment options, which may include removal if they are bothersome. On the other hand, a surgeon, particularly a breast surgeon, typically focuses on surgical interventions related to breast health, including the removal of lumps or other concerns related to breast tissue.
For your situation, it would be more appropriate to consult a dermatologist. They can assess both skin tags, discuss your concerns, and recommend the best course of action. If removal is desired, dermatologists often perform this procedure in their office using various methods, such as cryotherapy (freezing), cauterization (burning), or excision (cutting out the tag). These procedures are usually quick and can be done with minimal discomfort.

It is also important to note that skin tags are not typically associated with any serious health issues, but if you notice any changes in size, color, or shape, or if the skin tag becomes painful or bleeds, you should seek medical advice promptly.
In terms of prevention, there is no definitive way to prevent skin tags, as they are often related to genetic factors and skin friction. However, maintaining a healthy weight, managing diabetes, and minimizing skin friction by wearing loose-fitting clothing may help reduce the likelihood of developing new skin tags.

In summary, given your situation with the skin tags in your armpit, it is advisable to see a dermatologist. They can provide a thorough evaluation and discuss removal options if necessary. Remember, while skin tags are generally harmless, it is always best to consult with a medical professional if you have any concerns about your skin health.