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Skin tags are pedunculated skin extrudes extending outwardly; they are also called ‘acrochordon’. Skin tags originate in the dermis, the layer underlying the epidermis: Generally, skin tags have very small size, but they may extend to a few inches in diameter and look unhealthy as well as annoying. When skin tags have a remarkable development, they can hang down due to gravitational force: in this regard, these fibroids have been called ‘pendulums’.
Skin tags represent a benign tumor, and the probabilities that they evolve into malignant neoplasia are very scarce, almost null. Surgical excision is then used not so much to avoid a possible malignant tumor transformation, but to solve the aesthetic problem.
What causes skin tags?
As previously said, skin tags are benign skin growths that emerge from the dermis and protrude outwardly, remaining attached to the skin by a thin pedicel. The cause of the pendulum fibrosis is not yet known, but genetic predisposition and repeated skin rubbing seem to favor its onset. In addition, a correlation between these lesions and some acute skin inflammation has been hypothesized. Risk factors include hormonal dysfunctions of various kinds (e.g. menopause, pregnancy, etc.) and obesity.
Skin tags can be located in every area of the body, but generally occur at the level of the upper armpits, neck, groin and eyelids: it is no coincidence that the areas most affected by these fibroids are those that are subject to continuous stress. Similarly, due to the greater rubbing surface, obese people can manifest skin tags more easily than skinny individuals. It is uncommon for skin tags to occur in infants and young people; in general, they develop for the first time around 40-50 years, both in men and in women.
Skin tags represent a very common skin disorder, which does not cause any symptoms; the development proceeds slowly, but in a progressive way. Generally, skin tags have a pigmentation similar to that of the skin (normal-pigmented skin tags), or may have a slightly darker pigmentation.
Just like many benign skin diseases, the main cause of skin tags, with the exception of skin rubbing, is doubtful: obviously, genetic predisposition always plays a crucial role, since often the parents’ children with skin tags manifest themselves the same skin growth. In some rare cases there was a correlation between the onset of skin tags and an acute inflammatory process. They are not contagious, nor can they evolve into malignant tumors.
Given the benign nature of skin tags, many studies have not been carried out on etiological research, so the causes that cause them remain misunderstood. However, a hypothesis has been formulated that skin tags would also be affected by hormones: in fact, if up to 50 years men and women can manifest the skin tags with the same probability, after this age there was higher incidence rates in women (possible role of menopause). This hypothesis, however, has not yet been proven.
As already mentioned, skin tags does not involve any problems of medical interest; however, if the fibroids reach large size and stretch out the skin for a few millimeters, they may bleed when irritated, affected, or entangled in clothes or jewelery. It is common that there is a complete or partial detachment of a skin tag following a severe trauma, resulting in a bloody wound: in this case, the risk of bacterial infection increases. Fibroids may be confused with birthmarks, but while the latter can degenerate into malignant forms, the fibroids remain harmless.
To conclude the above, we do not yet know the particular cause that leads to the formation of skin tags. They are thought to be linked to a genetic component, since in the same family more subjects tend to see these benign growths develop. At the same time, there are those who claim that there may be human papilloma (HPV) virus among the causes of their appearance, consisting of over a hundred different viral varieties. Most HPVs cause benign lesions, such as warts, affecting the face, feet, or hands, or papillomas affecting the genital and oral mucous membranes.
Skin tags may be located in every area of the body, but generally occur at the level of the armpits, neck, groin, eyelid and upper chest. the most affected regions are those that are subject to constant stress. Usually, these lesions develop around 40-50 years of age, both in men and in women.
Symptoms and common signs of a skin tag
Skin discoloration. Skin discolorations are changes in normal skin color. These alterations, which may be localized or generalized, are typically due to an excess or a defect of melanin (pigment produced by melanocytes that confer color on the skin). In other cases, discrepancies depend on the deposition of various pigment pigments in the skin, such as hemoglobin, carotenes, and so on. In the case of melanin there are two possible discrepancies: hyperchromium and hypochromia.
Hyperchromium is observed when pigmentation increases in intensity (skin appears abnormally dark color). An example of this is freckles, molasses, epaulits and pregnancy cloasma. An increased melanin depletion may also result from hormonal disorders (as is the case with Addison’s disease) or the onset of certain drugs.
Hyperpigmentation is also observed in diseases such as pediculosis, versicolor pitiriasis and cutaneous porphyria. On the contrary, we talk about hypochromia when the pigment is reduced or absent (the skin is clearer than the standard). Hypogmentation occurs, for example, in vitiligo, albiniasis, and inflammatory diseases such as bullous dermatitis and skin infections (post-inflammatory hypopigmentation).
A nodule is a circumscribed lesion of the relatively spherical form. It looks like a papule, as it is embossed, but it deals with deeper tissues and exceeds 5 mm in diameter. Moreover, such formation has a different consistency over that of the surrounding tissue. A pathological nodule may have inflammatory origin (e.g., icing, rheumatoid arthritis, erythema, etc.), infectious or neoplastic.
A nodule, in fact, may also be the expression of a benign or, at times, malignant tumor. In this sense, it can occur practically in all organs. Solid and palpable nodules, on the other hand, may form on tendons and muscles as a result of injury or trauma. Examples of nodules that occur at the dermal site or in the subcutaneous tissue include cysts, lipomas, and fibroids.
Papules are small skin lesions detected with respect to the skin plan. Being in relief, unlike macules, they are palpable. Usually, papules have a diameter less than 10 mm and, in some cases, have a bunch conformation and are accompanied by a skin rash. As mentioned, a papule is solid, so perceptible or palpable to the touch.
Unlike pustules, however, papules do not contain pus. Papules may be caused by inflammation, which may in turn be caused by skin exaggeration or local or diffuse infection. Even abnormal growth of blood vessels or skin cells can cause it to occur. Examples of papules are snow, warts, insect bites, acne lesions, and skin neoplasms.
Skin tags appear as resurfacing, of varying shapes and dimensions, linked to the skin by a pedicle. Their consistency is soft and the structure is flexible to the touch. Usually, these lesions have a color similar to that of the surrounding skin, but may also be slightly darker (hyperpigmented) and reach a light brown tinge.
Skin tags are completely asymptomatic, unless they are irritated, affected or traumatized with hands, jewelery or clothing. In these cases, the lesions may become sore, they may bleed and increase the risk of infection. The pendulum fibrosis is not contagious and does not evolve into malignant tumors, but can be quite annoying and unhealthy.
Therefore, when they reach large size and protrude from the skin for a few millimeters, your doctor may recommend elimination. Skin tags can be treated with electrocoagulation, cryotherapy, laser or surgical excision with scalpels.
How to remove skin tags
Skin tags appear as exaggerations, of varying shapes and dimensions, linked to the skin by a pedicle; their consistency is soft and the structure is flexible to the touch. Usually, these lesions have a color similar to that of the surrounding skin, but may also be slightly darker (hyperpigmented) and reach a light brown tinge. Skin tags are completely asymptomatic, unless they are irritated, affected or traumatized with hands, jewelery or clothing. In these cases, lesions may become sore, bleed and increase the risk of infection. Skin tags are not contagious and does not evolve into malignant tumors, but can be quite annoying and unhealthy. Therefore, when they reach a large size and stretch out the skin for a few inches, your doctor may recommend eliminating them.
The dermatologist generally recommends removing the most exposed skin tags – which are more likely to bleed – or develop at the level of the eyelids (as they may blur the sight). The clinical-therapeutic pathway is extremely simple and involves the removal of the pendulum fibroma without anesthesia, as excision does not cause pain. Removal is performed in the outpatient clinic, blocking the fibroma with a clamp; then the doctor proceeds ‘ripping’ it off, with the help of surgical scalpels. Quite often, the treated area bloats: the bleeding is then blocked with an electrosurgical or hemostatic.
Skin tags can be treated with electrocoagulation, cryotherapy, laser or surgical excision with scalpels. Over one session, even more skin tags can be eliminated and complete healing takes place within a few days without leaving traces and scars. Laser and electrocoagulation can also be resolving treatments: in these cases, however, it is likely that the removal of skin tags causes scarring.
Depending on their location, size and number, dermatologist decides the best method to eliminate the skin tags. Among the most popular treatments are laser removal, cryotherapy, electrocoagulation. One of the simplest methods may be the removal of scissors or scalpel by the doctor. It is very common that the pendulous fibroma is completely or partially disrupted by trauma or rubbing. This creates a wound that is best to disinfect, to avoid the onset of a bacterial infection.
Another technique to eliminate skin tags is the surgical laser. The intervention with the CO2 laser surgery serves to eliminate the pendulum fibroma and lasts just a handful of seconds, it will suffice a light tap and the peduncle disappears. Only in case there is a multiple-cell excrescent the dermatologist in this situation can inject locally a drop of anesthesia, otherwise nothing has to be done. Upon completion of the operation, it is continued by dressing through an antibiotic cream and a wax to be worn for a week. Usually for this pendulum fibromyalgia removal technique there are no particular contraindications or risks, and most of the cases there are no signs or scars in the skin.
It strikes when you least expect it and is more dangerous than many people think, we are talking about melanoma, each affecting the skin of millions of Italians. If you suspect you have a melanoma, you do not expect and have them check with the dermoscope. Dermoscopy is a non-invasive skin control system that allows you to examine the entire surface of the skin with a strong magnification, enlightening all those structures that are immediately below the skin surface, and which would otherwise not be visible in other cases to the naked eye.
Skin tags vs. dermatofibromas
Skin tags should not be confused with dermatofibromas
Dermatofibroma is the medical term indicating a category of benign skin tumors, which originate from the fibrous connective tissue cells of the dermis. The dermis is one of the two cellular layers that make up the skin (or skin). The other cellular layer, which forms the skin, is the so-called epidermis. Regarding the disposition of dermis and epidermis, the former lies under the second. This means that the epidermis is the outer skin layer, while the dermis is the innermost cell layer below which muscles, bones and so on reside.
Generally, a dermatofibroma is not a clinically dangerous condition for the human being. However, its possible onset requires an adequate and timely medical consultation. A well-known synonym for dermatofibroma is histiocytoma. In medical books, dermatofibroma is one of the types of fibromatosis. For the sake of accuracy, it is a superficial fibromatosis, affecting mainly adults.
Dermatofibroma is a benign skin tumor, the result of an abnormal proliferation of fibroblasts of the connective fibrous tissue of the dermis. The onset of a dermatofibroma involves formation, usually on the legs and / or arms, of one or more nodules of hard, red-brown consistency and sizes between 0.5 centimeters and 1.5 centimeters. At present, the precise causes of dermatophytosis remain unknown. According to some doctors, however, the condition may result from an adverse reaction to slight skin trauma, such as insect bites. A benign tumor such as dermatofibroma cannot transmutate into a malignant neoplasm. Expected only when the nodules are symptomatic, dermatofibroma treatment is generally of a surgical type.
In medicine, tumor and neoplasia terms identify a mass of very active cells that can divide and grow uncontrollably. There is talk of benign tumor when the growth of the cellular mass is not infiltrative (ie does not invade the surrounding tissues) and even metastasizing. We talk of malignant cancer when the abnormal mass of cells has the ability to grow very fast and to spread in the surrounding tissues and in the rest of the body. Malignant tumor, cancer, and malignant neoplasia are synonymous.
Right now, the precise causes of dermatofibroma are unclear. According to some experts – but still in the hypothesis – dermatofibroma episodes would be the result of abnormal reactions to mild skin trauma, such as stinging of a pin or stinging an insect. It is a fact that many people with dermatofibroma are subject to ineffective immune defenses. Numerous histological studies have shown that cellular masses, which form a dermatofibroma, derive from an abnormal proliferation of cells known as fibroblasts. The same studies have shown that, under certain circumstances, the abnormal proliferative process also affects some cells called histiocytes (hence the term istiocytoma, as an alternative to dermatofibroma).
People of any age and race may develop dermatophytes. At the age, however, it needs to be stated that it is more concerned with adult individuals. In the female population, cases of dermatofibroma are more than male ones. Generally, episodes of dermatofibroma occur with characteristic hard-nodules of mostly red-brown color and between 0.5 centimeters and 1.5 centimeters in size.
Located just under the skin, the nodules in question are almost always asymptomatic. However, in some rare circumstances, they can cause an annoying pain or itching. How many nodules may appear due to dermatophytes? Subjects with dermatofibroma may have one or even 15 nodules. However, it is necessary to specify that the presence of a nodule is only the most common circumstance.The reason why some individuals develop one or few nodules while others develop more than 10 is completely unknown. It is possible that the discovery of triggers of dermatofibroma clarifies what the amount of nodules in a given patient depends on.
Dermatofibroma is a type of benign skin cancer that mostly affects your legs and / or arms. However, it is good to point out that any part of the body (including trunk, neck etc.) is a potential dermatofibroma site. The number of nodules present may range from 1 to 15. Most individuals with dermatofibroma have only one nodule. The size of the nodules may vary from a minimum of 0.5 cm to a maximum of 1.5 cm. Most nodules are between 0.7 centimeters (7 millimeters) and one centimeter (10 millimeters). Nodules generally have a hard consistency and reside just under the skin. The typical color of the nodules is between red and brown. Less common colorations are pink, light brown and brown tending to black. Many nodules appear lighter in the center. Nodules are almost always asymptomatic. When present, the symptoms associated with the nodules consist of pain and / or pruritus.
Can nodules look like malignant tumors? In some circumstances, nodules induced by a dermatofibroma may remind you of malignant tumors of the skin. In the present case, they may resemble the nodules of dermatofibrosarcoma or desmoplastic melanoma.
Dermatofibroma is not a benign skin cancer that can become malignant. Thus, the only complications of a dermatofibroma are related to the presence of the nodules: these, being slightly raised, could be traumatized with ease, as a result of, for example, the passage of the razor to the skin.
Generally, the diagnosis of dermatofibroma is based only on the objective examination, i.e. on the observation and palpation of the nodules present. If the nodule resembles a malignant skin cancer, the physician can clarify the exact nature through a skin biopsy. The skin biopsy involves, after injection of a local anesthetic, the excision of a nodule (or nodule, if there is only one) and the analysis of its histological profile in the microscope.
Dermatophytosis cases require treatment only when the present nodules are responsible for a symptom, so only when the patient experiences pain, pruritus, and so on. The expected treatment is generally of a surgical type. For the sake of precision, this is a shaving and surgical puncture, during which the treating physician excuses the nodules present. Clearly, the aforementioned surgical practice requires local anesthesia to prevent pain from the patient. There are alternatives to surgery. Although they are seldom applied due to their low probability of success, alternatives include cryotherapy, carbon dioxide laser, pulse laser, and local injection (directly into the nodule) of steroids.
Dermatophytosis can heal spontaneously. This possibility, however, is very rare. In general, dermatofibroma episodes are a permanent condition that can only be eliminated with adequate therapy.
Skin tags during pregnancy
Given the high frequency of skin tags in women of childbearing age, it is not uncommon for a skin taggnetic condition to occur precisely during pregnancy. For the same reason, given the frequent asymptomatic status of the same, most of skin tags in the uterus are diagnosed, for the first time, in women with a mild waiting. It is therefore clear that during pregnancy the discovery of skin tags can awaken great sorrows and concerns. It should be pointed out, however, that most of the fibromyalgia sufferers are generally over 40 years of age. It is estimated that the incidence of uterine skin tags in pregnancy ranges from 0.3% to 2.6%.
In order not to alarm women in maternity, other factors must be taken into account: ‘Dangerous’ skin tags are difficult to prevent pregnancy and rarely hinder conception, since the likelihood that Fallopian tubes will be damaged is very poor. Consequently, in spite of the presence of skin tags, semen does not find any significant obstacles to the cervix to the tubes. Nonetheless, a particular subcategory of skin tags – submucosal fibrosis – could hinder the implantation and embryo development. Sometimes they may also cause abortion. Intramural skin tags, on the other hand, could cause both abnormal contraction during childbirth and premature baby birth, as uterine contractions are stressed.
The hypothesis that skin tags grow faster in pregnancy has been denied by recent studies: only in some cases, skin tags may evolve during the sweet wait. From medical statistics, approximately 30% of women with pre-existing fibrosis have increased myometric size: complications during pregnancy are directly proportional to the development of a skin tag, also influenced by gestational hormone variations. Exaggerated increase in volume of a skin tag could cause a possible bleeding (determined by vascular modulation) and pain.
Increasing the volume of skin tags during pregnancy is correlated not so much with cell proliferation but with their hypertrophic status. In parallel, the volumetric decrease is related to cellular atrophy.
It appears that volume changes in uterine neoplasms in pregnancy, if not excessive, do not have serious consequences for either the fetus or the mother. The biggest problem remains the localization of a skin tag, which greatly affects the good outcome of pregnancy.
If the woman has a genetic predisposition to skin tags, has suffered from the same pathology in the past or has had numerous spontaneous abortions, pregnancy fibrosis may lead to large-scale problems that should not be underestimated. Generally, if the mother has suffered from fibroids in the past, the gynecologist advises to remove them, so that the chances of a successful future pregnancy may increase. Removal of the neoplasm is almost never performed during caesarean section, in order to prevent a possible haemorrhage.
There are two factors that need to be considered when a woman is affected by skin tags during pregnancy: firstly, the effects that a skin tag may have on the fetus should be evaluated, but the effects that pregnancy could lead to fibrosis should also be taken into account same.
Considering that the size of skin tags, as mentioned, changes during the first trimester of pregnancy, the diagnosis is absolutely essential in order to control any complications: ultrasound and gynecological examination are the two best-diagnosed techniques for the recognition of skin tags during pregnancy. Through the ultrasound examination, the gynecologist is able to analyze the volume of a skin tag, the developmental stage, the size, the location and the cellular composition. Ultrasonic diagnostic technique is not only the simplest method, but also the best from the point of view of reliability. For pregnant women suffering from obesity, ultrasound screening is more complicated.
The choice of therapy should be carefully evaluated by the gynecologist on the basis of the mother’s age, the location of a skin tag and the period. Surgical excision is only performed in cases of more severe acute complications. The risk of adverse effects on the good outcome of pregnancy is indeed very high when the gesture is undergoing such a surgical procedure. Therefore, generally, fibromyalgia sufferers recommend conservative drug therapy to promote correct uterine contractility during pregnancy. At the baby’s birth, the gynecologist will evaluate for the mother, a possible further treatment to permanently eliminate a skin tag.
How to get rid of skin tags at home
In addition to the most common methods offered by traditional medicine, there are also some natural remedies that can help eliminate this aesthetic problem. Here are some remedies designed with natural ingredients and presenting another way very popular since always to relieve and treat various ailments and diseases such as molluscum pendulum. There are various reasons why they are successful. Indeed, it is not difficult to prepare them yourself and moreover they are also very effective. It is also the ideal solution for those who have a limited budget and who, therefore, can not afford expensive medicines.
The fact that they are of natural origin and whose majorities are to be concocted with the help of medicinal plants is highly appreciated. It is therefore possible to treat different diseases such as colds, coughs, etc. But also the most complex as the growths of flesh.
It can be an effective remedy thanks to its antiseptic characteristics and eliminating viruses. The ideal would be to apply it on the tackle in the morning and evening until it blackens and falls. If the skin becomes irritated because of the onion, then it is advisable to make an onion paste. For this it will be necessary to boil the onion in a little water. Then apply this paste and cover it with a plaster and leave it throughout the night. Repeat until desired result. This will also reinforce the effect of the remedy of eating at the same time a little more onion on a daily basis because it provides the antibiotic natural to the body, thus accelerating the regeneration of cells and reinforcing its protection against viruses.
Garlic paste is used on the infected area and covered with a dressing. The dressing is removed before showering and then the affected area is washed thoroughly. You can also take garlic capsules.
Natural treatments offer different combinations of vitamins that represent a good ‘grandmother’s’ cure. A vitamin extract can be mixed with fish oil and apply this mixture once a day. The essence of vitamin A and E can be useful in this case.
4. Tincture of iodine
The iodine tincture can be applied twice a day to make the lesion detach more easily.
5. Castor oil and baking soda
Form a thick paste by mixing well a good amount of bicarbonate of soda and castor oil. Apply to infected areas three times a day. The tags will then dry out over time and it will eventually fall out after two weeks.
6. Fenugreek seeds
Soak them in water overnight and then drink water fasting in the morning. It is possible to chew the soaked seeds. It is recommended not to consume more than 100 g per day. This treatment should be avoided for people who have anemia or thyroid.
7. Oil of oregano and coconut oil
Mix 2 drops of oregano oil with 4 drops of coconut oil. Spread on the skin tag three times a day. This will dry the lesion and it will eventually fall fall off. Do not apply near eyes.
8. Use a dental floss
An acrochordon can be killed if the arrival of blood to the game is stopped. To achieve this, it will therefore be necessary to wrap a dental floss around its base. Then, you have to squeeze the ball of flesh a little more each day. After two days, a change in the appearance of the lesion should occur. After a few days, it will become very dry and fall.
9. Use nail polish
There is clear skin on the lesion that is visible to the light, it will then be cut with a nail clipper. It is not very painful since there are no nerves in this part but it is possible that it bleeds a little. Put nail polish, preferably transparent, on the wound and leave it for one or two days. After this time, it will be necessary to move the skin tag gradually and to draw it finally, it is possible to anesthetize it with ice if it is painful. This will leave a small scar that will disappear after a week. It is recommended not to use this remedy if the tip is around the anus, near the eyes, nose or mouth.
10. Silk (or cotton) thread
Our grandmothers, for example, used to bind skin tags with a silk thread. This allows you to choke the capillary that nourishes the resurgence. Left without hydration and oxygenation guaranteed by the bloodstream, the skin tag dries out and after a while it falls off. If the excrescence is of large size, however, choking it with the thread can be complicated, long and painful. If the excretion is not very small, however, throttling it with the thread can be really complicated, but above all it may prove to be a long, painful process and with a truly imperfect aesthetic result. Usually also throttling is not advisable if the skin tag is on the face. Of course, we recall that experts do not recommend this do-it-yourself remedy, and before making any hazardous decisions, it is advisable to consult a dermatologist.
11. Apple vinegar
Another natural remedy that can come to our aid is to use apple vinegar. Apple vinegar is known for its important antibacterial and anti-inflammatory properties. Not only. It has infinite application fields and it is also useful to treat skin problems. For skin tags, there are those who advise to dip a cotton swab into apple vinegar and apply it to the affected area about twice a day. The fibroma will begin to become dark, then dry and completely disengage from the skin. It takes between 2 and 4 weeks to complete the treatment. Of course, do not pour apple vinegar on the fibroids that are close to your eyes or mouth. Generally speaking, however, for skin tags located on the face, always contact a specialist.
12. Tea tree oil
Another natural beneficial property remedy is tea tree essential oil. This miraculous oil is indicated in the treatment of many disorders, including various skin problems. In the case of skin tags, proceed as you did with apple vinegar, dipping an oil cotton wrap and applying the wrap between 2 and 3 times a day, until the fibrous is dry and will not go away.
Banana is a great ally of health and beautiful skin. It is good to know that its skin contains a proteolytic enzyme that dissolves the warts and allows them to be completely eliminated. You will need 1 banana peel. Use a spoon or any other tool to remove the white slurry on the inside of the banana peel. Apply the slurry directly to the wart, then thoroughly wash your hands to prevent it from spreading to other parts of the body. Repeat the procedure until the desired results are achieved.
14. Vitamin C
Direct application of vitamin C to skin tags helps kill the viruses that cause them. This method of removing warts has become extremely popular in recent years, and the people who use it ensure that the results are fantastic. Take a tablet of vitamin C, a mortar and a little lemon juice. Pour in a mortar vitamin C tablet and add a few drops of lemon juice and stir until a homogeneous slurry is obtained. Then apply it directly to the wart, cover it with gauze or bandage and leave it for the night. Repeat the procedure every day.
Basil is another natural remedy for wart removal and fighting the virus that causes it. This herb is known for its antiviral properties, which makes it strong on the warts and effectively removes them. Take 1/4 cup fresh basil, gauze or bandage. Wash the basil thoroughly and chop finely until green paprika is formed. Then apply it directly to the wart and cover with gauze or bandage. Leave all night. Repeat the procedure daily for two weeks.
Dandelion contains milk that effectively combats persistent warts. If your garden grows dandelions, do not hesitate and start using their natural healing powers right now. Find out that with their help you will soon get rid of skin tags. You will need a dandelion and gauze or bandage. Remove the flower of the dandelion and extract the milk that is leaving the affected stem. Apply it directly to the wart, then cover with gauze or bandage. Repeat the procedure twice a day until the skin tag gets completely gone.