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February 10, 2012

Skin Tag (cont.)

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Does medical insurance cover skin tag removal?

Many if not all insurance carriers classify skin tags as cosmetic and therefore a self-pay treatment. In uncommon instances, documented medical necessity of suspicious growths or highly symptomatic growths may support payment for medical treatment of skin tags.

Do any creams remove skin tags?

There are no currently medically approved creams for the removal of skin tags. Skin tags are typically removed by physical methods like cutting off or tying off with dental floss. It is not advisable to use unapproved products like Dermasil, wart removers, essential oils, nail polish, toothpaste, or hair-removal creams like Neat or Nair. Trial uses of unapproved creams may cause irritation and possible secondary complications.

Should I worry about cutting my skin tag by shaving?

No. Skin tags are frequently and inadvertently shaved off while removing hair from the armpit either with a razor or by waxing. There is typically no harm done when small skin tags are removed by shaving.

Sometimes, even a small skin tag base may bleed for a while and require constant applied pressure for 10-15 minutes to stop bleeding. Skin infection is a rare possible complication of accidentally shaving off skin tags.

Do skin tags need to be sent for biopsy?

Most typical small skin tags may be removed without sending tissue for microscopic examination or biopsy.

However, there are some larger or atypical growths that may be removed and sent to a pathologist for examination under a microscope to make sure that the tissue is really a skin tag and nothing more. Additionally, skin bumps that have bled or rapidly changed may also need pathologic examination.

Some common skin tag look-alikes include benign lesions such as seborrheic keratosis, common moles, warts, neurofibroma, and a fatty mole called nevus lipomatosus. While extremely rare, there are a few reports of skin cancers found in skin tags. Skin cancers like basal cell carcinoma, squamous cell carcinoma, and malignant melanoma may rarely mimic skin tags, as described above.


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