Skin tags are soft, harmless growths that hang from the skin on a narrow stalk, usually where skin rubs against skin. They are extremely common, they are not contagious, and removing them is a choice rather than a medical need. A seborrheic keratosis is a common, harmless growth that looks stuck onto the skin, like a piece of wax or a small barnacle. They are not cancer and they do not become cancer. The reason to see a doctor is to be sure that is what you are looking at.
The same eight facts on every condition comparison.
They are soft, benign growths.
Skin tags often hang from a small stalk in skin folds.
They are common.
They become more common with age and can be skin-colored or darker.
Removal is optional.
Once the diagnosis is clear, removal is a personal choice.
Changing growths need a check.
A changing, irregular, painful, bleeding or pigmented growth deserves assessment.
It is a benign growth.
Surface skin cells form a waxy, warty or stuck-on growth.
Color varies.
It can be tan, brown, gray or almost black.
It is not a precancer.
These growths become more common with age.
Uncertain lesions are tested.
Tissue is examined before any destructive treatment if the appearance is unclear.
Soft hanging growth On a thin stalk.
Neck A very common site.
Armpit Where skin rubs together.
Classic seborrheic keratosis Raised, waxy, stuck-on growth.
Stucco keratosis Small white-gray bumps on the legs.
Dermatosis papulosa nigra Small dark bumps on the face.
A skin tag is a soft projection of ordinary skin with loose connective tissue and small vessels inside. It often hangs from a narrow stalk, and its exact cause is not fully understood.
A benign overgrowth of surface skin cells creates a localized plaque. Keratin and sometimes pigment collect in the growth, giving it a waxy, rough or stuck-on appearance.
Skin Tags. Become more common in adult life and with age; they may also appear during pregnancy.
Seborrheic Keratosis. Usually appears in adult life and becomes increasingly common with age.
Skin tags form where skin rubs against skin or clothing. Extra collagen and blood vessels grow into a small, soft flap.
Seborrheic keratoses are harmless growths of skin cells that become more common with age.
They tend to run in families.
They often run in families.
Evidence labels come from each condition’s own treatment list.
Tea tree oil, apple cider vinegar and garlic are the usual home remedies, and where they appear to work at all it is by burning the skin. That is a poor trade on a growth that was never dangerous, particularly on a neck or a face, and the mark left behind is often more noticeable than the tag. There is no evidence any of them dissolves a tag.
This is aftercare rather than treatment. A dab of plain petroleum jelly and a small dressing over the spot left after a tag is removed keeps the scab soft and gives the neatest healing. It does nothing to a tag that is still there, and it will not shrink one.
Daily mineral sunscreen over a healed spot on the neck or eyelid stops the temporary mark from deepening and helps it fade faster. It matters most on deeper skin tones, where a dark mark can otherwise last many months. It has no effect on whether new tags form.
This is aftercare, not treatment. A thin layer of plain petroleum jelly over a treated spot keeps the scab soft and gives the neatest healing, under a small dressing rather than an adhesive strip. It does nothing to a growth that is still there.
Daily mineral sunscreen over a spot that has just been treated stops the temporary mark from darkening and helps it fade faster, which matters most on the face, chest and hands. It will not remove a growth or stop new ones forming. Sun is only one of several things that drive these, and age and family history matter more.
A strong urea cream can soften and flatten the rough white growths that scatter over the lower legs, called stucco keratoses, if the roughness is what bothers you. It smooths the surface rather than removing the growth, and it has to be used continuously. It does nothing for thick, dark, stuck-on growths elsewhere.
Wart treatments are often tried on these because the surface looks similar. Salicylic acid can thin the rough top layer, but it does not clear the growth, and it irritates the normal skin around it. The bigger problem is that it is usually being used on something nobody has examined.
An antibiotic ointment for the small number of tags that get infected after being nicked or snagged — hot, swollen, oozing. It treats the infection on the surface and does nothing to the tag itself. If the redness is spreading into the surrounding skin, antibiotic tablets are needed instead.
A high-strength peroxide solution applied in clinic was approved for raised growths on the face and body. It cleared some growths, often needed repeat visits, and commonly caused stinging, crusting and pigment change. It was withdrawn from sale in the United States, so in practice removal is done by hand rather than with a liquid.
The usual method: the base is numbed and the tag is snipped or shaved off at the stalk with sterile scissors or a blade in a couple of seconds. It gives the most control over the mark left behind, which is why it is preferred on the face and neck and on deeper skin tones. It also leaves tissue that can be sent to the laboratory if there is any doubt about the growth.
A fine electric tip burns through the stalk and seals it at the same time, so there is no bleeding. It suits several small tags in one session and very small ones on the eyelids. It destroys the growth, so it is not used on anything that needs examining first.
A few seconds of liquid nitrogen freezes the tag so it drops off over a week or so, and it is quick when there are many. It is less predictable with pigment, because the pigment-producing cells are sensitive to cold, so it is used more cautiously on deeper skin tones and near the eyes. It destroys the tag, so nothing can be examined afterward.
When a growth is firm, broad-based, ulcerated, bleeding on its own or simply different from your others, it is removed and sent for examination under a microscope rather than discarded. When it is being taken off anyway, that costs almost nothing, and it is the only way to be certain a growth was what it looked like.
The growth is numbed and shaved off level with the skin in a few seconds. It is the method of choice when there is any question about what a growth is, because it produces tissue that can be sent to the laboratory. It leaves a flat mark that fades over months, and it does not stop new growths appearing elsewhere.
The growth is scraped off with a small curette and the base sealed with a fine electric tip. It is controlled and shallow, which is why it is often preferred for small facial growths and for the dark facial growths common on deeper skin tones. Scraping first still gives tissue that can be examined if there is doubt.
A few seconds of liquid nitrogen makes flatter growths blister and lift off over a week or two, and it is the quickest way to treat several at once. It destroys the growth, so nothing can be examined afterward, which is why it is not used on anything with a question attached. It is used cautiously on the face and on deeper skin tones, because the pigment cells are sensitive to cold and it can leave a pale spot.
When a growth is changing, bleeding on its own, or simply looks unlike your others, part or all of it is taken after numbing and examined under a microscope. It is the only way to be certain, and the threshold for doing it is deliberately low, because the cost of a small biopsy is trivial next to missing a melanoma. An irritated growth is one of the commonest reasons a benign growth ends up being sampled.
An ablative laser can vaporise a growth precisely and is sometimes used when several need treating on the face. Like freezing, it destroys the tissue, so it is only for growths already confirmed as harmless. It is the most expensive of the options and it is not better than a curette for a single growth.
Skin tags follow a slow, undramatic course, and most people notice them only when one catches. Removing one changes nothing about what caused it.
Seborrheic keratoses appear slowly, change slowly, then stay. Two departures deserve attention: one growth that starts changing - growing, darkening, bleeding on its own, or itching persistently - and a sudden crop of many new ones over weeks to months.
The usual reason people act
A tag snagged by jewelry, a razor, a collar or a seatbelt can bleed and stay sore for a few days, then settle. A tag that twists on its stalk loses its blood supply, turns red, purple or black, and is tender. It dries up and drops off within one to two weeks, leaving nothing. Have a dark growth confirmed.
Catching on clothing makes it flare
A growth caught by clothing, a strap or a waistband can turn red, swollen, itchy, crusted or sore, and can bleed. That is an irritated seborrheic keratosis. It settles, but it looks alarming and often prompts removal or a sample.
Have an uncertain, bleeding or changing growth checked. Avoid home cutting, tying or caustic removal, especially near the eyes or genitals.
Have a new, changing, bleeding or uncertain growth assessed; skin cancer can sometimes resemble a harmless stuck-on growth.
Please do not. It bleeds more than you expect, it hurts more than you expect, the tools at home are not sterile, and you lose the chance to have it examined if it turns out not to be a skin tag. Removal in clinic takes seconds.
Not the same one. New tags can appear in the same area over time, because removal does not change the friction, genetics or hormones that produced the first one. Not the tag growing back.
Usually not. They are extremely common and most people who have them are healthy. A lot of them is associated with insulin resistance and type 2 diabetes across large groups, so developing many new ones, especially with darkened velvety skin in the folds, is a fair reason to check blood sugar. A prompt, not a diagnosis.
Most often the tag has twisted on its stalk and lost its blood supply. It is tender for a few days, then dries up and falls off, leaving nothing. Still get it looked at, because a growth turning dark is also how other things present.
Usually not, because it is normally considered cosmetic. The exception tends to be a tag that repeatedly catches, bleeds or becomes inflamed. Ask the clinic before you book so the cost is not a surprise.
Some shrink or disappear in the months after delivery and some stay. Wait several months before deciding on removal, and ask the doctor managing your pregnancy before having anything done meanwhile.
It could be, which is why it should be looked at rather than diagnosed at home. Melanoma is sometimes mistaken for a seborrheic keratosis, and a dermatoscope resolves most of these in seconds. The concerning features are change in size, shape or color, bleeding without being knocked, an irregular edge, and a growth unlike your others. Book rather than watch.
Age and family history account for nearly all of it. They accumulate steadily from the forties onward, and someone whose parents had many will develop many. A genuinely sudden crop over weeks to months, especially with itching, is different and worth examining.
No. Removal deals with that growth, not the age and inherited tendency behind it, so new ones can keep appearing elsewhere. That is expected, not a failed removal.
Often, at least for a while. A flat spot darker or paler than nearby skin is common, and dark marks usually fade over months. Pale marks can be permanent and are more noticeable on deeper skin tones, so ask about the method and do a test spot before treating a large area. Daily sunscreen on the treated spot makes a real difference.
Most likely it caught on clothing, a strap or a razor and became an irritated seborrheic keratosis. They look far worse than they are and they settle. Still have it looked at - an irritated growth is one of the harder ones to be sure about by appearance, and a growth that bled with nothing catching it is a different question.
As many as you and your doctor think sensible, usually in sessions rather than all at once. It is normally considered cosmetic, so ask about cost first. On the face, and particularly on deeper skin tones, start with a small test area and see how it heals.
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