By Gary M. White, MD
A benign tag on the cheek.
Skin tags (STs) are benign "nubbins of flesh" common in the friction areas.
These tabs of skin are common on the neck, axilla and groin. They are usually flesh-colored. Any pigment may indicate a nevus instead.
Skin tags are benign and may be ignored. If the patient desires treatment, small lesions may be frozen. This should be avoided, however, in patients with darker skin as color changes may result (see photo below). Larger lesions and lesions with a thicker base should be snipped after local anesthesia. Very small lesions, e.g., 1-2 mm, may be cauterized without anesthesia.
Don't freeze skin tags in darker-skinned patients. White spots will result.
Skin tag on the scrotum.
Multiple tags in the axilla along with acanthosis nigricans.
Large pedunculated lesion in the groin.
Large pedunculated tag of the groin. Indian Dermatol Online J 2015;6:60-1