Treatment: No therapy is necessary for these extraordinarily common skin growths. They are mostly overlooked and not even mentioned on routine skin examination. The rare strangulated or thrombosed skin tag can be removed easily with a forceps and skin tag removal scissors after injection of a local anesthetic. If cosmetic removal is desired, it can easily be done by cleaning the skin with alcohol or chlorhexidine and removing individual skin tags with a forceps and skin tag removal scissors. Application of aluminum chloride after removal causes the superficial bleeding to stop.

Screening of individuals with skin tags for errors in glucose metabolism or for colonic polyps is controversial but should be performed if other findings in the review of systems or the clinical history and physical examination suggests one of these underlying disorders.

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