MOLES, SKIN TAGS, SKIN GROWTH REMOVAL New York
NEW YORK MOLE/SKIN TAG REMOVAL
February Special - Skin Tag/Mole removal From and up, per lesion (depending on size, number and location). Initial consult is wich will apply toward treatment cost if performed.
Mole Removal Before After Click on image to enlarge
Cosmetic removal of moles is one of the most popular cosmetic dermatology procedures today. Although most people refer to any non-acne bump on the skin as a "mole," many different varieties of skin lesions exist. Dr. Yagudin uses a variety of techniques to remove moles. The technique depends on the diagnosis and the severity of the condition.
Skin Tag Removal, NYC | New York Dermatology
Skin Tag Removal Treatments
One question we get a lot is “should skin tags be removed?” We recommend skin tag removal when they begin to irritate or become uncomfortable. People typically opt to have their skin tags removed for cosmetic reasons. There is a myth that when you remove a skin tag, another will grow. But this is false. The good news is that skin tag removal is an easy and relatively painless medical dermatology treatment. Skin tags typically do not require anesthesia, but to make our patients comfortable, we can inject a topical anesthesia prior to skin tag removal treatments. At Schweiger Dermatology, we remove skin tags using the following methods:
- Freezing the tag with liquid nitrogen
- Use of surgical scissors to remove the tag
Moles and Treatment NYC New York NY
Moles and Treatment
Moles are quite common and can occur anywhere on the skin. They may be single or appear in groups and are dark in color. Early childhood through age twenty is the time when most moles are discovered. Having up to 40 moles by the time a person is an adult is nothing unusual. Fortunately, most moles are benign.
Moles are not the same as lentignines, freckles or a condition called papulosis nigra – all of which can be removed simple with diolite laser.Mole removal, whether for cosmetic or preventive reasons, require a fair level of surgical skills to prevent unpleasant scarring and you would be wise to choose a dermatologic or plastic surgeon.
Concern over the presence of moles on the skin is mainly an issue of appearance for most persons. A dermatologist can remove moles from skin using one of several techniques. It is best to not try removal yourself. If a mole is suspicious looking, a dermatologist can run tests to determine if the mole is cancerous and/or should be removed. Consult a dermatologist if a mole begins to crack, bleed, ooze or become itchy or painful.
Although moles are a normal skin condition, care should be taken because some moles exhibit changes in size, shape or color. A few moles will become raised up over the skin level. Others may show no change or even disappear. Hair might also be seen growing on a mole.
A visit to a professional dermatologist can put to rest many concerns a person may have about a mole. Any abnormality of the skin should be looked at and possibly biopsied to be sure it is not cancerous. Below are some common questions people have when they visit a dermatologist’s office.
SKIN TAGS IN RELATION TO OBESITY NYC New York NY
Skin tags (STs) have been investigated as a marker of type 2 diabetes mellitus (DM), yet the relation of STs to obesity is still a matter of controversy.
Aim:
The aim of the study is to explore the relation of number, size and color of STs to obesity, diabetes, sex and age in one study.
Methods:
The study included 245 nondiabetic (123 males and 122 females) and 276 diabetic (122 males and 154 females) subjects. We recorded age, sex, body mass index (BMI), relevant habits, STs color, size, and number in different anatomical sites.
Results:
The presence and the mean number of STs was more in obese than nonobese participants (P = 0.006 and P < 0.001, respectively) and was not affected by sex. However, the number increased significantly with age. The presence of mixed-color STs was related to obese (P < 0.001) participants. Multivariate logistic regression revealed that only BMI was significantly associated with the mixed-color STs (OR = 3.5, P < 0.001). The association of DM (OR = 1.7) with mixed-color STs was nonsignificant (P = 0.073). Neither age nor sex had any association with mixed-color STs. Within cases that developed mixed-color STs, the multivariate analysis showed that only BMI had a significant correlation to the number of STs (beta = 0.256, P = 0.034).
Conclusion:
The study showed that not only the number but also the presence of mixed-color ST was related to obesity, but not to diabetes. The presence of mixed-color STs in nondiabetic subjects needs close inspection of BMI.
Keywords: Age, diabetes mellitus, obesity, sex, skin tags
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Introduction
Obesity and impaired glucose tolerance (IGT) are high risk factors for developing diabetes mellitus (DM). IGT is characterized by plasma glucose response to an oral glucose challenge that is above normal but not at the level defining DM. Individuals with IGT manifest abnormalities in both insulin action and early insulin secretion, similar to those seen in patients with type 2 DM.[1] Obesity and a high fat diet may contribute to the development of both insulin resistance and insulin secretory dysfunction in susceptible individuals.[1] Currently, there are no clear parameters to identify the patients with IGT or obesity who proceed on to DM.
Skin tags (STs), soft fibromas, fibroepithelial polyps, or acrochordons are all alternative terms to describe a common benign skin condition, which consists of a bit of skin projecting from the surrounding skin.[2] Histologically, STs is a polypoid lesion with overlying mildly acanthotic epidermis, a loose, edematous fibrovascular core exhibiting mild chronic inflammation and a nerveless dermis.[3] They often develop in areas of skin friction.[4] STs have been reported to be associated with many diseases including type 2 DM[5–7] and obesity.[8,9] STs have been investigated as a cutaneous marker for type 2 DM and obesity by measuring glucose curve, body mass index (BMI)[5,10] and insulin level.[11,12]
Although the relation of STs to insulin resistance and type 2 DM was established in previous studies,[11] further studies are warranted in the area of obesity and STs.[13] Thus, to explore this area, the relation of the number, size and color of STs to obesity, diabetes, sex and age will be analyzed in one study.
Go to:
Material and Methods
This study was conducted in a university hospital. The total number of participants was 521. The nondiabetic group included 245 participants from the outpatient clinic of dermatology [123 (50.2%) males and 122 (49.8%) females]. The diabetic group, including 276 participants (type II DM receiving oral hypoglycemic tablets), were from outpatient clinic of DM (122 (44.2%) males and 154 (55.8%) females.
History taking highlighted age, sex, marital status, family history of diabetes, and history of cardiac, hepatic, gastrointestinal or endocrinal disorders, other than DM. Individuals with an associated medical condition were excluded from the study (including pregnant women). Fasting blood glucose for the nondiabetic group was estimated to exclude occult diabetes. BMI was calculated for all cases according to the following equation:[14] BMI = [weight (kg)] / [height(m)]2. The internationally accepted range for BMI is as follows: underweight <18 .5="" 18.5="" 25.0="" 30.0="" and="" extreme="" normal="" obesity="" overweight="">40.
Number, size, site and color of STs were examined and evaluated in all the participants [Table 1]. The following classification parameters were used (modified from Kahana et al.).[5] Number: Few (1–4), moderate (5–10) and many (>10). Size: Very early (visible not felt), small (projection of <0 .5="" and="" cm="" large="" medium="">1 cm). Site: Eyelids (right–left), neck (right–left), axilla (right–left), trunk (right–left). Color: Flesh color, hyperpigmented or of a mixed color. Mixed-color STs means the presence of both colors, i.e., flesh and hyperpigmented STs in the same anatomical area as in the neck, or in the axillae [Figure 1].
Table 1
Table 1
Number and percent of the studied population including males, females, nonobese, obese, nondiabetics, diabetics, STs prevalence and STs color
Figure 1
Figure 1
The mixed-color STs in neck
These parameters of STs were compared in the diabetics and obese versus the nondiabetics, nonobese. Data were statistically described in terms of range, mean ± standard deviation (±SD), frequencies (number of cases) and relative frequencies (percentages). Comparison of quantitative variables between the study groups was done using Student's t test for independent samples. For comparing categorical data, Chi square (χ2) test was performed. Exact test was used instead when the expected frequency was less than 5. Correlation between various variables was done using Pearson moment correlation equation. A probability value (P value) less than 0.05 was considered statistically significant. All statistical calculations were done using the computer programs “Microsoft Excel 2003” (Microsoft Corporation, NY, USA) and “SPSS” (Statistical Package for the Social Science; SPSS Inc., Chicago, IL, USA) version 15.
Go to:
Results
In order to explore the controversy in literature concerning the relation of STs to obesity, the relation of the number, size and color of STs to obesity, diabetes, sex and age was analyzed. The basic characteristics studied are presented in Table 1.
Relation of skin tags to age and sex
The mean number of STs in the studied group was 5.36 ± 11.920, while the mean age of the studied group was 45.30 ± 12.540. In this study, the number of STs correlated significantly with age (P = 0.002). There were no significant differences in prevalence and mean number of STs between males and females groups (P = 0.555 and P = 0.358, respectively). Also, there was no significant difference in the prevalence of STs colors (flesh, dark and mixed) between males and females groups (P = 0.313).
Relation of skin tags to obesity
The prevalence of STs was detected more often among obese participants 199/310 (64.2%) compared to nonobese participants 110/211 (52.1%). This was statistically significant (P = 0.006). The mean number of STs was significantly higher among obese participants (7.11 ± 14.998) in comparison to the nonobese (2.92 ± 4.957, P < 0.001). The prevalence of mixed-color STs was significantly more among obese participants [81 (42.2%)] compared to nonobese [18 (17.6%], P < 0.001). On the other hand, the prevalence of flesh-color [58 (56.9%)] and hyperpigmented [26 (25.5%)] STs was higher in the nonobese group in comparison to the obese group [75 (39.1%)], and 36 (18.8%), respectively]
Aim:
The aim of the study is to explore the relation of number, size and color of STs to obesity, diabetes, sex and age in one study.
Methods:
The study included 245 nondiabetic (123 males and 122 females) and 276 diabetic (122 males and 154 females) subjects. We recorded age, sex, body mass index (BMI), relevant habits, STs color, size, and number in different anatomical sites.
Results:
The presence and the mean number of STs was more in obese than nonobese participants (P = 0.006 and P < 0.001, respectively) and was not affected by sex. However, the number increased significantly with age. The presence of mixed-color STs was related to obese (P < 0.001) participants. Multivariate logistic regression revealed that only BMI was significantly associated with the mixed-color STs (OR = 3.5, P < 0.001). The association of DM (OR = 1.7) with mixed-color STs was nonsignificant (P = 0.073). Neither age nor sex had any association with mixed-color STs. Within cases that developed mixed-color STs, the multivariate analysis showed that only BMI had a significant correlation to the number of STs (beta = 0.256, P = 0.034).
Conclusion:
The study showed that not only the number but also the presence of mixed-color ST was related to obesity, but not to diabetes. The presence of mixed-color STs in nondiabetic subjects needs close inspection of BMI.
Keywords: Age, diabetes mellitus, obesity, sex, skin tags
Go to:
Introduction
Obesity and impaired glucose tolerance (IGT) are high risk factors for developing diabetes mellitus (DM). IGT is characterized by plasma glucose response to an oral glucose challenge that is above normal but not at the level defining DM. Individuals with IGT manifest abnormalities in both insulin action and early insulin secretion, similar to those seen in patients with type 2 DM.[1] Obesity and a high fat diet may contribute to the development of both insulin resistance and insulin secretory dysfunction in susceptible individuals.[1] Currently, there are no clear parameters to identify the patients with IGT or obesity who proceed on to DM.
Skin tags (STs), soft fibromas, fibroepithelial polyps, or acrochordons are all alternative terms to describe a common benign skin condition, which consists of a bit of skin projecting from the surrounding skin.[2] Histologically, STs is a polypoid lesion with overlying mildly acanthotic epidermis, a loose, edematous fibrovascular core exhibiting mild chronic inflammation and a nerveless dermis.[3] They often develop in areas of skin friction.[4] STs have been reported to be associated with many diseases including type 2 DM[5–7] and obesity.[8,9] STs have been investigated as a cutaneous marker for type 2 DM and obesity by measuring glucose curve, body mass index (BMI)[5,10] and insulin level.[11,12]
Although the relation of STs to insulin resistance and type 2 DM was established in previous studies,[11] further studies are warranted in the area of obesity and STs.[13] Thus, to explore this area, the relation of the number, size and color of STs to obesity, diabetes, sex and age will be analyzed in one study.
Go to:
Material and Methods
This study was conducted in a university hospital. The total number of participants was 521. The nondiabetic group included 245 participants from the outpatient clinic of dermatology [123 (50.2%) males and 122 (49.8%) females]. The diabetic group, including 276 participants (type II DM receiving oral hypoglycemic tablets), were from outpatient clinic of DM (122 (44.2%) males and 154 (55.8%) females.
History taking highlighted age, sex, marital status, family history of diabetes, and history of cardiac, hepatic, gastrointestinal or endocrinal disorders, other than DM. Individuals with an associated medical condition were excluded from the study (including pregnant women). Fasting blood glucose for the nondiabetic group was estimated to exclude occult diabetes. BMI was calculated for all cases according to the following equation:[14] BMI = [weight (kg)] / [height(m)]2. The internationally accepted range for BMI is as follows: underweight <18 .5="" 18.5="" 25.0="" 30.0="" and="" extreme="" normal="" obesity="" overweight="">40.
Number, size, site and color of STs were examined and evaluated in all the participants [Table 1]. The following classification parameters were used (modified from Kahana et al.).[5] Number: Few (1–4), moderate (5–10) and many (>10). Size: Very early (visible not felt), small (projection of <0 .5="" and="" cm="" large="" medium="">1 cm). Site: Eyelids (right–left), neck (right–left), axilla (right–left), trunk (right–left). Color: Flesh color, hyperpigmented or of a mixed color. Mixed-color STs means the presence of both colors, i.e., flesh and hyperpigmented STs in the same anatomical area as in the neck, or in the axillae [Figure 1].
Table 1
Table 1
Number and percent of the studied population including males, females, nonobese, obese, nondiabetics, diabetics, STs prevalence and STs color
Figure 1
Figure 1
The mixed-color STs in neck
These parameters of STs were compared in the diabetics and obese versus the nondiabetics, nonobese. Data were statistically described in terms of range, mean ± standard deviation (±SD), frequencies (number of cases) and relative frequencies (percentages). Comparison of quantitative variables between the study groups was done using Student's t test for independent samples. For comparing categorical data, Chi square (χ2) test was performed. Exact test was used instead when the expected frequency was less than 5. Correlation between various variables was done using Pearson moment correlation equation. A probability value (P value) less than 0.05 was considered statistically significant. All statistical calculations were done using the computer programs “Microsoft Excel 2003” (Microsoft Corporation, NY, USA) and “SPSS” (Statistical Package for the Social Science; SPSS Inc., Chicago, IL, USA) version 15.
Go to:
Results
In order to explore the controversy in literature concerning the relation of STs to obesity, the relation of the number, size and color of STs to obesity, diabetes, sex and age was analyzed. The basic characteristics studied are presented in Table 1.
Relation of skin tags to age and sex
The mean number of STs in the studied group was 5.36 ± 11.920, while the mean age of the studied group was 45.30 ± 12.540. In this study, the number of STs correlated significantly with age (P = 0.002). There were no significant differences in prevalence and mean number of STs between males and females groups (P = 0.555 and P = 0.358, respectively). Also, there was no significant difference in the prevalence of STs colors (flesh, dark and mixed) between males and females groups (P = 0.313).
Relation of skin tags to obesity
The prevalence of STs was detected more often among obese participants 199/310 (64.2%) compared to nonobese participants 110/211 (52.1%). This was statistically significant (P = 0.006). The mean number of STs was significantly higher among obese participants (7.11 ± 14.998) in comparison to the nonobese (2.92 ± 4.957, P < 0.001). The prevalence of mixed-color STs was significantly more among obese participants [81 (42.2%)] compared to nonobese [18 (17.6%], P < 0.001). On the other hand, the prevalence of flesh-color [58 (56.9%)] and hyperpigmented [26 (25.5%)] STs was higher in the nonobese group in comparison to the obese group [75 (39.1%)], and 36 (18.8%), respectively]
How Are Skin Tags Treated? NYC New York NY
Your dermatologist can remove a skin tag by cutting it off with a scalpel or scissors, with cryosurgery (freezing it off), or with electrosurgery (burning it off with an electric current).
Laser treatment skin tag eyelid? nyc new york ny
The size of the tag / mole would largely determine the safest approach.
The first thing to consider is the IDENTITY of the tag / mole. If there is ANY consideration that it could be malignant, I would strongly advise you to have it or a piece of it cut for a biopsy - burning it with a laser would forever keep the identity a secret until, if a cancer, it came back, possibly worse than before.
Second, a laser is NOT a gentle tool. It literally cooks the skin inflicting a burn. Depending on the thickness of the burn and its location it may cause the lower lid to be pulled down. Google pictures for ECTROPION to see what I mean.
I am somewhat puzzled by what your eye doctor said because usually we can remove inner eyelid (CANTHUS) lesions without closing the wound and they heal well without major distortion of the tissues next door.
The first thing to consider is the IDENTITY of the tag / mole. If there is ANY consideration that it could be malignant, I would strongly advise you to have it or a piece of it cut for a biopsy - burning it with a laser would forever keep the identity a secret until, if a cancer, it came back, possibly worse than before.
Second, a laser is NOT a gentle tool. It literally cooks the skin inflicting a burn. Depending on the thickness of the burn and its location it may cause the lower lid to be pulled down. Google pictures for ECTROPION to see what I mean.
I am somewhat puzzled by what your eye doctor said because usually we can remove inner eyelid (CANTHUS) lesions without closing the wound and they heal well without major distortion of the tissues next door.
Vaginal skin tags NYC New York NY
Most people who come to our clinic with vaginal skin tags, especially when they seem like they are increasing in number, actually have genital warts. Best to have your dermatologist have a close look for a proper diagnosis. Hopefully they are just skin tags.
Fleshy Skin Tags arm and neck nyc new york ny
would seek evaluation by a dermatologist to evaluate possible methods of removal ranging from liquid nitrogen, to shave excision, to hyfrecation, electrocautery, simple excision, laser ablation, etc. Lesions may need to be evaluated by a pathologist.
Skin lesions NYC New York NY
These appear to be skin tags which can be very common. We usually treat them with either cryotherapy or with shave excision.
Skin Tag Removal NYC New York NY
Skin tags are essentially fleshy protrusions of normal skin that occur in areas with a large amount of friction such as under the arms or in the groin. Diabetics are prone to skin tags so it is recommended to see a primary care physician to rule out this disease. Skin tags can be removed with ease in the office either with liquid nitrogen cryotherapy ("freezing") or anesthetizing
the base of each skin tag with a local anesthetic and removing them with surgical scissors. As always, it is recommended to see a board certified dermatologist for diagnosis and treatment
Skin Tags Excision NYC New York NY
If these are indeed skin tags, or fibro-epethelial polyps, or soft fibromas all the same thing, they can be snipped off after local anesthesia. The advantage of an excision in this way is that the pathology is preserved. They can also be treated with gentle cryotherapy (freezing), electrodessication or for the more extravagently inclined laser. However, with these modalities, the tissue is not preserved and there is no specimen to send to the pathologist.
Removing facial skin tags nyc new york ny
Your dermatologist can determine if these growths are benign or malignant, and then they or a plastic surgeon can determine the best way to cut them out (shave vs. sutures), or whether electrosurgery may work even better (for skin tags).
Skin Tags Face NYC New York NY
The most important first step is to have any concerning growths evaluated by a Board Certified Dermatologist to confirm that they are harmless.
Treatment for most moles or tags is usually a simple, quick, in office procedure-- but will vary depending upon the actual type, size and location of the mole or tag.
Most tags can easily be easily clipped at the base or lightly cauterized. These heal very quickly and well.
A true mole can usually be treated with a simple shave removal or excision, whcih requires a few sutures. Which procedure is best will, again, upon their size and location.
Skin tags snipping them off nyc new york ny
Skin tags are very common and easy to remove by simply snipping them off f and take less than 1 minute to do with almost no pain nor any scar.
Skin Tags Should Be Removed By Dermatologists NYC New York NY
In general, it is better to see a board-certified dermatologist to have lesions evaluated and removed. Not only do we have the experience to know safe (benign) skin growths from potential dangerous (cancerous) ones, but we know how to properly remove skin growths like skin tags to yield excellent cosmetic results. It sounds like the person you saw wasn't a dermatologist and may not have known how to properly remove the skin tags. I hope your next experience is a much better one.
Acrochordons
Skin tags
Skin tags
I. Definition:
Skin tags (acrochordons) are small growths of skin that some people develop on the face, neck, armpits, and the groin. The medical name is acrochordon. They are harmless and do not become cancerous or malignant.
II. Causes:
The tendency to develop skin tags is inherited (runs in families).
The precise cause is unknown.
III. Treatment:
Skin tags do not need treatment.
If skin tags become sore from rubbing clothing or jewelry or if you find them unsightly, they can be removed surgically. Healing is usually complete in a week or two.
New skin tags may form even if all existing tags are removed.
Skin Tag
Generally speaking, no treatment is necessary other than for cosmetic concerns. In certain circumstances, if the lesions are symptomatic (painful, inflamed, itchy, or catch on clothing), the lesions can be treated via a minor in-office surgical procedure.
At NYC Dermatology we take a great deal of pride in our very effective dermatosis papulosa nigra treatments. Dr. Rothfeld is a board certified dermatologist, who has extensive training in the treatment of dermatosis papulosa nigra including topical medications surgical approaches.
Dr. Rothfeld will carefully evaluate your condition and design a custom dermatosis papulosa nigra treatment program that is just right for you, just as we did for our patient pictured above
At NYC Dermatology we take a great deal of pride in our very effective dermatosis papulosa nigra treatments. Dr. Rothfeld is a board certified dermatologist, who has extensive training in the treatment of dermatosis papulosa nigra including topical medications surgical approaches.
Dr. Rothfeld will carefully evaluate your condition and design a custom dermatosis papulosa nigra treatment program that is just right for you, just as we did for our patient pictured above
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