Can An Esthetician Remove Skin Tags? Essential Guide

Yes, in many regions, licensed estheticians can safely remove skin tags, but it depends on their training, the specific laws in your area, and the type/location of the skin tag. It’s crucial to confirm their qualifications and the safety of the procedure with a qualified professional.

Skin tags, those small, soft growths that often appear on the neck, underarms, or groin, can be a bit of a nuisance. They’re usually harmless, but they can snag on clothing or jewelry, causing irritation. Many of us wonder about the best and safest way to get rid of them, and whether a visit to the esthetician is a good option. You’re in the right place if you’re looking for clear, simple answers from a dermatologist who understands your concerns about safe and effective skincare.

We’ll explore what skin tags are, why they happen, and most importantly, whether an esthetician is the right professional to help you with them. We’ll break down the methods used, what to expect, and when it’s best to see a dermatologist. Get ready to feel confident about making the best choice for your skin!

What Exactly Are Skin Tags?

Skin tags, medically known as acrochorda, are tiny, soft, benign (non-cancerous) growths that hang off the skin. They are typically the same color as your skin, or slightly darker, and can range in size from a tiny speck to as large as a grape. You’ll most commonly find them in areas where skin rubs against skin or clothing, such as:

• The neck
• Underarms (armpits)
• Groin area
• Eyelids
• Under the breasts
• Around the buttocks

They are made up of loose collagen fibers, blood vessels, and nerve cells, all surrounded by a layer of skin. While they don’t typically cause pain or discomfort, they can become irritated if they are rubbed by clothing, jewelry, or razors. Some people also find them cosmetically bothersome.

Why Do Skin Tags Appear?

The exact cause of skin tags isn’t fully understood, but several factors are thought to contribute to their development. Understanding these can help in managing them and potentially preventing new ones from forming:

• Friction: This is considered the leading cause. When skin repeatedly rubs against skin or clothing, it can lead to the growth of skin tags. This is why they are common in areas like the neck and armpits.
• Genetics: There seems to be a familial tendency, meaning if your parents or close relatives have skin tags, you might be more prone to developing them.
• Age: Skin tags become more common as people age, particularly after the age of 40.
• Hormonal Changes: Fluctuations in hormones, such as those experienced during pregnancy or due to conditions like polycystic ovary syndrome (PCOS), can increase the likelihood of developing skin tags.
• Weight: Individuals who are overweight or obese often have more skin folds and friction, which can contribute to skin tag formation.
• Insulin Resistance and Diabetes: There’s a strong link between skin tags and insulin resistance, a condition often associated with type 2 diabetes. High insulin levels may stimulate skin cell growth. Research published in journals like the Journal of the American Academy of Dermatology has explored this connection.
• Human Papillomavirus (HPV): Some studies suggest a possible link to certain types of HPV, although this is not definitively proven as a direct cause.

It’s important to remember that skin tags are not contagious and are not a sign of a serious health problem. However, if you notice a sudden increase in skin tags or if they change in appearance, it’s always a good idea to consult with a dermatologist to rule out other conditions.

Can An Esthetician Remove Skin Tags?

This is the big question, and the answer is nuanced. In many places, yes, a licensed esthetician can remove skin tags, but with important caveats:

1. Licensing and Training: Estheticians are trained in various cosmetic skin procedures. Their scope of practice, however, varies significantly by state and country. In regions where estheticians are permitted to perform minor skin removals, they will typically have received specific training in techniques like cryotherapy (freezing) or cauterization (burning) for skin tags.

2. Type and Location of Skin Tag: Estheticians are generally qualified to remove small, superficial skin tags in common, non-sensitive areas. They are typically trained to identify and avoid removing moles, warts, or other lesions that require medical attention.

3. Safety Protocols: A reputable esthetician will follow strict hygiene and safety protocols. They will use sterile equipment and take measures to minimize the risk of infection or scarring.

4. When to See a Dermatologist: It’s crucial for estheticians to know their limits. If a skin tag is large, bleeding, painful, changes color, or is located near the eyes or mucous membranes, it should always be evaluated and treated by a dermatologist or other medical professional. Dermatologists have the medical expertise and tools to diagnose and treat a wider range of skin conditions.

5. Local Regulations: The most critical factor is understanding the specific regulations in your geographic location. Some jurisdictions strictly prohibit estheticians from performing any form of skin removal, while others allow it under specific conditions. Always verify the esthetician’s license and the services they are legally permitted to offer in your area.

To be absolutely sure, you can ask your esthetician about their specific training and certification for skin tag removal. If you have any doubts, consulting your dermatologist first is always the safest approach.

Methods Estheticians May Use for Skin Tag Removal

When an esthetician is permitted and trained to remove skin tags, they will typically use methods similar to those a doctor might employ, focusing on cosmetic outcomes and patient comfort. Here are some common techniques:

1. Cryotherapy (Freezing)

This method involves applying a very cold substance, usually liquid nitrogen, to the skin tag. The extreme cold causes the tissue to freeze and die. Over the next week or two, the skin tag will typically fall off on its own.

• How it works: Liquid nitrogen rapidly cools the skin tag, destroying the cells.
• What to expect: A stinging sensation during application, followed by redness and possibly a blister. The tag will darken and eventually detach.
• Pros: Relatively quick procedure, effective for small to medium tags.
• Cons: Can cause temporary discomfort, potential for temporary pigment changes (lighter or darker spots), and a small risk of scarring if not done correctly.

2. Cauterization (Burning)

Cauterization uses heat to destroy the skin tag tissue. This can be done using an electrical current (electrocautery) or a heated probe.

• How it works: Heat is applied to the base of the skin tag, sealing off blood vessels and effectively burning away the tissue.
• What to expect: A mild burning sensation. The treated area will form a small scab that will heal and fall off.
• Pros: Effective for removing tags by sealing blood vessels, which can reduce bleeding.
• Cons: Can cause mild discomfort, potential for scarring or pigment changes, and requires careful technique to avoid damaging surrounding skin.

3. Excision (Cutting)

For skin tags that are larger or have a distinct stalk (peduncle), an esthetician might use sterile surgical scissors or a scalpel to carefully snip the tag off at its base.

• How it works: The stalk of the skin tag is cut, removing the growth.
• What to expect: A quick pinch or sting. There might be a tiny bit of bleeding, which is usually easily controlled.
• Pros: Immediate removal of the tag.
• Cons: Requires sterile instruments and a steady hand. There’s a slightly higher risk of bleeding and scarring compared to other methods if not performed with precision. This method is often preferred by dermatologists for larger tags.

It’s important that the esthetician uses sterile, single-use or properly sterilized instruments for any of these procedures to prevent infection. Always ensure the treatment area is cleaned thoroughly before and after the procedure.

What to Expect During an Esthetician Appointment for Skin Tag Removal

If you decide to have an esthetician remove your skin tags, here’s a general idea of what the process might look like:

1. Consultation: Your appointment will likely begin with a consultation. The esthetician will ask about your medical history, any allergies, and discuss the skin tags you wish to have removed. They will examine the tags to ensure they are indeed skin tags and not something that requires medical attention. They should explain the procedure, potential risks, and expected outcomes.
2. Preparation: The area around the skin tag will be cleansed with an antiseptic solution to minimize the risk of infection.
3. The Procedure: Depending on the method used (cryotherapy, cauterization, or excision), the esthetician will perform the removal. This is usually a quick process, often taking just a few minutes per tag.
4. Post-Treatment Care: After removal, the esthetician will provide instructions on how to care for the treated area. This typically involves keeping the area clean and dry, avoiding picking at any scabs that form, and protecting it from the sun. They might recommend a specific ointment or bandage.
5. Follow-up: In most cases, no follow-up appointment is needed unless there are signs of infection or unusual healing. However, some estheticians may offer a brief check-in.

The entire appointment, including consultation and procedure, might take anywhere from 15 minutes to an hour, depending on the number of skin tags being treated.

Pros and Cons of Esthetician-Performed Skin Tag Removal

Opting for an esthetician for skin tag removal can be a convenient and cost-effective choice for many. However, like any procedure, it has its advantages and disadvantages.

Pros:

• Accessibility and Convenience: Estheticians are often more readily available and may have shorter waiting times than dermatologists for cosmetic procedures. Many spas and beauty clinics offer these services.
• Cost-Effectiveness: Generally, estheticians charge less for skin tag removal than dermatologists or medical clinics, making it a more affordable option for cosmetic concerns.
• Cosmetic Focus: Estheticians are skilled in cosmetic treatments and often focus on achieving the best possible aesthetic outcome with minimal scarring.
• Comfortable Environment: The spa or salon setting can feel more relaxed and less clinical than a doctor’s office for some individuals.

Cons:

• Limited Scope: Estheticians are not medical doctors. They cannot diagnose underlying medical conditions that might be contributing to skin tags or treat complex skin lesions.
• Regulatory Variations: The legality and scope of practice for estheticians vary greatly by location. In some areas, they may not be permitted to perform skin tag removal at all.
• Risk of Misdiagnosis: While trained to identify skin tags, there’s a small risk that an esthetician might misidentify a more serious skin condition, delaying proper medical treatment.
• Potential for Complications: Although generally safe when performed by a trained professional, there is still a risk of infection, scarring, or pigment changes, especially if the skin tag is removed improperly or if aftercare instructions are not followed.

It’s essential to weigh these factors based on your individual needs, the specific skin tags you have, and the qualifications of the esthetician you are considering.

When to See a Dermatologist Instead

While estheticians can be a great resource for cosmetic skin concerns, there are specific situations where consulting a dermatologist is essential. Dermatologists are medical doctors specializing in skin health and are equipped to handle a broader range of issues.

You should see a dermatologist if:

• You are unsure if the growth is a skin tag: Moles, warts, or other lesions can sometimes resemble skin tags. A dermatologist can accurately diagnose the growth and determine the best course of action. For instance, some types of skin cancer can initially appear as small bumps.
• The growth is painful, itchy, or bleeding: Skin tags are typically asymptomatic. If a growth is causing discomfort, it warrants a medical evaluation.
• The growth changes in size, shape, or color: Any significant changes in a skin lesion are a red flag and should be checked by a doctor. This is a critical indicator for potential melanoma or other skin cancers.
• The skin tag is large or has a thick stalk: While some estheticians can remove larger tags, dermatologists are better equipped to handle these with minimal risk of complications like excessive bleeding or scarring.
• The growth is located on sensitive areas: Skin tags on or near the eyelids, genitals, or mucous membranes should always be treated by a medical professional due to the delicate nature of these areas.
• You have numerous skin tags or a sudden increase: A rapid proliferation of skin tags can sometimes be linked to underlying medical conditions like insulin resistance or diabetes, which a dermatologist can investigate and manage. You can learn more about skin conditions and their management on resources like the American Academy of Dermatology’s website.
• You have a history of keloids or poor wound healing: If you tend to form raised scars or have difficulty healing, a dermatologist can advise on the safest removal methods and manage potential complications.

Prioritizing your health and safety is paramount. When in doubt, always err on the side of caution and seek professional medical advice from a dermatologist.

What About At-Home Removal Kits?

You might have seen various at-home skin tag removal kits available online or in pharmacies. These often involve freezing solutions (similar to cryotherapy but less potent), salicylic acid treatments, or ligation bands.

While tempting for their convenience and low cost, I generally advise caution with these products:

• Risk of Ineffective Treatment: The potency of over-the-counter freezing kits is much lower than what a dermatologist or trained esthetician uses. This can mean they are ineffective or require multiple applications, increasing the risk of irritation.
• Potential for Scarring and Infection: Applying strong chemicals or freezing agents without proper knowledge can damage the surrounding skin, leading to scarring, hyperpigmentation (darkening), or hypopigmentation (lightening) of the skin. There’s also a risk of infection if the skin is broken and not kept clean.
• Misidentification: The biggest danger is using these kits on a growth that isn’t a skin tag. Treating a mole or a wart with an at-home kit could lead to serious complications, including delaying the diagnosis of skin cancer.
• Pain and Discomfort: Some users report significant pain or burning sensations with these products.

If you are considering an at-home treatment, it’s crucial to be absolutely certain of the diagnosis. Even then, it’s often safer and more effective to have the procedure performed by a professional. For a comprehensive understanding of skin health and safety, the U.S. Food and Drug Administration (FDA) offers valuable consumer advice.

Frequently Asked Questions About Estheticians and Skin Tag Removal

Here are some common questions I get asked about estheticians and skin tag removal: