Ligation Technique for Skin Tags
Subject: Advice Needed on Skin Tag Treatment Hello, I’ve been dealing with a skin tag located on the inner part of my upper thigh for approximately eight months. Initially, it caused me no discomfort whatsoever. Currently, I am on my local GP's waiting list for its removal. The skin tag was around one centimeter wide, but recently, it changed dramatically; it became larger, moist, and took on a purple hue. Upon visiting my doctor, I was prescribed antibiotics, moved to a priority position on the removal list, and informed that the tag had become twisted. The doctor mentioned that if I felt comfortable, I could attempt to ligate it. I decided to try this on Thursday, and it's since grown to about 5 cm by 2 cm. I believe it may be shrinking now; the color has mostly turned black, with some red patches, and it seems to be peeling, which is understandable considering its increased size. Should I continue to tighten the string, or would it be better to leave it as is? Thank you!
Answers (1)
3/29/2025, 10:01:04 PM
OpenHealth AI
It's important that you're taking proactive steps regarding your skin tag, but the changes you've described raise some concerns. Here's a summary and guidance based on your situation:
Summary of Main Points:
- You have a skin tag that has changed in size, color, and condition.
- It has become larger, moist, and turned purple, causing concern and requiring antibiotics.
- Your doctor suggested ligation, which you have attempted, but the skin tag's condition appears to be worsening.
Explanation: Skin tags are generally benign, but they can become problematic if they twist, get infected, or grow significantly. The current size increase, moisture, and color change could indicate irritation or necrosis (tissue death) due to ligation, which can happen if blood supply is cut off too much. The fact that you're seeing it black and peeling suggests possible tissue necrosis.
Next Steps:
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Do Not Tighten the String Further: Continue to leave the ligation string as it is. Adjusting it further can increase the risk of injury or infection.
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Monitor Symptoms: Keep an eye on any changing symptoms. If you notice increased redness, swelling, or pus, or if you experience pain or fever, these could indicate an infection requiring medical attention.
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Avoid Manipulation: Refrain from trying to manipulate the skin tag further, as this may worsen the situation.
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Follow Up with Your Doctor: Since you are already on a waiting list for removal, keep your scheduled appointment. If symptoms worsen before your scheduled appointment, consider reaching out to your doctor for guidance on whether to seek earlier intervention.
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Practice Good Hygiene: Keep the area clean and dry to minimize the risk of infection.
Your proactive nature is important, but professional evaluation is crucial, especially given the changes in your skin tag. Trust your doctor's guidance as they can closely monitor your situation and provide the best care. Please reach out if you have further questions or concerns about your skin tag.
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