Why Do I Have a Lot of Skin Tags : Your First Guide

Skin tags are small, soft growths that frequently manifest in locations where skin contacts skin, such as the neck, armpits, or groin. While innocuous, their abrupt appearance can be perplexing. Various factors contribute, from genetics to weight variations, hormonal changes, or even diabetes. Comprehending the reasons behind multiple skin tags can aid in managing them more effectively and realizing when removal may be worth pondering is equally crucial.

What Are Skin Tags and How Do They Look?

Skin tags are small, harmless growths that often appear in areas where skin rubs against skin or clothing. These soft, fleshy bumps typically form in skin folds that rub, such as the neck, armpits, or eyelids. Their appearance varies—some are smooth, while others can look wrinkled or slightly darker than the surrounding skin.

Most skin tags hang from a tiny stalk, making them distinct from other growths. Though they don’t cause pain, their presence can be bothersome, especially if they catch on jewelry or clothing. While generally benign, a sudden increase in skin tags could signal an underlying health issue. A dermatologist can confirm their nature and recommend removal if required.

Common Causes of Skin Tags

Genetics and family history can play a role in skin tag development, as they often run in families.

Friction from skin folds or tight clothing could also contribute, especially in areas where skin rubs against skin. These factors make some people more susceptible to skin tags than others.

Genetics and Family History

Could family traits play a role in those tiny, harmless flaps of skin? Genetic factors substantially influence the development of skin tags, making them more common in some families. Studies show a close blood relative with these growths raises one’s risk. Specific inherited traits could cause the skin to produce extra cells, forming tags.

While they’re harmless, their appearance often reflects shared family patterns. Those with a parent or sibling who has them are more likely to notice similar growths. Comprehension of this genetic link helps explain why skin tags cluster in certain families. Though not everyone with a family history will develop them, predisposition plays a key role. Recognizing hereditary ties offers insight into their frequent occurrence.

Friction and Skin Folds

Those annoying little flaps of skin often pop up where clothing rubs or where skin constantly folds—think necks, underarms, or even eyelids. Friction from skin-on-skin contact creates tiny tears, which can trigger excess skin growth, forming skin tags. Areas with deep skin folds, like the groin or under the breasts, are especially prone due to persistent rubbing. People with excess skin or those who’ve lost weight may notice more tags since loose skin folds more easily. Tight clothing or repetitive movements can worsen the problem. While harmless, reducing friction—by wearing looser fabrics or keeping skin dry—can help prevent new tags from developing.

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Common Friction ZonesWhy They’re Problematic
NeckCollars cause skin rubs
UnderarmsSkin folds trap sweat
GroinTight clothing irritates
EyelidsDelicate skin rubs easily
Under breastsSkin-on-skin contact

The Role of Genetics in Skin Tag Development

While many factors contribute to skin tag formation, family history often plays a key role in who develops them. Genetic factors can make some people more prone to skin tags, especially if close relatives have them. Research shows that genetic variations could lead to excess skin cell growth, increasing the likelihood of these small, benign growths.

Heritability studies, particularly in twins, suggest that skin tags often run in families. Those with a genetic susceptibility may observe them appearing in similar areas as their parents or siblings. Though harmless, their recurrence can be frustrating. Comprehending this link helps clarify why some people develop more skin tags than others, even without other contributing factors like friction or irritation. Genetics simply set the stage for their formation.

How Weight and Obesity Contribute to Skin Tags

Excess weight often leads to skin friction in areas where skin rubs against skin, such as the neck, underarms, or groin, increasing the likelihood of skin tags.

Obesity can also cause metabolic shifts that encourage abnormal skin cell growth, making tags more common.

Additionally, folds of skin created by extra weight provide an ideal environment for these small growths to form.

Excess Friction and Rubbing

Because skin folds and creases create constant friction, people carrying extra weight could notice more skin tags in areas like the neck, underarms, or groin. Skin tags often form where skin rubs against skin, a common issue for those overweight.

Excess friction and rubbing in these areas trigger extra skin cell growth, leading to small, benign growths. Since excess weight increases skin-on-skin contact, it raises the likelihood of developing multiple skin tags. Managing weight and reducing friction—like wearing breathable fabrics—may help prevent them. Keeping skin dry and clean can also minimize irritation.

Though harmless, these growths can be bothersome, especially in sensitive spots. Addressing fundamental causes, like friction and rubbing, can reduce discomfort and lower the chances of new ones forming.

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Metabolic Changes Impact Skin

Skin tags aren’t just linked to friction—metabolic changes from carrying extra weight also play a role. Being overweight can lead to insulin resistance, a condition where the body struggles to use insulin properly. This imbalance, often tied to type 2 diabetes, might trigger hormone fluctuations that encourage skin tag growth.

Metabolic changes, like higher blood sugar levels, create an environment where these small growths thrive. Excess weight also increases skin friction, but the internal shifts—like insulin resistance—add another layer of risk. While skin tags are harmless, their frequent appearance in overweight individuals suggests a connection to these fundamental conditions.

Managing weight and addressing metabolic health could help reduce their development, offering more than just cosmetic benefits.

Many people carrying extra weight notice more skin tags forming in areas where skin rubs together, like the neck, underarms, or groin. Overweight individuals face a higher risk because friction in skin folds encourages excess cell growth, leading to these benign skin tags.

Constant rubbing from movements or clothing irritation worsens the issue. Excess body fat creates more areas where skin presses against skin, increasing the chances of tags appearing. Keeping these areas dry and clean can help, but weight management might reduce their frequency.

Wearing breathable fabrics or using barrier creams protects skin from irritation. Though harmless, persistent friction keeps them growing. Recognizing this connection helps in both prevention and treatment, emphasizing weight control as part of skin care.

Diabetes and Its Connection to Skin Tags

Individuals with diabetes often notice an increase in skin tags, small harmless growths that appear on the neck, armpits, or other skin folds. This is particularly common in type 2 diabetes, where insulin resistance and high blood sugar disrupt normal skin cell growth, leading to skin tag formation.

Insulin Resistance: Elevated insulin levels can trigger excess skin cell proliferation, creating ideal conditions for skin tags.

Blood Sugar Impact: Poorly controlled glucose levels can thicken skin tissue, making it more prone to these growths.

Early Warning Sign: A sudden cluster of skin tags could signal undiagnosed diabetes, prompting a check-up.

Managing diabetes through diet, exercise, and medication might reduce their appearance. While harmless, their sudden increase warrants medical attention to rule out underlying issues.

Hormonal Changes and Skin Tags

Hormonal shifts play a significant role in the development of skin tags, much like their connection to diabetes. Fluctuations in estrogen and androgen levels, common during pregnancy or menopause, can trigger excess skin cell growth, leading to skin tags.

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Conditions like polycystic ovary syndrome (PCOS) often involve hormonal imbalances, increasing the likelihood of skin tag formation. Insulin resistance, a hallmark of metabolic disorders, further complicates this by disrupting hormone regulation.

While these changes are natural, they can prompt sudden skin tag clusters, especially in areas where skin rubs together. Consulting a dermatologist helps pinpoint hormonal causes, ensuring appropriate care. Though harmless, addressing foundational imbalances could reduce their occurrence, offering relief to those bothered by their appearance.

Lifestyle adjustments or targeted treatments can manage contributing factors effectively.

Though skin tags can appear at any age, their likelihood increases as the body undergoes natural changes over time. Age-related shifts in skin composition, structure, and function play a key role in their formation.

As collagen and elastin production slows, the skin becomes less elastic, making it easier for small folds to develop into skin tags.

  1. Collagen and Elastin Decline: Reduced levels of these proteins weaken skin resilience, creating ideal conditions for skin tags.
  2. Skin Thinning: Aging skin loses thickness, increasing friction in areas like the neck or armpits where tags often form.
  3. Metabolic Changes: Slower cell turnover and healing can lead to excess skin growth, contributing to tag development.

While harmless, these growths become more common with age due to natural wear on the skin’s support systems.

When to Consider Removing Skin Tags

Contemplating the prime moment to discard a skin tag? Most skin tags are harmless, but removal becomes necessary if they become irritated, bleed, or rub against clothing or jewelry.

When a skin tag changes color, grows rapidly, or causes discomfort, it’s wise to see a dermatologist. Those in sensitive areas—like eyelids or underarms—may also warrant professional removal to avoid complications.

While some consider at-home methods, using a surgical blade or other tools without expertise risks infection or scarring. Sudden clusters of skin tags might signal underlying health issues, making a doctor’s evaluation crucial.

Cosmetic concerns alone rarely justify removal, as insurance typically doesn’t cover it. Prioritize safety and consult a specialist when in doubt.

Safe and Effective Skin Tag Removal Methods

Since skin tags sometimes require removal due to irritation or discomfort, being aware of the safest options matters. Dermatologists offer professional skin tag removal methods to minimize risks and guarantee effectiveness.

Here are three common procedures:

  1. Cryosurgery – Freezing the skin tag with liquid nitrogen, causing it to fall off within days. This method is quick but might cause temporary redness.
  2. Electrodesiccation – Using a small electric current to burn off the growth. It’s precise and works well for smaller tags.
  3. Surgical Snipping – Cutting the tag off with sterile scissors or a scalpel. This is instant but could require a local anesthetic.

While over-the-counter kits exist, they often lead to scarring or infection. A dermatologist can confirm the growth is harmless and choose the best removal approach. Proper aftercare certifies smooth healing.

Conclusion

While skin tags are harmless, their frequent appearance can sometimes hint at foundational health prompts worth discussing with a doctor. Managing lifestyle factors like weight and friction could gently slow their return, though genetics and hormones exert influence beyond one’s control. For those bothered by them, safe removal options exist, transforming an irritation into nothing more than a transient thought.

John Harvey
John Harvey

John Harvey, M.D., M.P.H., is an Internal Medicine physician and professor of public health. His work focuses on improving healthcare quality and cost efficiency through policy-driven research. He holds both a Doctor of Medicine and a Master of Public Health, and completed advanced fellowship training in health policy and healthcare delivery.