Skin Tag Getting Bigger and Hurts: Causes, Treatments, and When to Seek Medical Attention

Skin tags are common benign growths that typically cause no discomfort. However, when a skin tag starts growing larger and becomes painful, it may signal an underlying issue requiring attention. This article explores the causes behind painful, enlarging skin tags and provides guidance on appropriate treatments and when medical intervention becomes necessary.

Key Takeaways

  • Painful, enlarging skin tags may indicate irritation, infection, or rarely, a more serious condition
  • Twisting or trauma to skin tags often causes pain and swelling due to compromised blood flow
  • Medical evaluation is necessary when skin tags change rapidly in size, color, or cause persistent pain
  • Self-diagnosis can be risky; what appears to be a skin tag might be another skin condition
  • Professional removal methods are safer and more effective than home remedies for painful skin tags

Understanding Skin Tags: The Basics

Skin tags, medically known as acrochordons, are small, soft, flesh-colored or slightly darker growths that typically appear in areas where skin rubs against skin or clothing. These benign growths consist of collagen fibers and blood vessels surrounded by a thin layer of skin.

Common locations for skin tags include:

  • Neck
  • Armpits
  • Eyelids
  • Groin folds
  • Under breasts

Most skin tags remain small (2-5mm) and cause no symptoms. However, some may grow larger and develop complications. According to dermatology experts at The Minor Surgery Center, skin tags affect nearly half of all adults, with incidence increasing with age and weight gain.

When a Skin Tag Gets Bigger and Hurts: Common Causes

A skin tag getting bigger and hurts can be concerning and uncomfortable. Several factors can trigger this change in previously benign growths:

Friction and Irritation

The most common reason for a painful, enlarging skin tag is physical irritation. When skin tags develop in areas with frequent friction—such as collar lines, undergarments, or jewelry contact points—they can become:

  • Irritated
  • Inflamed
  • Swollen
  • Tender to touch

This irritation can trigger growth as the body responds to the constant trauma with inflammation.

Twisting and Blood Supply Issues

Skin tags connect to the body through a thin stalk (peduncle). When a skin tag twists on its stalk, it can restrict blood flow, leading to:

  • Sudden pain
  • Darkening color (red, purple, or black)
  • Swelling
  • Tenderness

This condition, known as torsion, essentially strangulates the skin tag. In some cases, the skin tag may even fall off naturally after the blood supply is cut off, though this process can be painful.

Infection

When skin tags become irritated or damaged, bacteria can enter, causing infection. Signs of an infected skin tag include:

  • Increased pain
  • Redness extending beyond the skin tag
  • Warmth around the area
  • Pus or discharge
  • Swelling
  • Fever (in severe cases)

Infected skin tags require proper medical attention, as described in the treatment section at The Minor Surgery Center's clinic.

Hormonal Changes

Hormonal fluctuations can influence skin tag growth. People may notice skin tags growing larger during:

  • Pregnancy
  • Menopause
  • Significant weight gain
  • Periods of hormonal medication use

Research suggests that insulin resistance and elevated growth factor levels may contribute to skin tag development and enlargement.

Rare but Serious Concerns

While uncommon, a rapidly growing or painful "skin tag" might not be a skin tag at all. Other conditions that can mimic skin tags include:

  • Seborrheic keratosis
  • Warts
  • Nevus (mole)
  • Molluscum contagiosum
  • Fibromas
  • Early-stage skin cancers

This underscores the importance of professional evaluation when skin growths change significantly or cause pain.

Diagnosing a Problematic Skin Tag

When experiencing a skin tag getting bigger and hurts, proper diagnosis is essential before treatment. Self-diagnosis can be risky, as what appears to be a skin tag might be another condition requiring different management.

When to See a Doctor

Medical attention is warranted when a skin tag:

  • Grows rapidly over a short period
  • Becomes painful without obvious irritation
  • Changes color (especially to very dark brown or black)
  • Bleeds spontaneously
  • Develops an irregular border
  • Causes persistent discomfort

The medical team at The Minor Surgery Center specializes in evaluating and treating problematic skin growths with precision and care.

Diagnostic Process

A healthcare provider will typically:

  1. Perform a visual examination
  2. Take a detailed medical history
  3. Ask about symptoms and timeline
  4. Possibly use a dermatoscope for closer inspection

In some cases, if there's uncertainty about the diagnosis, the doctor might recommend:

  • Biopsy (removing a small tissue sample for laboratory analysis)
  • Referral to a dermatologist for specialized evaluation
  • Imaging studies (rarely needed)

This thorough approach ensures appropriate treatment and rules out more serious conditions.

Treatment Options for Painful, Enlarging Skin Tags

When a skin tag gets bigger and hurts, several treatment approaches may be considered, depending on the underlying cause of the pain and enlargement.

Professional Removal Methods

Medical professionals offer several effective removal techniques:

1. Excision

Cutting the skin tag off with surgical scissors or a scalpel:

  • Quick procedure
  • Local anesthetic used
  • Minimal bleeding
  • Effective for larger skin tags
  • May leave minimal scarring

2. Cryotherapy

Freezing the skin tag with liquid nitrogen:

  • No cutting required
  • Brief procedure
  • Skin tag falls off within 1-2 weeks
  • May require multiple sessions for larger tags
  • Minimal discomfort during healing

3. Electrocautery

Using electric current to burn off the skin tag:

  • Precise removal
  • Simultaneous cauterization prevents bleeding
  • Quick healing
  • Effective for medium to large skin tags
  • Local anesthetic used

4. Ligation

Tying off the skin tag at its base:

  • Cuts off blood supply
  • Tag falls off naturally in 5-10 days
  • Minimal pain
  • No bleeding
  • Good for medium-sized tags

The specialists at The Minor Surgery Center offer all these removal options, tailoring the approach to each patient's specific needs and the characteristics of their skin tags.

Managing Infected Skin Tags

If infection is causing a skin tag to become painful and enlarged, treatment focuses first on addressing the infection:

  1. Topical antibiotics may be prescribed for mild infections
  2. Oral antibiotics might be necessary for more severe cases
  3. Warm compresses can help reduce swelling and pain
  4. Removal may be postponed until infection resolves
  5. Follow-up care to ensure complete healing

Home Care for Irritated Skin Tags

While awaiting medical treatment, these measures can help manage discomfort:

  • Avoid friction by keeping the area clean and dry
  • Apply cushioning around the tag to prevent rubbing
  • Use cold compresses to reduce swelling and pain
  • Keep the area clean with gentle soap and water
  • Avoid picking or squeezing the skin tag

IMPORTANT: Never attempt to remove a skin tag at home, especially one that is painful or enlarged. This can lead to bleeding, infection, and scarring.

For more detailed information about skin tag treatments, visit The Minor Surgery Center's FAQ page.

Risks of Inappropriate Management

When dealing with a skin tag getting bigger and hurts, inappropriate management can lead to complications:

Dangers of DIY Removal

Self-removal attempts using methods found online can result in:

  • Excessive bleeding
  • Infection
  • Scarring
  • Incomplete removal with regrowth
  • Misdiagnosis of a more serious condition
  • Delayed proper treatment

Ignoring Changing Skin Tags

Neglecting a changing skin tag can lead to:

  • Worsening pain
  • Progression of infection
  • Continued growth
  • Missed diagnosis of a more serious condition
  • Increased difficulty of eventual treatment

Prevention Strategies

While not all skin tag complications can be prevented, these measures may help reduce the risk of a skin tag getting bigger and hurts:

  1. Reduce friction by wearing loose-fitting clothing
  2. Keep skin dry in areas prone to skin tags
  3. Maintain a healthy weight to reduce skin folds
  4. Consider early removal of skin tags in high-friction areas
  5. Practice good hygiene to prevent infection

For those with recurrent skin tags, regular dermatology check-ups may be beneficial for early intervention.

When Skin Tags May Signal Other Health Concerns

In some cases, multiple or rapidly growing skin tags may be associated with underlying health conditions:

  • Metabolic syndrome and insulin resistance
  • Type 2 diabetes
  • Polycystic ovary syndrome (PCOS)
  • Acromegaly (excess growth hormone)
  • Birt-Hogg-Dubé syndrome (rare genetic condition)

If experiencing numerous skin tags along with other health symptoms, a comprehensive medical evaluation is recommended. The medical team at The Minor Surgery Center can provide guidance on when further testing may be warranted.

Frequently Asked Questions About Painful, Growing Skin Tags

Can a skin tag become cancerous?

True skin tags rarely become cancerous. However, what appears to be a skin tag may sometimes be another type of growth. Any skin growth that changes rapidly, bleeds easily, or has irregular coloring should be evaluated by a healthcare provider.

Why do some skin tags bleed when they get bigger?

Skin tags contain blood vessels. When they grow larger, these vessels expand. Trauma or twisting can rupture these vessels, causing bleeding. Persistent or spontaneous bleeding requires medical attention.

How quickly can a doctor remove a painful skin tag?

Most skin tag removals are quick outpatient procedures lasting 5-15 minutes. However, if the skin tag is infected, the doctor might treat the infection first before removal.

Will my insurance cover skin tag removal?

Insurance coverage varies. When skin tags cause pain, bleeding, or show suspicious changes, removal is more likely to be covered as medically necessary rather than cosmetic. Check with your insurance provider and discuss documentation needs with your healthcare provider.

Can pregnancy cause skin tags to become painful?

Yes, hormonal changes during pregnancy can cause existing skin tags to grow and potentially become irritated or painful. These changes typically resolve after pregnancy, but painful skin tags should still be evaluated by a healthcare provider.

For more answers to common questions about skin tags and their treatment, visit The Minor Surgery Center's FAQ page.

When to Seek Emergency Care

While most skin tag issues are not emergencies, certain symptoms warrant immediate medical attention:

  • Severe pain that develops suddenly
  • Significant bleeding that doesn't stop with gentle pressure
  • Signs of severe infection including fever, spreading redness, or pus
  • Rapid darkening of the skin tag to black
  • Dizziness or weakness after a skin tag bleeds

Conclusion: Taking Action for Painful, Enlarging Skin Tags

When a skin tag gets bigger and hurts, it deserves proper medical attention. While most skin tags remain harmless, changes in size and the onset of pain may signal complications requiring treatment. Professional evaluation ensures accurate diagnosis and appropriate management.

The specialists at The Minor Surgery Center provide expert care for all skin growths, including problematic skin tags. Their comprehensive approach includes thorough diagnosis, effective treatment options, and proper follow-up care.

For concerns about changing skin tags or to schedule a consultation, contact The Minor Surgery Center to speak with their experienced medical team. Remember that early intervention often leads to simpler treatment and better outcomes when dealing with skin growths that change in concerning ways.

This article is provided for informational purposes only and does not constitute medical advice. Always consult with a qualified healthcare provider for diagnosis and treatment of medical conditions. For more information about our privacy practices, please review our Privacy Policy.

May 26, 2025