Three Cases of Skin Tags on the Neck Treated With a Novel and Minimally Invasive Approach Using a 2-mm Ring Curette

Skin tags (acrochordons) are common, benign skin growths that often appear on the neck. While they are usually asymptomatic, they can cause cosmetic concerns and discomfort. This report introduces a novel, simple, and minimally invasive technique for removing numerous skin tags using a 2-mm ring curette, demonstrating its effectiveness in three case studies. The procedure involves topical anesthesia with Eutectic Mixture of Local Anesthetics (EMLA) cream, followed by individual excision of skin tags using a 2-mm ring curette with a "pencil technique" to maintain four-way skin tension. Following removal, hemostasis is achieved only with sterile saline-soaked gauze or calcium sodium alginate, and the treated area is dressed with gentamicin ointment and a hydrocolloid dressing to promote moist wound healing. Three cases of women aged 45 to 57 with multiple neck skin tags were successfully treated. All patients reported no or minimal pain during and after the procedure. The treatment yielded the complete resolution of the skin tags, with no scar formation and only minimal post-inflammatory hyperpigmentation, and all patients expressed high satisfaction with the cosmetic outcomes. No recurrence was observed in a follow-up of over 1 year. The procedure was also found to be simple, quick, and effective, with over 50 lesions removed in less than 20 min. It offers a superior alternative to conventional methods by minimizing pain and bleeding, making it an excellent choice for patients with a high number of lesions.