Last Updated on July 17, 2021 by Dr Sanusi Umar MD

This female patient from Westchester, Los Angeles wanted to clear her complexion by eliminating numerous black skin tags on the face and neck. Her condition is known as DPN (Dermatosa Papulosa Nigra). What is DPN? DPN is a condition that affects many women with darker colored skin.  Dr. U, working from his Los Angeles-based practice, was able to eliminate these lesions using a time-tested approach called electrocautery, which is also used to remove skin tags on the face.

What is DPN?

According to Dr. U, black skin tags on the face and neck are completely different from actual moles which are caused by the clustering of melanocytes (cells that produce melanin).

Across reported cases, 50% of patients are able to cite a family history. Individuals with black skin tags on the face and neck often refer to their condition as having, “family moles.”

It’s likely that skin tags on the face are caused by a genetic predisposition which can be influenced by environmental factors.

Black skin tags on the face and neck often first appear during adolescence, usually in the head and neck areas. They may also form on the upper back and chest. Over time, they grow in size and number. Prolonged sun exposure causes them to darken. Affected individuals are therefore encouraged to wear a broad-spectrum sunscreen on a regular basis to prevent this as best as possible.

Fitzpatrick types 4-6 are more prone to developing DPN often resembles skin tags on the face. Image - Wikimedia Commons

Fitzpatrick types 4-6 are more prone to developing black skin tags on the face and neck. Image – Wikimedia Commons

 

Dark skin tags on the face and neck tend to be found in individuals exhibiting Fitzpatrick skin types 4-6. In the United States, the condition occurs in 35% of black people, most often females with darker skin tones. However, it may also manifest in men. Actor, Morgan Freeman is one example.

Skin tags on the face and neck are also seen in other ethnic groups such as Hispanics, Asians with dark skin, Polynesians and Native Americans. In rare cases, skin tags on the face may also develop in Caucasians.

Westchester, Los Angeles Patient with Dark Skin Tags on the Face – Before Photos

Here are photos of the patient’s initial condition before being treated by Dr.U. With over 50 lesions, her DPN was categorized as severe.

Dermatosa Papulosa Nigra pictures of Westchester patient show numerous lesions on her face.

Photos of Westchester, Los Angeles patient show numerous black skin tags on the face and neck.

 

The appearance of dark skin tags on the face is due to Dermatosa Papulosa Nigra which develop over time due to genetic and environmental influences

The appearance of black skin tags on the face and neck is due to Dermatosa Papulosa Nigra which develop over time due to genetic and environmental influences.

 

DPN lesions which look like skin tags on the face appear across patient's forehead.

Black skin tags on the face and neck across the patient’s forehead.

 

By comparison, moderate occurrences are defined as having more than ten black skin tags on the face and neck, while mild forms of the condition are below ten.

Like many women seeking treatment for black skin tags on the face, she hopes to achieve a smoother and more uniform appearance for her skin. But also, the bumps were causing irritation as well. Besides cosmetic improvement, she wanted to find relief from this issue.

Procedure Photos – How Dr. U Treats Dark Skin Tags on the Face and Neck

For this Los Angeles patient, Dr. U removed the DPN facial lesions in two sessions using a specialized method of electrocautery. Dr. U uses this method which melts away the black skin tags on the face and neck with minimal to no footprints left behind. This approach involves destroys the unwanted skin tags while working to preserve the healthy, normal, surrounding skin areas.

Dr. U uses low current electrocautery to remove DPN lesions. The technique can also be used for general skin tags on the face.

Dr. U uses low current electrocautery to remove black skin tags on the face and neck. The technique can also be used for general skin tags on the face.

 

Electrocautery burns and seals blood vessels which feed DPN lesions which look like dark skin tags on the face.

Electrocautery burns and seals blood vessels which feed DPN lesions which look like dark skin tags on the face.

 

Dr. U uses an electrocautery device, set at low current energy levels to burn away the dark skin tags on the face, from the base of the tissue which seals off blood vessels that are feeding the bumps or any type of stalk-like protrusion (e.g. classic skin tags).  Dr. U also has developed advanced this method which can melt the DPN lesions.

Electrocautery used this way by Dr U offers a relatively quick, effective and affordable treatment approach for clearing the skin of black skin tags on the face and neck. It also avoids the occurrence of scarring or pigmentation issues, following the procedure.

Patients are able to experience a painless procedure. Dr. U applies a local anesthetic cream and then injects each individual lesion, numbing them with lidocaine, using a tiny needle.

Other Ways to Treat DPN

Black skin tags on the face and neck can also be eliminated through other methods such as:

  • Q-switched ND YAG Laser
  • Cryosurgery

A Q-Switched ND: YAG laser treatment, also used for tattoo removal, can be set to emit the 1064nm wavelength which is safe for all skin tones. The laser energy is applied using short quick burst to destroy and seal off blood vessels which feed and enlarge the lesions. Also, this approach forces the dark skin tags on the face and neck to coalesce into a mass that the body breaks down and eliminates. It is not as effective as the specialized electrocautery method Dr. U innovated.

With cryosurgery, liquid nitrogen is applied to the lesions to freeze off the tissue. However, in patients with darker skin, this may cause unwanted pigmentation and scarring. Again it is an inferior method to the specialized electrocautery technique Dr. U uses.

Dr. U is able to make the best recommendation for treatment, based on the specific needs of each individual patient.

Dermatosa Papulosa Nigra Pictures – Before and After

Here are photos of the patient before and after Dr. U’s electrocautery procedure for clearing away this Los Angeles patient’s black skin tags on the face and neck due to DPN. Her results are shown several months after her treatment sessions with Dr. U.

Left side comparison photos shows a major clearance of dark skin tags on the face.

Left side comparison photos show a major clearance of black skin tags on the face.*

 

Dermatosa Papulosa Nigra pictures show smoother skin following Dr.U's treatment.

Dermatosa Papulosa Nigra pictures show smoother skin following Dr.U’s treatment.*

 

Closeup view showing clearance of dark skin tags on the face.

Closeup view showing clearance of black skin tags on the face.*

 

Dermatosa Papulosa Nigra pictures show a smoother looking forehead after Dr.U's electrocautery procedure.


Dermatosa Papulosa Nigra pictures show a smoother looking forehead after Dr.U’s electrocautery procedure.*

Video – Westchester, Los Angeles Patient Clears Black Skin Tags on the Face and Neck

In this video, the patient mentions that she struggled with black skin tags on the face and neck for over 10 years. She mentions that her friends and family noticed a major improvement in the clarity of her skin.  With her Dermatosa Papulosa Nigra gone, she is very happy with her renewed appearance. Learn more about her experience below.

This Los Angeles patient consulted Dr. U about the tiny black dots on her face. These dots are actually pigmented lesions known as Dema Papulosa Nigra, or DPN for short.

Dr. U specializes in all ethnic skin types. If you are considering treatment for Dermatosa Papulosa Nigra, moles or black skin tags on the face and neck, send your information and photos of your condition through our complimentary consultation system.

FAQ – Skin Tags on the Face and DPN (Dermatosa Papulosa Nigra) 

Will DIY methods work to get rid of Dermatosa papulosa nigra DPN?

No. Internet articles on at-home skin treatments for dermatosa papulosa nigra DPN are not likely to work. But here is a closer look at why this is the case. Rubbing garlic on the lesions is one recommendation made for black skin tags on the face and neck due to its sulfur content which is said to be good for rejuvenating the skin on a cellular level. However, there is no research which supports the benefits of topical applications. In fact, in sensitive skin, garlic may even result in irritation. Castor oil is another recommendation for DPN. While it has moisturizing properties, it will not affect the cells responsible for the condition.

Another popular and widely touted skin remedy is rubbing a banana peel which is believed to help with acne, dark spots, skin whitening, and even Dermatosa Papulosa Nigra. The evidence to support its effectiveness is practically non-existent.

As mentioned above, black skin tags on the face and neck are caused by developmental anomalies of the hair follicles which leads to the formation of blood vessels that feed the lesions. Topically applied natural solutions or commercial products will not be able to alter the structural aspect of this condition.

If I want to get rid of skin tags on the face or moles will the treatment procedure be the same as the DPN approach used by Dr. U?

Electrocautery can be used for treating black skin tags on the face and neck to burn the tissue at the base of the stalk. They can also be removed using surgical scissors or cryotherapy, depending on the best and safest recommendation for a given patient.

As far as mole removal, electrocautery is not the most ideal choice. If the current is applied too deeply, this may result in scarring. So doctors try to avoid this. However, doing so may leave some of the mole tissue in deeper skin layers. New black skin tags on the face and neck may develop as a result. Moles can be removed using surgery (which is likely to leaving scarring with or without sutures), cryotherapy or laser.

If you’re in the Los Angeles area, schedule a free consultation in our office. Don’t see your question about black skin tags on the face and neck answered above? Use this button to ask Dr. U:

Further Reading

Learn more about mole removal procedures performed by Dr.U

Read more about Dr. U’s treatments for skin tag removal