Skin Tag Ligation: Days 4-5 Expectations
By days 4-5 after skin tag ligation, you should expect the ligated skin tag to be darkening in color (black or dark purple) as tissue necrosis progresses, with the tag typically falling off between days 3-6 post-ligation. 1
Normal Healing Process
Expected Appearance and Timeline
- The skin tag should appear dark (black or necrotic) by day 4-5 as blood flow has been completely occluded 1
- Complete detachment typically occurs within 3-6 days after ligation, meaning days 4-5 are often when the tag either falls off or is very close to doing so 1
- The base where the tag was attached may show minimal inflammation or slight redness, which is normal 1
Discomfort Level
- Pain should be minimal throughout the entire process, including days 4-5 1
- If you experience significant pain, this is abnormal and requires evaluation 2
Wound Care Instructions
Daily Monitoring
- Inspect the site daily to ensure the tag is progressing toward detachment without signs of infection 2
- Look for normal darkening/blackening of the ligated tissue, which indicates successful necrosis 1
- Document any changes in size, color, or surrounding skin appearance 2
Cleansing Protocol
- Clean the area with sterile saline or clean tap water to remove any debris 2
- Avoid using iodine or antibiotic-containing solutions for routine cleaning 3
- Pat dry gently with clean material 2
Dressing Management
- Apply appropriate dressings if the tag has fallen off or if there is any oozing 2
- Change dressings at least daily to allow for inspection 2
- Avoid excessive pressure on the area 2
Warning Signs Requiring Immediate Attention
Signs of Infection
- Increasing redness extending beyond the immediate area 2
- Swelling, warmth, or foul-smelling drainage 2
- Fever or systemic symptoms 2
- Purulent discharge 3
Signs of Complications
- Excessive pain not controlled by over-the-counter analgesics 2
- Rapidly expanding bruising or hematoma formation 2
- Development of skin necrosis beyond the ligated tag 2
- Active bleeding 2
Post-Detachment Care
Once the Tag Falls Off
- Continue cleaning the site with sterile saline or tap water 2
- Monitor for proper healing with the wound closing from the base 2
- Expect excellent cosmetic outcome with minimal scarring 1
- Schedule follow-up within 1-2 weeks if the tag has detached to ensure proper healing 3, 2
Common Pitfalls to Avoid
- Do not attempt to pull off the tag prematurely, even if it appears loose—allow natural detachment 1
- Avoid applying adhesive materials directly to the healing site 3
- Do not ignore signs of infection, as early intervention prevents complications 2
- Avoid submerging the area in dirty water (baths, pools) until fully healed 3