Anal Skin Tags

Case Study:

“I am a bottom through and through and can only climax when penetrated. However, lately, I have noticed more and more hesitation (and even a gasp or two) when my sexual partners get sight of my hole. Thinking it was just my imagination, my worst fears were confirmed when a recent partner made a more direct comment about what was going on back there aesthetically. I immediately went to my *straight* primary care physician for advice and was told it was simply a skin tag and that it should be left alone as it didn’t pose a major health concern. Obviously, it was something I couldn’t shake and because of that, I fell into a sexual depression thinking that I would have to live with it forever. And without that confidence, it was unlikely I could ever fully enjoy bottoming again.


Regardless of whatever I felt, the sexual partners I encountered may or may not be comfortable with my skin tag. Everyone is so focused on aesthetics and so anything that may not look perfect is met with disgust or hesitation. As you can imagine, I started to withdraw from pleasurable acts and naturally began down a path towards sexual isolation.


Some may see this as a purely superficial issue, but sexual health has everything to do with total mind and body wellness for me. That’s when I found Dr. Goldstein and was quickly assured that not only could he help me, but there was a simple, straightforward procedure available. With a same-day procedure, which entailed not only strategic removal and closure of those extra skin folds in the region, but also laser use to resurface, Dr. Goldstein resolved all of my related psychological and medical issues. On top of this, with the associated tightening, it has also allowed heightened sexual pleasures for both me and my sexual partners. I should have gone to Bespoke Surgical years prior, but am still grateful for its completion.”


What is an anal skin tag?

Skin tags are extra-folds of anal tissue. They may develop from the stretched overlying skin of a thrombosed external hemorrhoid or the way in which the tissue in an anal fissure fails to heal properly.

What are the symptoms of an anal skin tag?

Anal skin tags can cause localized irritation, discomfort, itching, and can be considered aesthetically unpleasant. They may cause hygiene problems, and also interfere with anal intercourse.

How are anal skin tags diagnosed?

Anal skin tags are diagnosed through visual inspection. An anosocopy is performed as well to ensure there are no other associated issues, specifically a connection to hemorrhoids that may change the surgical approach.

What is the treatment for anal skin tags?

Non-Surgical Treatment

Some skin tags may resolve on their own over time, while utilizing sitz baths and Proctozone 2.5%, a prescription topical ointment. In most cases, however, anal skin tag surgery is required.

Anal Skin Tag Surgical Treatment

Skin tags are either removed via laser/electrocautery or surgical excision, with thought given to both functional and cosmetic goals.

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Dr. Evan Goldstein, D.O.

Dr. Evan Goldstein, D.O.

Dr. Evan Goldstein is the founder and President of Bespoke Surgical, a surgical practice for modern males based in New York and Los Angeles. He received his medical doctorate from the University of Medicine and Dentistry School of Osteopathic Medicine in 2002. Receiving the highest osteopathic education was pivotal in shaping his holistic whole-life approach towards his practice of private surgical care.

Learn More about DR. EVAN GOLDSTEIN, D.O.