UPDATE
This female patient from Westchester, Los Angeles, wanted to clear her complexion by eliminating multiple black skin tags on her face and neck. Her condition is known as DPN (Dermatosa Papulosa Nigra). This is a condition that affects many women with darker-colored skin.
What is DPN?
Article Update 2022
Do DPN skin tags go away on their own?
Unfortunately, DPN skin tags or lesions do not go away independently. DPN generally occurs on the face and neck but can also appear on the upper back and chest
According to Dr. U, black skin tags on the face and neck are entirely different from actual moles caused by the clustering of melanocytes (cells that produce melanin).
Across reported cases, 50% of patients can cite a family history. Individuals with black skin tags on the face and neck often refer to their condition as having “family moles.”
A genetic predisposition likely causes skin tags because environmental factors can influence them.
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 encouraged to wear broad-spectrum sunscreen regularly to prevent this as best as possible.

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, facial skin tags 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.



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 irritating 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 electrocute y. Dr. U uses this method, which melts away the black skin tags on the face and neck with minimal to no footprints left behind d. This approach involves destroying the unwanted skin tags while working to preserve the healthy, regular surrounding skin areas.


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 feeding the bumps or any stalk-like protrusion (e.g., classic skin tag. Dr. U has also developed an advanced method to melt DPN lesions.
Dr. U uses electrocautery, offering a relatively quick, effective, and affordable treatment approach for clearing the skin of black skin tags on the face and neck. Following the procedure also avoids scarring or pigmentation issues.
Patients can experience a painless procedure. Dr. U applies a local anesthetic cream and then injects each 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 a short, quick burst to destroy and seal off blood vessels that 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, this may cause unwanted pigmentation and scarring in patients with darker skin. Again, it is inferior to the specialized electrocautery technique Dr. U uses.
Dr. U can recommend the best treatment based on each patient’s needs.
Dermatosa Papulosa Nigra Pictures – Before and After
Here are photos of the patient before and after Dr. U’s electrocautery procedure for clearing 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.




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 her face and neck for over 1 year. She mentions that her friends and family noticed a significant improvement in the clarity of her skin. With her Dermatosa Papulosa Nigra gone, she is pleased with her renewed appearance. Learn more about her experience below.
Best Dermatosis Papulosa Nigra Removal in Los Angeles
For more information about this case visit: https://dru.com/skin-clinic/dermatosa-papulosa-nigra-dpn-treatment-in-los-angeles/ Dermatosis Papulosa Nigra (DPN) is a skin condition that is often confused with moles. However, the skin lesions in DPN are usually brown or black and slightly raised or irregular in texture. They can also increase in number with time.
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 complementary consultation system.
FAQ – Skin Tags on the Face and DPN (Dermatosa Papulosa Nigra)
Will DIY methods work to get rid of Dermatosa papulosa nigra PN?
No. Internet articles on at-home skin treatments for dermatosa papulosa nigra DPN are not likely o work. But here is a closer look at why this is the case. Rubbing garlic on the lesions is one recommendation 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, no research supports the benefits of topical applications. 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 lead 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 treat black skin tags on the face and neck and burn the tissue at the base of the stalk. Depending on the best and safest recommendation for a patient, they can also be removed using surgical scissors or cryotherapy.
As far as mole removal is concerned, electrocautery is not the 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 mole tissue in deeper skin layers. New black skin tags on the face and neck may develop. Moles can be removed using surgery (which is likely to leave scarring with or without sutures), cryotherapy, or laser.
If you’re in the Los Angeles area, schedule a free consultation in our of ice. 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
References
- Do you know what are these spots on Morgan Freeman’s face?. Linkedin.com. https://www.linkedin.com/pulse/do-you-now-what-spots-morgan-freemans-face-dr-arpita-jain/. Published 2022. Accessed August 2, 2022.