If this is the case the best option is to treat the haemorrhoids first as these are the cause of the skin tags. By undergoing the Rafaelo treatment this will not only help prevent this from happening again but may also improve the skin tags by causing the tissue internally to contract and pull up some of the excess skin. If after 2 months there is still residual skin then you can opt to have this removed under local anaesthetic by our cosmetic doctors and plastic surgeons.