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Instructions for user1. Clean the skin tag and the surrounding area with one of the provided cleansing swabs.2. Attach the loader onto the end of the device then place a band onto the tip of the loader and roll it down and onto the device.3. Remove the loader from the device4. Position the hollow end of the device over the skin tag.5. Once it's level with the skin s surface push the button to release the band.6. The band will now be held securely in place where it will remain until the skin tag has dropped off.Skin Tag Removal Pen Contents1 x Small size skin tag remover head1 x Large size skin tag remover head1 x Pen Band remover1 x Instruction manual10 x Cleansing wipes20 x Small size rubber bands 2-4mm20 x Large size rubber bands 4-8mm