Syringoma treatment singapore

Syringomas are benign skin sweat gland (eccrine) tumours, which grow from the deeper layer of the skin called the dermis. They look like yellow or skin coloured bumps and are found frequently clustered over both the lower eyelids, upper eyelids and upper cheeks. 

sweat gland anatomy

How Common Are Syringomas?

Syringomas are a relatively common phenomenon affecting 1% of the population, and are found more frequently in women compared to men. It usually appears during the adolescent period. Syringomas are more commonly found in Asian skin type.

How Are Syringomas Diagnosed?

Most cases of syringomas can be diagnosed based on their clinical appearance. Eruptive syringomas, an uncommon variant, may occur on the neck, chest, limbs and body areas and may require a skin biopsy to determine the diagnosis.

Are Syringomas Harmful?

Not at all. Most syringomas are asymptomatic and do not need to be treated. Treatments are considered when individuals find it cosmetically unsightly.

Treatment of Syringoma

Many people want their syringomas removed for cosmetic reasons. Treatment options for syringoma removal include excision, electrosurgery, chemical peels, cryotherapy and laser syringoma removal surgery.

Treatment considerations include the number of syringomas, the size, location and importantly your skin phototype.

Treatments such as excision may lead to further scarring, whereas cryotherapy may be associated with swelling, blisters and post-inflammatory hyperpigmentation.

To date, these treatments are not curative of syringomas and recurrences are common because of genetic susceptibility and they fact that they are embedded in the deeper layer of the skin.

laser syringoma removal singapore

Laser Syringoma Removal

Ablative CO2 laser syringoma removal is a precise and safe technique to reduce the appearance of your syringomas.

CO2 laser surgery is associated with faster healing times, almost no bleeding and minimal scarring.

During the procedure, individual lesions are marked and local anaesthetic is injected before the procedure. The procedure is painless and tolerable to most individuals.

From experience, Dr Ng recommends that laser removal of syringomas is undertaken cautiously. We usually treat a small area first to see how the skin responds to treatment. For multiple syringomas, a fractionated approach helps to minimize scarring and improves healing.

Most individuals recover usually within 7-10 days. A scab typically forms over the wound over 2-3 days and falls off in a week.

As with any surgical procedures, there is a risk of bleeding, infection, hyperpigmentation, hypopigmentation and scarring. All these can be prevented and mitigated with good skin care. A topical antibiotic is to be applied for a week after the procedure.

Most individuals heal well with minimal scarring. The initial healing will result in the wound site being pinkish but will almost blend in with the surrounding skin as healing occurs.

Ensure that the wound is kept clean and avoid activities that increases the risk of wound contamination. Direct sun exposure is to be avoided for at least 4 weeks to reduce the occurrence of post-inflammatory hyperpigmentation.

Syringomas are known to recur despite the treatment modality. Repeated treatments can be safely offered if the healing response have been good.

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References:
  1. CHO, S.B., KIM, H.J., NOH, S., LEE, S.J., KIM, Y.K. and LEE, J.H. (2011), Treatment of Syringoma Using an Ablative 10,600-nm Carbon Dioxide Fractional Laser: A Prospective Analysis of 35 Patients. Dermatologic Surgery, 37: 433-438. https://doi.org/10.1111/j.1524-4725.2011.01915.x
  2. Lim, YLee, JJang, DAbudureyimu, GLee, J-HClinical characteristics and pathological depths of syringomas in 94 Korean patientsSkin Res Technol20212770– 73https://doi.org/10.1111/srt.12910