Periocular syringomas – Successful treatment with fractional CO2 laser

Abstract

<p>Syringoma is a benign tumor of eccrine origin which arises from eccrine ducts. Syringomas are most commonly found on the eyelids in middle-aged women. Traditional treatments include surgical excision, curettage, peelings, dermabrasion and laser. We report on the successful use of fractional laser on periocular syringomas. A 53-year-old female patient with multiple periorbital syringomas underwent three sessions of fractional carbon dioxide (CO2) laser. Settings of 20 watts of power, 600 μm of spacing, 800 μs of dwell, time stack 2 (Smartxide DOT, DEKA, Florence, Italy) were used. The sessions were performed monthly. Significant improvement of the esthetic appearance was observed after three sessions. There was a decrease of visible syringomas associated with an evident improvement of the skin texture, skin quality and flaccidity. No side effects were observed. We suggested continuing the treatment but the patient was satisfied with the current aspect and result. In conclusion, fractional CO2 laser represents an effective treatment option for the treatment of periorbital syringomas.</p>

Laser Therapy for Treatment of Syringoma: Review Article

“…The most common kind of laser therapy for syringoma patients was vaporization using ablative lasers. Recent advances in fractional laser resurfacing have been driven by patient desire for less invasive treatments that maintain an outstanding safety profile and minimally impact patient downtime (14) . The first FP gadgets weren't meant to do any permanent damage, therefore they didn't.…”

“…In one case report, a female patient aged 53 had her periocular syringomas treated with a fractional CO2 laser, leading to a noticeable improvement in her looks. In addition to reducing the number of syringomas, the treatment also revitalised the entire periocular region (14) .…”