Is the fractional C02 laser able to completely remove syringomas?
I am a 23 years old female, and I want to get rid of syringomas as fast as possible. Does the skin clear up completely after 1 to 2 C02 sessions?
No, syringoma and sebaceous hyperplasia cannot be completely removed! You can only flatten the lump and leave what is left in the dermis or you will just create a hole in the skin. Over time (a few years), it will slowly grow back.
The idea of flattening them is so that you can cover it better with make up and lose the 3D effect which is almost impossible to cover.
This issue cannot be removed completely with any treatment, not because of the treatment used but because the growth exist in the dermis. But the gold standard is still CO2 laser due to precision and less collateral damage.
You can flatten it in a few sessions but the skin colour is always going to be different as the areas with syringoma or sebaceous hyperplasia is white devoid of melanin unlike your normal skin tone. Hope that helps.
The CO2 laser is able to remove syringomas. Studies show this procedure to be effective and safe with minimal side effects. There are other techniques such as use of TCA (trichloroacetic acid) and radiofrequency ablation as well.
Combination therapy of the above has yielded good success in general in terms of complete ablation and good cosmetic results without significant side effects. However, the recurrence rates are high with any treatment modality including laser ablation.
I prefer to use the CO2 laser in the ablative mode for treating syringomas. Fractional CO2 laser generally requires multiple passes and consecutive treatments (ie more than 2 times as per your question) at one-month intervals to achieve the same results (International Journal of Women’s Dermatology, 2017).
Hope this helps!
Dr. Joanna Chan
Several modalities can be used to remove growths on the face, and these growths include enlarged sweat glands, or syringomas.
These modalities include radiofrequency needle devices and CO2 lasers.
While these lesions can be removed in one to two sessions of laser sessions, they do tend to recur within several months.
To reduce recurrence some topical treatment with retins/differin or acid-based toners may help to reduce the occurrence of benign growths on the face.
Feel free to arrange for a proper consultation to further discuss the issue and expectations of management.
Dr Shane Tan