I do not know anyone in your area who performs this procedure, but I have successfuly treated this condition many times with co2 laser. If you are interested in more information please contact me. Unfortunately, there is no best treatment option for this. I have achieved excellent results with dessication or cautery as well, but the co2 laser we have with the incision handpiece that we use for surgery works wonders on this condition. I wish you the best, Dr. Emer.