Hypertrophic scar after syringoma treatment using CO2 laser. (Photo)

Question

I had 2 sessions of CO2 laser to remove my periorbital syringoma recently. That was my second treatment for syringoma since the first I had about 10 years ago using electocautery method and the results were excellent. Unfortunately, this time around I noticed the texture around my eyes is still bumpy after 2 sessions of CO2 laser. I went to my doctor and was informed that I developed scars after the laser procedure (hypertrophic scars I suppose). What should I do?

Hooman Khorasani, MD · Answer

Thank you for the question.  In person examination with side lighting and magnification loupes is needed to assess the skin.  In general, a bespoke treatment needs to be tailored to the individual scar and your individual background skin.  For indented scars, injectable fillers like Bellafill can be used.  For tethered scars, subcision can help.  Red scars can be treated with vascular laser.  Hypertrophic scars can be injected or excised.  Widened scars may require surgical scar revision, with layered closure and meticulous attention to create tension free closure.  Resurfacing scars can be achieved with microneedling/PRP, radiofrequency devices and fractionated laser technologies.  Multiple treatments will be required for best results.  Please see a scarring expert.  I hope this helps.

Davin Lim, MBBS, FACD - Account Suspended · Answer

Your treating specialist will know how to reduce the scarring. The use of silicone gel nightly should be the first step, your treating specialist will have their own prefered method of scar reduction, failing that, Prof CL Goh in Singapore can assist. Dr Davin Lim

Hypertrophic scar after syringoma treatment using CO2 laser. (Photo)

Answers (2)