Can you help me with the appearance of these bumps/syringomas? (Photos)

Question

I have had the hardest time getting a diagnosis. These bumps are under my eyes and on upper cheeks. I've heard from plastic surgeons and dermatologists they are sebaceous hyperplasia or maybe syringomas. A month after having one cauterized, a shave biopsy was done which came back normal but with possible verruca changes (warts). I am wondering if they are syringoma. Can anyone in NYC/NJ help me with their appearance? What are they? A Dr. says he can barely see them/won't treat.

Raffy Karamanoukian, MD, FACS · Answer

Fractional laser is an amazing and highly effective treatment in our office. We use the laser treatment to help with acne scars, large pores, fine wrinkles, tissue collagen loss, scars, sebaceous hyperplasia, active acne, and for brightening dark pigmentation. Although there are very strong fractional lasers such as CO2 laser, we use lighter treatments for corrective skincare and maintenance of results. Our Thulium fractional laser, clear and brilliant laser, and Ultra Thulium laser are excellent options in our clinic. We also perform CO2 fractional and erbium depending on skin tone and tolerance for downtime. Patients do have to use a Melarase cream before and after treatment to help further reduce pigmentation after laser. Dark spots can improve with these treatments. I recommend fractional laser for incisional scars as well, especially after plastic surgery.

Best,
Dr. Karamanoukian 
Realself100 Surgeon

Harold J. Kaplan, MD · Answer

Hello Emily.  It looks like Milia.  Yes, we treat with cauterization, but we always tell patients you will get more of them.  They are not "cured".  Best of luck.

Kambiz Tajkarimi, MD · Answer

Laser Ablation can help to eliminate the Sebaceous Hyperplasia and minimize those lumps. The only complication is Hypopigmentation, in some cases. 
If they make you uncomfortable, you should consult a laser specialist.

Can you help me with the appearance of these bumps/syringomas? (Photos)

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Can you help me with the appearance of these bumps/syringomas? (Photos)

Answers (3)

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Everything you need to know about Laser Resurfacing

Our mission is to create a world where every investment in modern beauty is Worth It.