What is the best treatment for these? I was told syringomas but they appeared overnight and I was told a peel would help (Photo)

Thank you for sharing your photo and details. Syringomas are benign sweat gland growths that usually appear slowly and tend to persist rather than show up overnight. Because you noticed these bumps appear suddenly, it may be less likely that they are syringomas and more likely something else—such as milia (tiny keratin-filled cysts), clogged pores, or even a temporary irritation reaction.

Here are some thoughts on possible next steps:

Milia: These can appear suddenly and look like small white or skin-colored bumps. They often respond to gentle extraction by a dermatologist or with topical retinoids over time.

Syringomas: If they truly are syringomas, treatment options include electrocautery, laser, or in some cases chemical peels. They usually don’t resolve on their own.

Peels: A chemical peel may help if the bumps are related to clogged pores or superficial skin buildup, but it is less effective for syringomas.

Observation: Since they appeared overnight, it may be worth observing for a short time to see if they fade, especially if they were triggered by irritation, new skincare products, or allergies.

The best treatment really depends on the exact diagnosis, since syringomas behave very differently from milia or irritation-related bumps. If they persist and remain bothersome, a precise diagnosis is the key first step before moving toward procedures like electrocautery or peels.

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. Melarase AM, Melarase PM, and Melapads can seriously improve surface sun damage and UV related pigmentation. 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