I have a cafe au lait birthmark on my upper eyelid, how can I safely remove it with absolutely no chance of scarring?

Question

I have a cafe au lait birthmark on my upper eyelid of about 1cm in diameter and in color of a cafe au lait. A plastic surgeon told me it is unsafe to do laser on eyes, with possibilities of scarring, darker, change of skin texture etc. A dermatologist suggested I use hydroquione but it has been weeks, there's no result but skin peeling. He suggested cryotherapy but I read scarring is possible. It is on the eyelid so any type of scarring of change is going to be very obvious. What are my options?

Jason Emer, MD · Answer

you can treat this area with q switched or pico lasers for improvement, please see an expert.  Best, Dr. Emer.

Davin Lim, MBBS, FACD - Account Suspended · Answer

Bottom line, there is no such thing as absolutely 'no chance of scarring'. Even in the best hands, using the best lasers, there always is a chance of scarring. Realistically, in this location, the chance is less than 2-3%. I would use a QSL or Q switch laser. Eye shields are needed. I have used the newest 532 picosure handpiece, but this has not got the required power, so I treat this with my older (but very effective ) nanosecond C6- Revlite system. Someone on this Board may comment on their experience with a the Picoway 532 picosecond laser. CheersDr Davin LimLaser dermatologistBrisbane, Australia.

I have a cafe au lait birthmark on my upper eyelid, how can I safely remove it with absolutely no chance of scarring?

Answers (2)

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I have a cafe au lait birthmark on my upper eyelid, how can I safely remove it with absolutely no chance of scarring?

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