Syringoma or Milia?

I have white bumps under my eyes and after a long research I have found out that it could either Milia or Syringoma. The problem is I have no idea what it is.

I have a photo that shows the situation. I would appreciate if someone would help me with this. And is there any safe way to get rid of it?

Doctor Answers 10

Syringoma or milia

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Milia usually is a temporary condition while syringoma is permanent. It looks to me like you have syringoma. There is no good treatment for it unfortunately. I heard that using the CO2 laser to drill out the individual lesions and resurfacing the rest helps but it is not a cure.

Fresno Oculoplastic Surgeon
4.9 out of 5 stars 43 reviews


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Hi, The growths on your lower eyelids are Syringomas. These are difficult to eradicate and frequently recur following treatment. I have used lasers and peels with limited success.

Todd B. Koch, MD
Buffalo Plastic Surgeon
4.6 out of 5 stars 37 reviews


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Hi Zenv,

It appears what you have are called syringoma, or benign sweatgland growths. These typically are most prevalent on the lower lids but can also appear on other areas of the face. Typical treatments are with a co2 laser or with simple hyfrecation. Syringoma have also been known to be resistant, so don't be too concerned if you have to return for a repeat treatment in the future.

Roger Bassin, MD
Orlando Oculoplastic Surgeon
4.7 out of 5 stars 95 reviews


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Your pictures suggest the presence of syringomas. These lesions tend to occur in the periorbital area and can be difficult to treat. Even when these lesions are treated successfully, they have a tendency to recur.

A variety of treatments are available to treat this condition. Recently CO2 lasers have been shown to have value for treating this condition.

If you have syringomas, it's important to consult a surgeon with experience in this area. This surgeon should be able to formulate a treatment plan that addresses your anatomic findings and achieves your aesthetic goals.

Probable syringomas

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It appears that you have syringomas on your eyelid. I have seen limited success with an erbium laser when attempting to remove them. They tend to recur as well. 

Syringoma treatment - Best strategies

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I often see syringomas in my practice, including patients who are Asian or African American.  


I use a combination of hyfrecation followed by selective fractional co2 laser to treat these patients and have found the program to be very efficacious. 

Raffy Karamanoukian, MD, FACS
Los Angeles Plastic Surgeon
4.8 out of 5 stars 95 reviews

Syringoma or milia can be treated with CO2 laser

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Hard to tell from these photos but both types of lesions can be treated with the .2mm cutting handpiece of the CO2 laser.  Sometimes it takes more than one session and each lesion has to be treated seperately. A 'micro-crater is created that heals rapidly in a few days.

Richard Weiss, MD
Newport Beach Oculoplastic Surgeon
5.0 out of 5 stars 5 reviews

Milia vs what

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It is hard to tell from the photos.I think the easiest thing to do would be to see a plastic surgeon and have a biopsy performed and then a decision can be made on what to do.

Robert Brueck, MD
Fort Myers Plastic Surgeon
4.9 out of 5 stars 69 reviews

Eye lesion

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i agree that they look like syringomas..laser or even simple cauterization can work well..

Michael K. Kim, MD
Fort Myers Plastic Surgeon

Milia after Blepharoplasty

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Milia are common after eyelid surgery, peels and laser resurfacing.  To differentiate between milia and blocked eyelid glands, you should be evaluated by your surgeon or an opthalmologist as the treatment is quite different.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.7 out of 5 stars 28 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.