Will a TCA Peel Under the Eyes Help with Small Syringomas?

TCA can be applied by your doc to each individual syringoma to flatten them down and usually needs a few treatments a month apart.  Your doc can also burn them down with lasers or electrofulguration as well.  They always come back but may take several yrs to regrow once flattened completely. Sincerely,

David Hansen,MD

TCA peels are not very effective for syringomas.  I prefer a combination of hyfrecation and selective fractional co2 laser. 

It seems that the two prior doctors who responded to your question disagreed with one another.  I am going to try to reconcile these answers for you. Syringomas under the eyes are a common problem.  In my opinion, the TCA peels that I commonly employ range in concentration from 15-30%, and this would likely not be beneficial in treating your syringomas.  I would not want to apply a higher concentration of TCA than this diffusely in the periocular area (around the eyes), because of concerns about skin contracture and scarring.  On the other hand, focal (not diffuse) application of a higher TCA concentration directly to the syringomas, as advocated by one physician, might be quite beneficial in relieving this annoying problem.  As an alternative, they could likely be removed surgically and yield an excellent cosmetic result.  I hope that this explanation helps you.