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Syringoma and Cryotherapy

One of the options to remove Syringomas is Cryotherapy. This term originates from the ancient greek word (κρύο) meaning cold, and θεραπεία, meaning cure.
In dermatology, the main uses of Cryotherapy are the treatment and removal of Warts, Verrucas and some thick benign moles.
Given that Cryotherapy equipment is readily available in the dermatologist’s clinic sometimes cryotherapy is used to remove syringomas.

Cryotherapy for Periorbital Syringomas removal ( the syringomas around the eyes) is normally avoided for two main reasons: the area to be treated is too close to the eyes
and the area of the skin around the eyes is very delicate and more prone to scarring than the rest of the body’s skin.

On the other hand, if the Syringomas are located on other parts of the body where a scar is not as important, they can be removed by using this technique. However, there would be little point in ending up with scars after Syringoma removal, after all, they are only removed for cosmetic reasons. Due to the higher likelihood of developing scars after Cryotherapy, this is not a cosmetic treatment usually recommended for Syringoma Removal.

Remember that a dermatologist. would not normally suggest having the syringoma removed, because they are not considered to be dangerous as such, and therefore they do not need to be removed other than for cosmetic reasons.

The term “cryotherapy” comes from the Greek cryo (κρύο) meaning cold, and therapy (θεραπεία) meaning cure. Cryotherapy is a localized use of very low temperatures in dermatological applications. It is used to treat an array of benign and malignant skin lesions. Cryotherapy is mainly used in dermatology to get rid of warts and verrucas. Cryotherapy devices use predominantly liquid nitrogen or other compressed inert gasses which absorb heat as they are released onto the skin. In other cases, Cryotherapy is also used to ablate internal malignant tumors during operations.


Cryotherapy, treating skin lesions using deep freeze!

Cryotherapy is sometimes used by dermatologists to remove benign skin lesions for cosmetic purposes like Syringomas. When Cryotherapy is used for cosmetic procedures is normally due to the immediate availability of the cryotherapy equipment in the clinic. Normally cryotherapy equipment is quite inexpensive and therefore this type of treatment is easily available. However, Cryotherapy is not necessarily the best way to treat benign lesions for cosmetic reasons. The main reasons are that there is usually little control over the dermatological ablation depth of freezing and therefore the likelihood of scarring could be higher by using this method.

However, some of the latest dermatological cryotherapy equipment has been calibrated to be effective for epidermal treatment typical of Syringoma Removal. Therefore by using the appropriate cosmetic Cryo equipment, it is possible to remove the Syringoma and minimize the risks of scarring.

Due to our experience with electrofulguration, Electrodesiccation and cosmetic Lasers for cosmetic procedures it is our opinion that cryotherapy has more appropriate uses in the treatment of warts and verrucas. This applies especially int he removal of periorbital Syringoma were we would find the application of highly concentrated deep freeze inappropriate around the eyes.

Liquid Nitrogen
Cryotherapy on plantar wart

Risks and side effects

The most common side effects of any type of cryotherapy are numbness, tingling, redness, and irritation of the skin. These side effects are almost always temporary. Make an appointment with your doctor if they don’t resolve within 24 hours.

You should never use cryotherapy for longer than is recommended for the method of therapy you’re using. For whole-body cryotherapy, this would be more than four minutes. If you’re using an ice pack or ice bath at home, you should never apply ice to the area for more than 20 minutes. Wrap ice packs in a towel so you don’t damage your skin.

Those with diabetes or any conditions that affect their nerves should not use cryotherapy. They may be unable to fully feel its effect, which could lead to further nerve damage.

After Care
NO special after care is required after the use of Cryotherapy. Most dermatologists prescribe the patient to use a course of antiseptic twice a day to avoid infections.

Recovery time

After Cryotherapy the skin recovery period varies between 2 to 3 weeks after the treatment. The treatment does not cause any significant downtime. In fact, the patient can restore his normal activities soon after the procedure but taking special care to avoid infections and strenuous activities until the skin recovery is complete.

After care

The after care is minimal after this type of procedure. Although the risks of infections are very low after a  superficial cosmetic procedure it is advisable to instruct the client to apply the appropriate antiseptic (cream) twice a day. This will drastically reduce even further  the risks of mild infections. In oder to reduce the risks of hyperpigmentation sun screen must be worn daily for at least 3 months after the last treatment.

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