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Will I be left with scars after being treated for Syringoma removal with surgical excision?
Scars formations are very much dependent on:
- Type of equipment used
- The level of precision of the equipment used
- The ability of the user
Generally scars are likely after excision using a scalpel. Scars occur when wither the area treated have become infected or the dermis has been damaged during the excision. Manual excision, using a conventional surgical scalpel is the procedure most likely to cause scars. In the majority of cases treated with surgical/cosmetic Lasers, Hyfrecator or electrocautery units (used in fulguration mode) no scars are usually left after healing.
The few cases of scarring reported to date have been mainly due to:
- Lasers misuse (which caused considerable damage to the dermis)
- Subsequent infection of the part after excision. Therefore no make up must be used after any of these procedures to avoid unnecessary complications.
The doctor told me that Syringoma cannot be cured, is it true?
Technically, it is true because Syringoma is not considered a disease. Syringomas are benign tumors of the sweat duct which grow on the epidermis. Even if Syringomas were classed as a disease there are no medical cures available. This means that they will not go away by taking any medicines or drugs.
I am black, will Syringoma removal leave white patches or scarring?
Generally black and Asian skin types are more delicate than Caucasian skin types, however if syringoma removal is carried out with the right precautions the likelihood of scarring are similar to any other skin type.
Every time syringomas are removed by using specialized cosmetic peels, lasers, electrofulguration and other means the area treated is usually depigmented (without the natural brownish colour of the surrounding skin). De-pigmentation after Syringoma removal also occur to Caucasian skin types.
If I decide to have my Syringoma surgically excised, will I need anaesthetic?
Some new surgical lasers operate at particular wavelengths which do not transfer enough heat to the surrounding healthy skin to cause severe pain during the cosmetic treatment.
However, with most conventional cosmetic lasers, electrofulguration equipment, excision using a scalpel the pain caused during Syringoma excision/removal could be so severe that local or topical anaesthetic becomes strictly necessary.
Generally when removing syringomas by using cosmetic peels or cryotherapy the use of numbing creams or topical anaesthetics are not required because these procedures can cause some discomfort but they are not generally painful as such.
What is the down time?
The downtime is minimal after any type syringoma removal procedures. Usually you can resume your normal office activities straight after the cosmetic procedure. If you your job involves strenuous activities, it is advisable to resume work after the area has completely recovered from the procedure. This recommended is in order to minimise the risks of infections during the recovery period. Remember tht infections could lead to scarring.
The recovery period is usually a week. In general you can consider you have recovered once the scabs have fallen off by themselves and this usually happens one week after the cosmetic treatment provided that there had not been any infections.
How can I avoid scarring after Syringoma removal?
For the vast majority of the people people who have syringoma it is possible to remove these lesions without having any scar left because they grow on the upper part of the skin (Epidermis). If the treatment has been carried out appropriately and you are not prone to developing keloids or hypertrophic scars then it is up to you to avoid infections during the recovery period following the cosmetic treatment. The risks of infections are generally low, however, also resist the temptation of picking the scabs and let them fall by themselves.
What are the risks of infection?
Generally the risks of infection are relatively low and they increase if you do not follow the after care suggested by the beauty therapist or you engage in strenuous activities soon agter the cosmetic treatment. The normal after care suggested is normal antibacterial cream to be sedfor a week until the scabs have formed. Always ask your beauty therapist for advice before trying anything yourself, follow such advice to the letter to be on the safe side.
I have experienced swelling 2 to 3 days after treatment is that normal?
Swelling is normal after removal by using:
- TCA ( swelling may not develop with other types of cosmetic peels)
- Laser removal, because the lesions have been burned off and swelling is a normal reaction after the use of this type of cosmetic equipment.
- Electro fulguration/electro dessication because the lesions have been burned off and swelling is a normal reaction after the use of this type of cosmetic equipment.
This type of swelling (after the use of TCA or cosmetis superficial burn) normally starts developing the day following the cosmetic treatment and peaks on the second day. The swelling lasts only three to four days and will subside by itself. Generally no swelling will develop after other types of cosmetic treatments for Syringoma removal.
In very rare cases swelling develops after the use of cosmetic peels due to simple allergic reaction. These allergic reactions normally last three to 4 days and go away by themselves, if you are unsure consult your doctor.
How can I avoid hyperpigmentation?
Hyperpigmentation is a rare occurrence after Syringoma removal, however it can happen. This normally happens when the cosmetic treatment has been carried out in the hot season and the customer has been exposed in the sun without wearing sunscreen.
Is Syringoma removal covered by the NHS in the UK?
To a certain extent it was covered before 2008, however is it not covered now. This is partly due to the NHS budget cuts. Syringoma is a benign lesion therefore can be left untreated without causing any harm to the individual. For this reason in the UK this type of procedure is considered cosmetic (non medical) and hence only available in private cosmetic clinics.
Syringoma removal is considered to be a cosmetic procedure by the wider scientific comunity. Therefore it will be covered by your insurance only if your insurance covers cosmetic treatments. Normally standard health insurances do not cover this type of cosmetic treatment.
How much does Syringoma Removal cost?
Costs vary between country to country. The costs for this type of cosmetic procedure are similar in the Europe and the US. Costs also depend on the method used for removal.
The cost of surgical excision can start from 700 USD, however these low prices are very rare. The average price in the US is in the region of 2000 dollars for Syringoma Removal on both eyes. The US has one of the the highest priced cosmetic care systems in the world, therefore the treatment of Syringoma can cost considerably less in other countries. Syringoma removal is rarely covered by any health care system in the world because it is considered a cosmetic treatment.
Specialized formulated chemical peels like the SyrinRemover cost between 300 to 400 USD and it does remove the Syringoma without causing any scarring.
Will my Syringoma recur after treatment?
Sometimes Syringoma recur after the cosmetic treatment. It does not matter what type of cosmetic procedure you undergo. Syringomas can return even if you use laser, electrofulguration or others. This is because Syringomas are familial therefore even if removed completely they can recur. In case Syringoma recur, further cosmetic treatment may be required. No much can be done to avoid recurrence and in some cases the syringomas grow back almost as soon as they are removed.
If I decide to have my Syringoma surgically excised, how many treatments should I undergo?
Notwithstanding the size and thickness of the Syringoma, one treatment will usually suffice to get rid of these unwanted benign lesions. Sometimes due to syringoma recurrence the area is treated by using cosmetic peels after laser treatment by using cosmetic peels to smooth the area.
If I decide to use a peel to have my Syringoma removed how many treatments will I need?
This is very much dependent on the type of peel used, size and especially thickness of the Syringoma. For very thick Syringomas you may require up to 2 to 3 treatments. However the higher the peel concentrations the fewer sessions will be required. If you are using the SyrinRemover one kit will be enough to treat 10 people. In very mild cases of Syringoma only one to two treatments can remove the Syringoma.
What is the difference between skin de-pigmentation and scarring?
De-pigmentation occurs every time a wound heals. This is due to the lack of melanin in the skin formed after a wound has healed. The texture of the new skin is very similar to the rest of the skin. The newer skin is pinker in colour due to the lack of melanin. The de-pigmentation will fade away after normal sun exposure.
Therefore the main difference between a scar and a skin de-pigmentation is that a scar will be visible after years and its texture is different to the normal skin. Skin de-pigmentation will fade away within 3 to 4 months.
Will I get skin de-pigmentation after Syringoma removal?
De-pigmentation is always a constant occurrence of Syringoma treatment and removal. De-pigmentation occurs every time the skin has healed after surgical excision. The use of customized peels is the least invasive treatment available and the degree of de-pigmentation is very low compared to the de-pigmentation caused by surgical excision.
The de-pigmentation will not last very long. Like after any other type of wound, it takes in the region of 3 to 4 months for the new skin to blend in with the rest. Normal sun exposure will accelerate the process.