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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 for 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 is a localized use of very low temperatures in dermatological applications.

Cryotherapy devices use predominantly liquid nitrogen or other compressed inert gasses which absorb heat as they are released onto the skin. In other rare cases, Cryotherapy is also used to ablate internal malignant tumors during operations.

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.

Cryotherapy
Cryotherapy

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.

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 Cryotherapy 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 in  the 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.

Those with diabetes should not use cryotherapy to remove their syringoma.

Disadvantges of freezing (Cryotherapy treatment)

  • The application of liquid nitrogen does sting. Although it’s cold, many describe the procedure as a feeling of “burning”.
  • Cryotherapy can cause treatment sites to appear permanently lighter in color (hypopigmentation). Extra caution must be used when treating the face or any other cosmetically sensitive area.
  • It’s only appropriate to remove skin lesions on parts of the body that are not as delicate like the eyelid area. In other words, it’s generally effective for the treatment of fully developed skin cancers or “deep” lesions such as large moles which grow on other parts of the body away from the eyelid area.
  • Depending on how it is applied and the location of the treatment site, blisters will sometimes form in the days following treatment (more common on the eyelids).

After Care
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 aftercare 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 order to reduce the risks of hyperpigmentation sunscreen must be worn daily for at least 3 months after the last treatment.

Is Liquid Nitrogen a good treatment for Syringoma?

In Simple and Short Words, “NO” It is not effective or Good treatment.’ Cryotherapy destroys all of the cells that’s it

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