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Syringoma and electrofulguration

What is Electrofulguration

Electrofulguration or electrodesiccation are all synonyms of similar methods used in cosmetic procedures.

Electrodesiccation/ Electrolysis is normally used for epilation, red veins removal, and other applications. Electrofulguration is generally used in cosmetic procedures because of the high degree of accuracy in the ablation of the benign skin lesions. This higher degree of precision and low power levels (less than 2 watts) makes the cosmetic procedures extremely effective and safe.

Electrodessication and electrofulguration treatment for Syringoma
Electrodessication and electrofulguration treatment for Syringoma

Electrofulguration normally occurs without the return pad. The spark or arc will occur between the tip of the electrode and the skin. As seen in the picture above the advantage of the Electrofulguration is that the ablation is much more precise and superficial than electrodesiccation by using the return pad. For these reasons, electrofulguration is the preferred option for cosmetic/aesthetic treatments.

As shown in the above video electrofulguration is very effective in burning off the Syringoma. One of the main advantages of Electrofulguration is that all or most of the syringoma can be removed within one session. The cosmetic results are usually excellent and if the beautician has taken care in leveling the syringoma off.

The success rate of these procedures is very much dependent on the ability of the operator and the equipment used. The equipment has to have the capabilities to operate at very low power because the syringoma are not very thick and a powerful ablation could result in damage to the dermis and therefore permanent scarring.

The method used to remove the syringoma by Electrodesiccation is very simple and this involves simply ablating the lesions from the top and level it off with the rest of the surrounding skin. However since the syringoma reside inside the dermis as well, in order to minimise recurrence it is advisable to ablate them deeper inside the dermis. This is because it has been reported that most of the recurrence of syringoma is due to the fact that simply leveling off the syringoma with the surrounding skin is not sufficient to remove them completely and they will “regrow” soon after healing. A couple of weeks after the cosmetic procedure.

Numbing Creams and Anesthetics

Electrofulguration is usually uncomfortable for the client. In many cases, the pain threshold does not allow to carry out the cosmetic treatment without a  form of numbing or anesthetic. In the cosmetic or beauty clinics, the preferred options are topical anesthetics containing a 5% emulsion preparation, containing 2.5%  lidocaine/prilocaine respectively (i.e. numbing creams like Emla). These preparations are available without prescriptions from your local Chemists. These ready-made preparations are normally used also by tattoo artists to numb the area before tattooing. Since tattoo artists are not medically qualified in every country there is usually a mild topical anesthetic available without a prescription.

At dermatologists’ clinics usually up to 20% concentrations are used in the topical anesthetic creams. Normally local anesthetic injections are not required for this simple procedure however some doctors who are accustomed to administering inject-able lidocaine can opt for local anesthetic. The advantage of local anesthetic it the fact that they are will be numb within a few minutes following the injection.

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.

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