What cosmetic treatments have you had success with in treating dermatofibromas?   

Excellent question. For patients who want cosmetic removal, we usually offer excision, shave removal, or punch excision. This is most definitive. We also counsel patients that there may be a scar. CO2 laser therapy and cryotherapy can also be used alternatively. 

DF are often in areas (shins, upper arms) that may not scar pretty after excision. I avoid excising, explaining that the scar might be much worse than the DF. I know of no non-surgical method that works.