What treatments have you found most effective in removing syringomas?

Most often the syringomas I have treated have been multiple small lesions around the eyes. Because it is readily available, safe, of minimal cost, and easy, I like to use pinpoint electrodesiccation. I use a Hyfrecator 2000 electrosurgical unit on the low setting with 2-3 watts. Because electrodesic...

I’ve tried most of the standard listed techniques for multiple syringoma removal. My go-to for years now has been to have my team run Lido with epi under the field with a 1-inch needle while I see other patients. I use fine forceps and Castroviejo curved scissors and superficially pinch out each les...

I usually use the erbium YAG laser with a 1 mm spot and gently ablate the lesions until most of the whitish stroma has disappeared.

Light-handed destruction with electrodessication is my go-to treatment, along with repetitive education on the genetic nature and near certainty of additional lesions in the patient’s future (no treatment is the other option, of course).

Agree with Vic on erbium focal treatment. And also with @Dr. First Last’s resurfacing of the whole area intermittently from time to time in people who tend to make a lot of these.