Syringomas are benign tumours of the eccrine sweat ducts — not milia, not sebaceous, and not treatable by extraction.
Small skin-coloured to slightly yellow papules, typically 1 to 3 mm, clustering symmetrically under the eyes and on the upper cheeks. They arise from the intraepidermal portion of the eccrine duct.
The commonest misdiagnosis is milia. Milia are white and discrete; syringomas are skin-coloured, flatter, and cluster in sheets. Milia can be de-roofed and emptied. Syringomas cannot — there is nothing inside to express.
Distribution and symmetry, colour against surrounding skin, onset age, family history, and whether the pattern is eruptive.
Because the lesions sit within the dermis and are numerous, management focuses on reducing their prominence rather than clearing them entirely. Ablative approaches are used cautiously around the eyelid, where skin is thin.
Syringomas are persistent and recurrence after treatment is common. Anyone promising permanent clearance is overstating what the tissue allows.
Syringomas are benign tumours of the eccrine sweat ducts — not milia, not sebaceous, and not treatable by extraction.
The commonest misdiagnosis is milia. Milia are white and discrete; syringomas are skin-coloured, flatter, and cluster in sheets. Milia can be de-roofed and emptied. Syringomas cannot — there is nothing inside to express.
Distribution and symmetry, colour against surrounding skin, onset age, family history, and whether the pattern is eruptive.
Syringomas are persistent and recurrence after treatment is common. Anyone promising permanent clearance is overstating what the tissue allows.
Every assessment is carried out personally by Dr Sin Yong, Medical Director. 9 Scotts Road, #12-01 Pacific Plaza.
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