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Writer's pictureDr. Khor See Ming

Fotona Laser Sculpt: Benign Lumps and Bumps Removal



Xanthelasma Palpebrabum

1. Xanthelasma Palpebrarum Xanthelasma palpebrarum is a benign condition characterized by the development of soft, semisolid, yellow papules or plaques containing cholesterol. These deposits are typically found on the inner aspect of the eyes, most commonly along the corners of the upper and lower eyelids. Xanthelasma palpebrum has been linked to various medical conditions, such as hyperlipidemia, diabetes, and thyroid dysfunction. It is more frequently observed in women than men and typically manifests in adults aged 40 to 50. Approximately 50% of individuals who develop xanthelasma have either a primary or secondary lipid disorder. While xanthelasma palpebrarum is a benign lesion and does not pose significant health risks, it is progressive and permanent. Although xanthelasma treatment is typically not medically necessary, some patients may seek therapy for cosmetic reasons. Lowering lipid levels can be beneficial in managing this condition. Treatment options include surgical excision, laser therapy, cryosurgery, and topical trichloroacetic acid (TCA). However, it is essential to note that recurrence rates are often high. Treating xanthelasma involves lifestyle modifications and lipid-lowering medications. However, it is noteworthy that once it has developed, these interventions may have a limited impact on the cosmetic appearance. Surgical treatment can completely remove the lesion, but there is a possibility of postoperative complications. On the contrary, laser treatments are often preferred options due to their association with minimal tissue damage and faster recovery time.

2. Syringoma Syringomas are harmless sweat duct tumors that typically emerge during adolescence and are more prevalent in women, particularly in the Asian population. Clinically, syringoma presents as multiple, skin-colored or yellowish firm rounded bumps, measuring 1-3 mm in diameter. These bumps are symmetrically distributed and usually asymptomatic. While they are most commonly found in clusters on the eyelids, syringomas may also appear on other facial areas, in the armpits, umbilicus, upper chest, and pubic area. Furthermore, syringoma can exhibit familial tendencies, affecting multiple members of a family.Electrosurgery (diathermy) or laser treatment are viable options for the removal of syringomas, providing effective solutions for those seeking intervention.


Types of Syringoma_02
Types of Syringoma_01

Image sourced from DermNet

Syringoma on neck
Syringoma





Image sourced from HealthJade Image sourced from Consutant360


Milia

3. Milia or “Oil Seed” Milia are benign and transient subepidermal keratin cysts, characterized by small, firm, white bumps that can appear in various numbers. They are most commonly distributed on the face, particularly prominent on the eyelids and cheeks. However, milia can also be present on other anatomical areas such as the upper trunk, extremities, and genital area (prepuce).The classification of milia includes primary and secondary categories. The majority of primary milia are congenital, occurring spontaneously and present at birth. In contrast, secondary milia manifests in association with underlying skin pathology, medications, or skin trauma, such as dermabrasion or radiotherapy. They can also develop in response to blistering rashes, such as bullous pemphigoid. Both primary and secondary milia occur without significant racial or gender differences, affecting individuals of any age.

Skin Tags

4. Skin tags Skin tags, also known as 'acrochordons,' are common cutaneous growths characterized by soft excrescences of heaped-up skin. These lesions appear as skin-colored, brown, or even red ovoid growths, often pedunculated and attached to a fleshy stalk. Generally benign in nature, skin tags are estimated to affect almost 50-60% of adults at some point in their lifetime, impacting both men and women equally. However, it's noteworthy that skin tags are more prevalent in individuals dealing with conditions like obesity, diabetes, and metabolic syndrome (MeTS). These growths tend to develop in areas with skin folds, such as the neck, axilla, eyelids, and groin. Skin tags can be prone to getting caught on clothing or jewelry, like necklaces, leading to constant friction that may result in itching and occasional bleeding.



What Is The Gold Standard Treatment For These Bumps?

Fotona SP Dynamis NX Line

At Dream Clinic, we take pride in presenting our advanced laser treatment for the removal of benign lesions – the Fotona SP Dynamis NX line. In the realm of aesthetics, laser technology has emerged as a revolutionary force, and our highly versatile device stands at the forefront. Utilizing the Erbium-doped yttrium-aluminum-garnet (Er:Yag) wavelength, our laser treatment offers outstanding results in the simplest, safest manner. The Fotona SP Dynamis NX is designed to precisely and effectively address various benign lesions such as xanthelasma, syringoma, milia, and skin tags. This advanced technology ensures a thorough removal process without major complications, providing our clients with a safe and effective solution for achieving the flawless skin they desire.


Typically, the frequency of treatments for xanthelasma ranges between 1 to 3 sessions, depending on the size and depth of the lesion. Potential side effects may include hypopigmentation, scarring, and the possibility of recurrence. On the other hand, for syringoma, milia, and skin tags, immediate removal of the lesions can often be observed in a single session of laser treatment. The procedure is fast, painless, and completed within minutes. Patients can expect minimal downtime, with only a few small scabs forming over the treated areas. These scabs typically fall off after 5-7 days.



Conclusion

As we conclude this exploration into the realm of benign lumps and bumps removal through the innovative Fotona laser technology, we invite you to take the next step towards a radiant transformation. If this brief glimpse into the power of Fotona laser has intrigued you and left you curious for more, we encourage you to reach out to us and schedule a consultation. At Dream Clinic, we pride ourselves on delivering not just results, but a holistic experience of care and expertise! Schedule a consultation with us today to discuss your aesthetic goals!





References

  1. Xanthelasma palpebrarum, https://en.wikipedia.org/wiki/Xanthelasma#/media/File:Xanthelasma.jpg by Klaus D. Peter, Wiehl, Germany, licensed under Creative Commons Attribution 3.0 Germany.

  2. Leung AKC, Barankin B, Lam JM, Leong KF. An atlas of lumps and bumps, part 20. Consultant. 2022;62(9):e29-e32. doi:10.25270/con.2022.07.000013

  3. Syringoma: Clinical Associate Professor Amanda Oakley, Department of Dermatology, Waikato Hospital, 2003.

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