Surgical & Cosmetic Dermatology (Jun 2024)

Treatment of periorbital syringoma with intradermal botulinum toxin A monotherapy versus carbon dioxide laser: a case report

  • Sheila Hustadi Budiawan,
  • Abraham Arimuko,
  • Lilik Norawati,
  • Asnawi Madjid,
  • Widya Widita

DOI
https://doi.org/10.5935/scd1984-8773.2024160190
Journal volume & issue
Vol. 16

Abstract

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Syringomas are benign adnexal neoplasms that develop from eccrine sweat ducts. They are mostly found in early adulthood, with a female gender predominance. They typically occur on the face, particularly the periorbital region, which has a high demand for cosmetic enhancement. Management of periorbital syringomas is challenging, with no consistently effective treatment available. Intradermal injection of botulinum toxin A (BTX-A) is a new treatment modality for periorbital syringoma. We present a 53-year-old female patient with periorbital syringoma who was successfully treated with intradermal BTX-A monotherapy as a painless, cost-effective treatment that produced better long-term results than carbon dioxide laser.

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