Cutaneous neurofibromas are also called discrete or dermal neurofibromas. These tumors grow from small nerves in the skin or just under the skin and appear as small bumps typically beginning around the time of puberty. Cutaneous neurofibromas rarely cause medical problems but may itch or be tender when bumped. It is important to note that these tumors remain benign throughout life and do not become malignant cancers. Despite their benign nature, they may cause significant cosmetic problems and occasionally may require removal. These lesions can be removed by single or multiple sitting using Co2 laser.
Trichilemmoma is a benign cutaneous neoplasm that shows differentiation toward cells of theouter root sheath. They may appear as a solitary or multiple lesions, and are usually found on the head and face. These lesions can be removed using Co2 laser in a single sitting.
A sebaceous cyst is a closed sac under the skin filled with a cheese-like or oily material. Sebaceous cysts most often arise from swollen hair follicles. Skin trauma can also cause a cyst to form. A sac of cells is created into which a protein called keratin is secreted. These can be removed through a micro punch hole using Co2 laser and evacuation of sebum and sac in a single session.
Angiokeratoma is a benign cutaneous lesion of capillaries, resulting in small marks of red to blue color and characterized by hyperkeratosis. These lesions can effectively treated by long pulsed Nd YAG laser machine.
Syringomas are benign tumors of eccrine origin commonly found around (usually below) the eyes . Eccrine simply means sweat glands and the sweat glands around the eyes are the common sites of transformation into syringoma. These can be removed by co2 laser in a single or multiple sitting.
A capillary hemangioma (“strawberry” birthmark) is a benign (non-cancerous) tumor consisting of an abnormal overgrowth of tiny blood vessels. Capillary hemangiomasmay not be present at birth, but appear within the first 6 months of life. They usually begin to decrease in size between 12 and 15 months of age. Some are gone by the age of 2, about 60% by 5 years, and 90–95% by 9 years. These lesions can treat by long pulsed Nd YAG laser with multiple sitting.
Tuberous sclerosis is Facial angiofibromas (“adenoma sebaceum”): A rash of reddish spots or bumps, which appears on the nose and cheeks in a butterfly distribution, they consist of blood vessels and fibrous tissue. This potentially socially embarrassing rash starts to appear during childhood and can be removed using Co2 laser treatment.
Fordyce spots: They appear as small, painless, raised, pale, red or white spots or bumps 1 to 3 mm in diameter that may appear on the scrotum, shaft of the penis or on the labia, as well as the inner surface (retromolar mucosa) and vermilion border of the lips of the face. These can be removed in one sitting using Co2 laser.
Rhinophyma is a condition causing development of a large, bulbous, ruddy nose associated with granulomatous infiltration, commonly due to untreated rosacea. Rhinophyma is characterised by prominent pores and a fibrous thickening of the nose, sometimes with papules. It can carry a strong psychological impact due to its effect on one’s personal appearance. Treatment consists of paring down the bulk of the tissue with carbon dioxide laser and allowing the area to re-epithelialise.
Milia also called a milk spot or an oil seed, is a clog of the eccrine sweat gland. It is a keratin-filled cyst that can appear just under the epidermis or on the roof of the mouth. They are usually found around the nose and eyes, and sometimes on the genitalia, often mistaken by those affected as warts or other sexually transmitted diseases. Milia can also be confused with stubborn whiteheads. These can be removed using Co2 laser.