Syringomas: White Hard Bumps Under Your Eyes

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[music] Hello, I’m Dr. Neal Schultz

[pause]

and welcome to DermTV.

Today’s topic comes from one of Siobhan’s viewers from the YouTube

LetzMakeUp channel, that’s L-E-T-Z M-A-K-E U-P. And the question is what

are those white hard bumps around the eye? They don’t act like pimples and

they don’t respond to treatment like pimples. There’s a very good reason-

they’re not pimples. They look like whiteheads but they’re not. First of

all, they’re usually below the eyes, not next to the eyes or above it, it’s

usually on the lower lid and they can be white or yellow, they can be round

or oval and they can be flat topped or sort of dome shaped. They have a

special name; they have nothing to do with acne, they’re called syringomas

and syringomas are really enlargements of sweat ducts, having nothing to do

with oil glands. Let me show you. This is our favorite diagram of the skin

and this sweat gland is down here in the middle of the dermis, the middle

layer of the skin and when it makes the sweat it has to get the sweat up to

the surface of the skin. So it sends it up through this tube which is

called a sweat duct and as it comes out of the dermis, the middle layer of

the skin, it enters the epidermis, the upper layer of the skin. And when

that duct, that tube, going through the epidermis becomes enlarged, it

forms a syringoma. The enlargement of this part of the duct forms that

white, hard, round bump. If you squeeze them, nothing comes out, if you put

a pin in them, nothing comes out because they’re solid, they’re just

enlargements of those tissues and cells that make the channel. How do you

treat these? No creams or skincare products make any difference. If you

come to a dermatologist’s office, each one individually has to be operated

on, either electrically cauterized or cut out but there’s no cream that’s

going to make a difference. So, if you have these little, white, round

bumps of the lower lid and they bother you, see a dermatologist and he or

she can help remove them but no cream is going to help take care of this

one.

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