DermTV Syringomas White Hard Bumps Under Your Eyes DermTV Epi 224
Hello, I'm Neal Schultz pause and welcome to DermTV. Today's topic comes from one of Siobhan'sviewers from the YouTube LetzMakeUp channel, that's LETZ MAKEUP. And the question is what are those white hard bumps around the eyeéThey 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 whiteheadsbut they're not. First of
all, they're usually below the eyes, notnext to the eyes or above it, it's usually on the lower lid and they can be whiteor yellow, they can be round or oval and they can be flat topped or sortof dome shaped. They have a special name; they have nothing to do withacne, they're called syringomas and syringomas are really enlargements ofsweat ducts, having nothing to do with oil glands. Let me show you. This isour favorite diagram of the skin and this sweat gland is down here in the middleof the dermis, the middle layer of the skin and when it makes the sweatit has to get the sweat up to
the surface of the skin. So it sends it upthrough this tube which is called a sweat duct and as it comes out ofthe dermis, the middle layer of the skin, it enters the epidermis, the upperlayer of the skin. And when that duct, that tube, going through the epidermisbecomes enlarged, it forms a syringoma. The enlargement of thispart 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'resolid, they're just enlargements of those tissues and cells thatmake the channel. How do you
treat theseé No creams or skincare productsmake any difference. If you come to a dermatologist's office, each oneindividually has to be operated on, either electrically cauterized or cutout but there's no cream that's going to make a difference. So, if you havethese 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 goingto help take care of this one.
Multiple milia under the eyes
So you're gonna hear this little buzz Well, you're not really gonna hear a noise, but you're gonna feel one little pinch here. I'm gonna do one, okayé Just one. I'll do this one right here. You can feel me touch you right there. Okay. Readyé You okayé Mhmm.
I'll do it a couple times right there. Gonna do it again. A tiny one. You okayé She's tough. Good. These are milia she's got on her eye. I don't know why you have so many of them here. (Background: What. what causes theseé)
Y'know, they're. (Background:Fatty foodé) No, no. You okayé If you need a break, just raise your hand, okayé I think she just It's probably It might even be products you put on your face.
Something that Okay, okay. We're gonna pay attention to her and not talk to anybody else. We're just gonna put a little pressure with that little instrument you've seen me use before. We're gonna push that one out. The ones right under your eye are gonna be Are not easy, because there there's no bone to push against.
You know what I meané So we kind of let the cautery let them shell out. Help them to shell out. You alrighté Mhmm. Actually, some of the bigger ones are doing alright with me knicking them. (Background: She's gonna look prettiness when she's all done.)
She is pretty! I know. She is pretty, though. (Background: Thank you.) A I make everybody cry. Well, not everybody but. I don't like to make her cry. Here.