Q. I have a lot of red spots on my face and on my body and I also have these little white spots under my eyes. I really don't like the way they look. Is there anything I can do about them?
A. I'm sure we can find a solution to your problem. The problem is we need to have a diagnosis before I can give you a blanket statement. You may have rosacea or you may have telangiectasia (dilated vessels) on your face. The treatment for those two problems may be topical skin products and or laser treatment. The laser is a very good solution for the red spots as well as for some of the changes with rosacea.
It's a very simple procedure that can be done without any anesthesia. After the red spots are zapped, they will appear darker at first. After three to seven days they will fall off and the area will be clear of the spots. Sometimes more than one treatment is necessary. Rosacea can be improved with laser treatment, although a complete medical treatment may be needed as well.
The white spots may be sebaceous gland hyperplasia or they may be syringomas. Both of these conditions are benign but they are cosmetically deforming. Syringomas and sebaceous gland hyperplasia may be treated either with a laser or a hyfrecator (vaporizing treatment). Both these procedures are done to remove the lesions but do not prevent new ones from forming. Consider your treatment as ongoing maintanence; the key is to remove the spots with minimal or no scarring.
Dr. Carlos Wolf is a partner in Miami Plastic Surgery and is board certified. Email your questions to him at Cwolf@miamiplasticsurgery.com.