Background. Syringomas are common, benign periorbital adnexal tumors t
hat pose a cosmetic dilemma for both patients and physicians alike. Ma
ny therapeutic modalities can potentially cause scarring and recurrenc
es are common. The objective was to develop a treatment method that mi
nimizes scarring and subsequent recurrences. Methods. Each syringoma i
s treated with short bursts of low voltage electrodesiccation, deliver
ed with an epilating needle that is inserted deeply into the skin at t
he level of the reticular dermis. Results. A patient treated by intral
esional electrodesiccation of her long-standing periorbital syringomas
remains lesion-free for over 24 months after therapy, Conclusions. In
tralesional electrodesiccation is a safe, nonscarring and reliable met
hod that can be used to eradicate periorbital syringomas.