Three different bumps, three different right answers
Milia, syringoma, and skin tags look almost identical to an untrained eye but live in completely different anatomical compartments. Mis-identifying them is the most common reason removal goes wrong — a syringoma squeezed like a milium produces a small wound, no result, and a slightly worsened periorbital appearance.
- Milia — a small keratin-filled cyst, white or pearly, firm, "grain of sand" feel. Sits just below the surface of the epidermis. Treated by: opening the roof with a sterile lancet and expressing the keratin pellet. Permanent resolution at that site.
- Syringoma — a benign sweat-duct tumor, skin-colored or beige, soft, flat-topped, often in symmetric clusters on the lower eyelids. Has no content to extract. Treated by: gentle destructive treatment of the entire lesion using radiofrequency ablation, electrodessication, or fractional CO₂.
- Skin tags — soft, narrow-stalked outgrowths on the neck, eyelid margins, axillae, groin. Treated by: scissor excision after lidocaine, or radiofrequency ablation at the base. Excellent cosmetic results, near-zero recurrence at the treated site.
What our first visit looks like
We never proceed straight to removal. A short consultation confirms which of the three (or another lesion type entirely) you actually have. If something doesn't fit the pattern — particularly in fair skin or with significant sun exposure — we use dermoscopy and may biopsy before removing. The most expensive removal is the one that has to be redone.
A lesion that changes shape or color, bleeds spontaneously, has irregular borders, or shows asymmetric pigmentation isn't on this list. Basal cell carcinoma, sebaceous hyperplasia, and other neoplasms can mimic these three at a glance. We don't remove what hasn't been identified.
The procedure
Topical numbing (optional), then a sterile 30-gauge needle nicks the epidermis and the keratin pellet expresses out cleanly. One pass per milium, done in seconds. No bandages.
Local anesthetic infiltration, then radiofrequency or fractional CO₂ treats each lesion at low power. Treated in 2–3 light sessions rather than one deep pass to avoid pinpoint scarring on delicate periorbital skin.
Lidocaine at the base, then scissor excision or RF ablation at the stalk. The lesion is removed flush with the skin surface. Healing in 5–10 days with no visible mark in most cases.
Recovery
Same-day. Most patients return to work, gym, and social activity immediately. Mild redness at the treatment site for 24–48 hours is normal. We provide a small tube of healing ointment for the larger sites. Avoid scrubs and aggressive exfoliants for one week.
How pricing works (transparent)
Our flat-rate structure removes the most common stress point — "how many will it cost?":
- Milia or skin tags: ₱1,500 per body part — unlimited count in the treated area (e.g., all milia under one eye, or all skin tags on the neck).
- Syringoma: ₱2,000 per body part per session (typically 2–3 sessions for full clearance).
- Corns and large skin tags (>3 mm): ₱3,000–₱5,000 depending on size and depth.
- Consultation only (diagnostic): ₱500, credited toward the procedure if you book the same day.
Investment
From ₱1,500 per body part, including the procedure and basic aftercare. Quote is given in writing at the consultation before any procedure is booked.