Treatment of multiple eruptive vellus hair cysts with carbon dioxide laser vaporization and manual lateral pressure.

Treatment of eruptive vellus hair cysts (EVHC) is often unsatisfactory. Laser treatment has been described as an adequate treatment in a few reports. Pulsed carbon dioxide (CO(2)) laser has been used effectively for facial EVHC and erbium:yttrium-aluminium-garnet laser has been used to treat truncal EVHC with variable outcomes. We report our experience with CO(2) laser and lateral manual pressure to extract the cysts as an effective treatment in two cases of EVHC. Good cosmetic results were obtained in both cases. No lesion recurrence was observed after a follow-up of 10 years in the first case and 3 years in the second one. CO(2) laser vaporization and further extraction of cysts by manual lateral pressure might be an effective method to treat EVHC, achieving good cosmetic results and no recurrence.