Sebaceous Hyperplasia

Sebaceous Hyperplasia

  • Best Results1-2 sessions
  • Treatment Recovery3-7 days
  • Procedure Time30-60 minutes
  • Skin SpecialistLaser nurse
  • Duration of ResultsYears+
  • AnaestheticNumbing cream
  • Back to Work3-7 days
  • Cost$$

Sebaceous Hyperplasia

Sebaceous hyperplasia is a common benign condition that presents as raised, persistent lumps & bumps on the face. It is more common with age & sun exposure. This condition is resistant to creams, including retinol, however, is easily treated with laser resurfacing.

FactsFacts on Sebaceous Hyperplasia

  • These are common lumps & bumps that occur in middle age
  • Sebaceous hyperplasia often effects the cheeks & forehead areas
  • These spots are non-cancerous
  • Treatment is elective
  • Numbing gel is used prior to laser as it ensures patient comfort levels
  • Most people only require one treatment
  • These lesions will recur over time
  • Retinoids can reduce recurrence
  • Laser ablation gives the best results

What is Sebaceous Hyperplasia?

Sebaceous hyperplasia is a benign, non-cancerous lesion that is frequently seen in middle-aged men & women. They start off as single lesions & multiply over time. The most frequent sites include the forehead & cheeks.

Clinically they start off as small yellowish spots & dots. Over time they become raised papules with petals & a central dell. They frequently have blood vessels within them. They will not turn into cancer (unlike basal cell cancers or rarer tumors with sebaceous differentiation). Treatments are elective.

What is the best way to treat them?

Laser ablation is the fastest, most efficient way to treat these lesions. I normally use an ablative erbium or CO2 laser in fully ablative mode, not fractional.

One treatment will address over 90% of these lesions. Your skin will take 4-7 days to heal up following laser ablation. The area may be red for 2-3 weeks post laser. Other lasers that can help include the Gemini laser using the 532 wavelength with the cooler turned off. Simple hyfrecation can give good results.

Small spot CO2 lasers or erbium lasers can reduce sebaceous hyperplasia by up to 86% in one session only.

How long does it take to laser sebaceous hyperplasia?

Typically use numbing gel for one hour, followed by laser. Each lesion takes approximately 5 to 10 second to treat. We can address 60 -80 lesions within 10 minutes.

In most cases we use two types of lasers, one for the individual areas of sebaceous hyperplasia and the other for treatment of general sun damage. This may take an additional 15 to 30 minutes to perform.

What other treatments can reduce sebaceous hyperplasia?

Other treatments include –

  • Pinpoint hyfrecation with a needle tip. Each ‘petal’ or bud is zapped with a needle.
  • TCA 35 to 50% focal chemical peel.
  • Cryotherapy can be used in caution if you know what you are doing. Often best with a cotton stick applicator compared to conventional & convenient spray and blast. The latter often leaves white spots or even scarring.
  • PDT or photodynamic therapy can help. This treatment is best used for DVA patients as it is covered. In most cases I prefer lasers as PDT does not individually address these spots. It can globally improve 30 to 70% of sebaceous hyperplasia lesions. PDT is best employed to treat background sun damage.
  • Punch excision or formal surgical excision of lesion. This may be indicated if the other diagnoses are considered. These methods can obtain pathology (microscope viewing) to exclude skin cancers such as basal cell carcinoma or sebaceous adenomas/carcinomas (or BBCs with sebaceous differentiation).

    Lasers ,peels, focal diathermy, oral vitamin A & pin point hyfrecation can all treat sebaceous hyperplasia.

Davin’s Viewpoint on Sebaceous Hyperplasia

This condition is very common, especially in Queensland. Most appear before the age of 40. Traditionally dermatologists have treated these with topical retinoids including retinol, tretinoin/retinoic acid, adapalene & tazarotene. Though useful for treating related sun damage, these lesions are usually refractory to topical modalities.

Simple laser ablation using a spot size of 2 to 2.5 mm is the fastest most effective way to address sebaceous hyperplasia. Downtime of less than a week. Book to see my senior laser nurses for management.

Disclaimer: I do treat these lesions on an incidental basis when I perform bigger cases such as fully ablative laser resurfacing. I do not use the laser theatre to treat these lesions specifically.

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