Sebaceous Hyperplasia

Sebaceous Hyperplasia is a result of enlargement of the oil glands attached to the hair follicle. This occurs most often due to sun damage, but there is also a genetic influence.

Sebaceous Hyperplasia is often first noticed when 3-5mm, yellowish bumps appear on the face or the sides of the forehead. The bumps often have a small indentation in the middle. It looks like a yellowish, shallow crater. The number of yellow bumps can vary, but there are most often only a few that is bothersome. Closer inspection often reveals multiple areas of Sebaceous Hyperplasia.

Sebaceous Hyperplasia is unsightly. The bigger the yellow bumps get the worse it looks.

There are multiple ways to treat Sebaceous Hyperplasia. The most important  treatment consideration is the risk of scarring due to the treatment itself. The first line treatments I suggest should have minimal to no risk of scarring.

The treatments with minimal scarring risk for Sebaceous Hyperplasia are as follows:

1. Photodynamic therapy

2. A medication called Roaccutane

3. Very light cautery

Photodynamic therapy involves the application of a light sensitizing cream that is left on for 1-2 hours, followed by exposure to a red light for 12 minutes. Roaccutane is a tablet taken daily for a few months. With Light cautery an electric current is applied to the areas of Sebaceous Hyperplasia. This leads to heating and cell death.

There are other treatment options for Sebaceous Hyperplasia, but the risk of scarring is greater than with the abovementioned treatment options.

4 thoughts on “Sebaceous Hyperplasia

  1. hello
    I have a cyst in my scalp. it’s about the size of a peanut.
    my GP told me to go to a plastic surgeon to get it removed
    but will cost at least R8000.
    Is there a cheaper option that will still result in minimum scarring as I am a student
    thank you

  2. To whom it may concern
    I have a small bump on my lip that came out and it is not a pimple , it has been there for +/- 8 months and do not want to go away. i used betadine ointment and other but no improvement. I am a user of lipstick for more than 35 years and i also sunscreen for over 2o years, i wear make-up everyday and i am a smoker please advise as to what it could be, and if it is a growth will you be able to remove it and how much would it cost because i am not in the medical aid. My age 49 female
    thanks from
    Mrs.Lorran dramat

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