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Definition

Sebaceous hyperplasia is a skin condition in which a person develops small, yellowish growths, usually on the face. Lesions can be single or multiple and manifest as soft, small papules on the face. It may also occur particularly on nose, cheeks, and forehead too. They are commonly associated with hair follicles but they can be found in hairless regions of the skin as well. Their secretion lubricates the skin, protecting it from drying out or becoming irritated. Sebaceous hyperplasia lesions begin to appear in middle age and continue to appear into later life, giving the skin a pebbled appearance.

Causes

The exact cause of Sebaceous Hyperplasia is not known. Sebaceous Hyperplasia is not contagious. Sebaceous hyperplasia can be difficult to clinically differentiate from basal cell carcinoma. Often multiple lesions which are similar are present. They do not tend to bleed as easily as do basal cell carcinomas.  But some causes may include:-

  • These problems tend to run in families.
  • Sebaceous hyperplasia is contagious.
  • An overgrowth of the oil producing glands on the face. Their growth is associated with exposure to different androgen hormones and sun.

Symptoms

Sebaceous hyperplasia appears as small yellow bumps up to 3 mm in diameter. Commonly it is seen in the face as yellowish or yellowish white raised papules with central depression. They do not like to be seen in public some of the time and they would rather wish that the medication that they receive would just start to take immediate effect. But some people will still do what they used to do and they will not let this affect their day to day lives.

Treatment

Fortunately, the appearance of this condition can be improved by removing the portion of the oil gland that has to the surface. This removal is typically accomplished with freezing. With cryotherapy, the unwanted oil glands are injured and fall off after 2-3 weeks.

Tretinoin cream or gel used daily will reverse the condition slowly overtime and also help keep the condition from worsening. Accutane will reverse sebaceous hyperplasia, but new lesions will develop after stopping the medication unless you also use tretinoin cream regularly.

Intense Pulsed Light (IPL) also known as photo-facial, fotofacials, and photo rejuvenation is a state of-the art system and the latest technique in photofacial therapy. This removes the unwanted tissue while it spares or avoids the surrounding healthy or "normal" tissue. The penetration depth and degree of heat is highly controlled to minimize complications.

You can also use a rather powerful drug that is called Accutane. But once you stop using it then the skin disease might come back. So you will have to keep using this drug regularly to make sure that you will not contract Sebaceous Hyperplasia again.

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