Sebaceous Hyperplasia (Oil Glands) at Q Dermatology + Aesthetics Centre

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What is Sebaceous Hyperplasia?

Sebaceous hyperplasia is a benign (non-cancerous) condition in which the oil glands (sebaceous glands) in the skin become enlarged. These glands are responsible for producing sebum, the skin's natural oil, which helps keep the skin moisturized. When these glands become overactive or enlarged, they can form small, yellowish or flesh-colored bumps on the skin, usually on the face.

Sebaceous hyperplasia is most commonly seen in individuals over the age of 40, and it is often linked to aging, as the skin’s oil production changes over time. While sebaceous hyperplasia is not harmful, it can be cosmetically concerning for many individuals due to the appearance of the bumps.

Causes of Sebaceous Hyperplasia

The exact cause of sebaceous hyperplasia is not fully understood, but several factors can contribute to its development:

Hormonal Changes:

Hormonal fluctuations, such as those experienced during puberty, pregnancy, or menopause, can lead to an increase in sebum production and the enlargement of sebaceous glands.

Genetics:

Description: Pustular psoriasis causes white pustules (blisters of noninfectious pus) surrounded by red skin. It is less common than other forms and can appear suddenly.

Location: It usually affects the hands and feet, though it can spread to other areas.

Symptoms: Pustules filled with pus, red or inflamed skin, and discomfort.

Aging:

As we age, sebaceous glands naturally enlarge, and the skin's oil production changes. This is the most common cause of sebaceous hyperplasia.

Sun Exposure:

Chronic sun exposure can damage the skin and contribute to the development of sebaceous hyperplasia.

Symptoms of Sebaceous Hyperplasia

Sebaceous hyperplasia is characterized by:

  • Small, raised bumps on the skin, often appearing yellowish or flesh-colored.

  • Smooth, slightly shiny surface that is softer than surrounding skin.

  • Typically located on the face, particularly on the forehead, nose, cheeks, and chin.

  • Non-painful but may become irritated or inflamed in some cases.

Sebaceous hyperplasia is generally asymptomatic, meaning it does not cause pain or itching, but it can be a cosmetic concern for many individuals.

How is Sebaceous Hyperplasia Diagnosed?

Sebaceous hyperplasia is usually diagnosed through a visual examination by a dermatologist. The dermatologist will assess the appearance and texture of the bumps and ask about your medical history, including any factors that could be contributing to the condition, such as sun exposure or hormonal changes. In rare cases, a biopsy may be performed to confirm the diagnosis and rule out other skin conditions.

Treatment Options for Sebaceous Hyperplasia

Although sebaceous hyperplasia is harmless and does not require treatment, many people seek removal for cosmetic reasons or if the lesions become irritated. Treatment options include:

  1. Topical Treatments:

    • Topical Retinoids (Tretinoin): Retinoids can help reduce the size of sebaceous hyperplasia lesions by promoting skin turnover and unclogging the sebaceous glands.

    • Azelaic Acid: This treatment can help normalize sebum production and reduce the appearance of sebaceous hyperplasia.

  2. Laser Treatments:

    • Pulsed Dye Laser (PDL): This laser treatment targets the blood vessels and can help reduce the appearance of sebaceous hyperplasia by shrinking the enlarged oil glands.

    • CO2 Laser: A CO2 laser can vaporize the enlarged sebaceous glands, effectively removing the bumps while preserving the surrounding skin.

    • Fractional Laser: This laser treatment is effective for resurfacing the skin and treating sebaceous hyperplasia by stimulating collagen production and promoting skin renewal.

  3. Electrocautery (Electrosurgery):

    • Description: Electrocautery uses heat generated by an electric current to remove sebaceous hyperplasia lesions. This method is effective for treating small to moderate lesions.

    • Benefit: Quick procedure with minimal downtime and effective removal of the affected tissue.

  4. Cryotherapy:

    • Description: Cryotherapy involves freezing the sebaceous hyperplasia lesions with liquid nitrogen, causing them to shrink and fall off over time.

    • Benefit: Non-invasive and effective for smaller lesions, though multiple sessions may be required.

  5. Surgical Excision:

    • Description: In some cases, the enlarged sebaceous glands may be surgically removed if they are particularly large or bothersome.

    • Benefit: Effective for larger, more stubborn lesions, though it may leave a small scar.

  6. Dermatologic Camouflage:

    • Description: For those looking for a temporary solution, makeup or skin concealers can be used to camouflage sebaceous hyperplasia lesions.

    • Benefit: Quick and non-invasive option for covering up lesions.

Preventing Sebaceous Hyperplasia

Since sebaceous hyperplasia is largely influenced by aging and genetics, there is no surefire way to prevent it. However, the following tips may help minimize its appearance and prevent further enlargement of the sebaceous glands:

  • Sun Protection: Protect your skin from the sun by using sunscreen with SPF 30 or higher. Chronic sun exposure can accelerate the development of sebaceous hyperplasia.

  • Moisturizing: Use non-comedogenic moisturizers to keep your skin hydrated and prevent excess oil production.

  • Gentle Skincare: Avoid harsh products or scrubbing, which can irritate the skin and potentially worsen the condition.

Why Choose Q Dermatology + Aesthetics Centre?

At Q Dermatology + Aesthetics Centre, our experienced dermatologists specialize in the diagnosis and treatment of sebaceous hyperplasia. Whether you're concerned about the appearance of your skin or simply want to explore treatment options, we offer effective solutions to help you achieve a clear, healthy complexion. We use the latest technologies and techniques to ensure safe, efficient treatment with minimal downtime.

Schedule a Consultation Today

If you have sebaceous hyperplasia or any other skin concerns, don’t hesitate to contact us. Our team is here to help you find the best treatment options tailored to your skin’s needs. Call us today at +1 604 359 9632 or click below to request an appointment with one of our experienced dermatologists.