Sebaceous hyperplasia occurs when the sebaceous (oil) glands become enlarged. These glands are normally responsible for producing sebum, which helps keep the skin hydrated.

When enlarged, they appear as:

• Small, soft bumps
• Flesh-colored or yellowish lesions
• Slightly raised with a central indentation

They are most commonly found on areas of the face where oil glands are more concentrated, including the forehead, cheeks, and nose.

Sebaceous hyperplasia is associated with increased activity or enlargement of oil glands over time.

Contributing factors may include:

• Natural aging of the skin
• Hormonal influences
• Oily or combination skin types
• Genetic predisposition

In some cases, long-term sun exposure may also play a role in their development.

Sebaceous hyperplasia lesions are typically:

• Uniform in appearance
• Soft to the touch
• Stable over time

They may resemble other skin conditions, including:

• Acne
• Milia
• Certain types of skin cancer, such as basal cell carcinoma

Because of this overlap, accurate evaluation is important to confirm the diagnosis.

Clinical Examination

Diagnosis is usually made through a careful visual examination.

The characteristic appearance—particularly the central indentation and yellowish tone—helps distinguish sebaceous hyperplasia from other lesions.

Dermoscopy

Dermoscopy may be used to examine the lesion more closely and confirm its benign nature.

This allows for improved visualization of glandular structures and helps differentiate these lesions from more concerning growths.

Biopsy When Indicated

If there is any uncertainty, a biopsy may be performed to confirm the diagnosis.

This involves removing a small portion of the lesion for microscopic evaluation.

Observation

Because sebaceous hyperplasia is benign, treatment is not medically necessary.

Many patients choose to observe the lesions once they are reassured of their harmless nature.

In-Office Removal

For patients who prefer treatment, several options are available to reduce or remove the lesions.

These may include:

• Electrocautery to gently shrink the gland
• Laser-based treatments
• Targeted destruction of the lesion with minimal damage to surrounding skin

Treatment is selected based on the size, number, and location of the lesions.

Medical Management

In select cases, topical or oral medications may be considered to help regulate oil production and reduce the development of new lesions.

This approach is individualized and used when appropriate.

Treatment is typically performed in the office and is relatively quick.

Procedures are designed to be precise and controlled, minimizing impact on surrounding skin.

Depending on the number of lesions, treatment may be completed in a single session or staged over time.

Recovery is generally minimal.

Patients may experience:

• Mild redness or irritation at treated sites
• Small scabs that heal over several days
• Temporary discoloration as the skin heals

Most patients are able to return to normal activities immediately.

Evaluation is recommended when:

• New bumps develop on the face
• Lesions change in appearance
• Growths resemble acne but do not respond to treatment
• There is uncertainty about the diagnosis

Accurate identification is important to ensure appropriate management.

At Treiber Dermatology, sebaceous hyperplasia is managed with a balance of careful diagnosis and thoughtful cosmetic treatment.

Patients are guided through their options, with an emphasis on achieving a natural, even skin appearance while preserving skin health.

Patients throughout New York and Connecticut choose Treiber Dermatology for sebaceous hyperplasia care because of the practice’s expertise in diagnosing and treating subtle facial lesions.

Care is known for being:

• Precise and detail-oriented
• Focused on accurate diagnosis
• Thoughtful in cosmetic outcomes
• Tailored to individual preferences

The emphasis is on providing clarity and refined results.