How should I treat my Fordyce Spots, Would appreciate tips.

Question

Hello, I have been diagnosed with fordyce spots on my lips (500+ of them), and have decided to treat myself with TCA. I know you cannot recommend I treat myself but if you find it appropriate to help me I'll be glad. My plan is to start with 12.5% on a test area to see how the skin responds, and slowly progress up to 50% on the whole lip. I chose acid because of the 2008 case study about BCA, and also of internet forum posts showing sucess. What should i be careful of? Any tips? Thanks

Davin Lim, MBBS, FACD - Account Suspended · Answer

TCA is a self neutralising peel. Spots can be treated focally with a tooth pick. Don't treat your entire lip. Not to be smart, but get yourself medical insurance before treating them at home. As with all the other dermatologist I see my fair share of DIY home needling, TCA peels, attempted TCA CROSS etc.. I have also had a patient commit suicide due to the scarring he made with TCA. If you want to do 12.5 % single coat, by all means. Even 18% multi coat can result in facial scarring and mucosal ulceration with stricture formation. Ordinary I would not discourage patients vocally, but this is a high risk scenario. Buy medical insurance BEFORE you attempt anything more than 12.5% > Please be safe, and take care.

How should I treat my Fordyce Spots, Would appreciate tips.

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