Roseca papules, sebaceous hyperplasia, millia, are these the same thing?

Question

I have Roseca. I want to know if the papules are the same as sebacious hyperplasia and are millia also part of Roseca ? Can Tea Tree oil be used on the face for Roseca bumps? Thank you

Jason Emer, MD · Answer

No, tea tree oil won't give improvement. I recommend getting a formal evaluation with a cosmetic dermatologist. For rosacea, I like a combination approach, using lasers (ProYellow, Pulsed Dye/Vbeam, Excel V), peels and botox to the cheeks. This makes dramatic changes in color and symptoms. See an expert. Best, Dr. Emer

Linda J. Banta, MD · Answer

Thank you for the question. Rosacea is usually redness with pink to red bumps and pustules. Comedones are not part of rosacea. Sebaceous hyperplasia can be seen in any patient. Make sure you have an evaluation by a dermatologist to determine the type of lesions and best treatment. Do not recommend Tea Tree oil. It may irritate. Newer treatments include Rhofade, Solantra. Photofacial can help redness. There are also medical grade moisturizers and sunscreen that reduce redness. Hyperplasia can be treated with cautery or laser.

Amy Y. Paul, DO, FAAD · Answer

Hi, and thanks for your question.  I would recommend evaluation by a board certified dermatologist to see what all the lesions on the face actually are before trying some home remedy.  Tea tree oil can be irritating and sometimes can worsen the redness, especially if you have sensitive skin.  It will not remove sebaceous hyperplasia or milia.  They can be treated with low voltage electrical hyfercation or laser, or even unroofing the milia and using a comedone extractor, but you want to be sure you are properly diagnosed before attempting removal of any of those.
Best of luck!

Melvin Elson, MD · Answer

Milia are just stopped up oil glands, sebaceous hyperplasia is overgrowth of the oil glands and neither of these are part of rosacea. the papules of rosacea if they occur are like other acne lesions. Tea trea oil will be of no benefit

Davin Lim, MBBS, FACD - Account Suspended · Answer

Tea tree oil is not a recognised treatment. Additionally sebaceous hyperplasia is a seperate condition from rosacea and easily managed. Best see a medical dermatologist for both these problems, then work in with a laser dermatologist to treat residual areas of redness and sebaceous hyperplasia with lasers. Rosacea is very complex and a tailored treatment program give the best results. This is because there are many types of rosacea (telengtctatic or capillaries, flushing and redness, acne like rosacea, ocular rosacea and even rhinophyma rosacea.)
  
To add to the complexity, everyone has different flare factors- Sunlight, stress, foods, chemical irritants, creams, changes in temperature, alcohol. The list goes on. 
  
A detailed history, together with a treatment tailored according to YOUR type of rosacea will give the best results. As a guide, I use a combination of -
  
1. Lasers ( to treat redness, broken capillaries, rhinophyma, flushing)- best laser is the V BEAM. IPL can be used, but usually not as effective. Laser toning using the long pulse Nd Yag at 1064 can help with background redness. 
  
2. Creams - anti inflammatory
  
3. Tablets -anti - inflammatory and sometimes low dose Vitamin A. 
  
4. For females- Mineral make up is recommend, over make up that contains parabens. 
  
For the best results, consult a dermatologist for both medical and laser treatment options. 
  
Kind regards.
  
Dr Davin S. Lim.
  
Laser Dermatologist.
  
Brisbane, Australia.

Roseca papules, sebaceous hyperplasia, millia, are these the same thing?

Answers (5)

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