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I have treated 100's of patients over the past 20 years for sebaceous hyperplasia. In my hands a single 10 to 20 minute treatment with a focused co2 /erbium laser will completely remove most lesions. It takes about one week to heal. Patients who have oily skin will gradually make new lesions so occasional treatments every few years may be necessary.
Fraxel may help treat this condition. However ,a much easier way is to have them treated with a device called Electrocautery that every dermatologist has in their office. This just melts the glands away. Healing time is a about 5-7 days. Dr. Halem
Fraxel may or may not help your condition. It depends on how large/prominent your sebaceous hyperplasia are, and how much experience your laser operator has. Please ask whomever is planning to do your procedure if he or she has experience with your issue.
Bi- or dichloracetic acid (DCA) is preferentially absorbed by fatty tissue. Application with a toothpick of 90-100% DCA just to the oil glands can be an easy, cheap method to treat unwanted sebaceous hyperplasia or oil glands.
To address all your concerns some combination treatment is recommended. First for the melasma, which is one of the hardest conditions to treat. i like to use a strong bleaching cream to be used every day. In addition, a sunscreen of at least SPF 30 or higher is needed everyday...
I agree with the other doctors on here that without a picture it is hard to give a definitive answer. Typically I use a combination of fractional CO2 laser and dermal filling agents to address lines under the eyes. Botox may also be used around and below the eye to further soften...
Fraxel re:store treatment can be used on patients with rosacea. Fraxel re:store treates fine lines/wrinkles and can also improve redness in your skin. If your rosacea flares after your fraxel treatment, your treating physician can treat your rosacea with oral antibiotics.