Treatment Suggestions for Sebaceous Hyperplasia on African American Skin? (Photos)

Question

Hi, I've been dealing with sebaceous hyperplasia on the nose for over a decade. I was wondering if there are any suggestions of possible treatments to have it permanently removed without any scars or indentation?

Anna Chacon, MD, FAAD · Answer

This condition, characterized by small, benign bumps on the skin, can be a source of discomfort for many. Given your specific concern about avoiding scarring or indentation, particularly on African American skin, here are some treatment options to consider:1. Electrocautery: This procedure uses a small probe with an electric current to burn off the sebaceous hyperplasia. It is a common treatment for this condition and can be very effective.2. Laser Therapy: Certain types of lasers, such as the pulsed dye laser or CO2 laser, can effectively treat sebaceous hyperplasia. Laser treatments can minimize the risk of scarring and discoloration, making them a good option for individuals with darker skin tones.3. Photodynamic Therapy (PDT): This is a newer treatment option that involves applying a photosensitizing agent to the skin, which is then activated with light.4. Topical Retinoids: While these won't remove the sebaceous hyperplasia, they can help to reduce the size and appearance of the bumps.5. Cryotherapy: This involves freezing the sebaceous hyperplasia with liquid nitrogen. This method can be effective, but there is a risk of hypopigmentation, particularly in darker skin tones.It's important to note that while these treatments can be effective, sebaceous hyperplasia can recur, and ongoing treatment may be necessary.

Raffy Karamanoukian, MD, FACS · Answer

Our treatments use combination therapy to improve the epidermis and dermis.  We see atrophic and hypertrophic scars, as well as scars that have hypo and hyperpigmentation. Our main concern is rebuilding collagen and that is why we use a HIDEF protocol that includes combination therapy. Morpheus 8, scar subcision, fibrous release, fractional laser, CO2 laser, Thulium laser, PDL Vbeam laser, and fractional resurfacing can be used in addition to TCA Cross and chemical peels to further improve skin. Patients should start Melarase AM and Melarase PM for active hyperpigmentation. Always begin with a consultation to discuss the best treatment options for your type of skin. .

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Treatment Suggestions for Sebaceous Hyperplasia on African American Skin? (Photos)

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Treatment Suggestions for Sebaceous Hyperplasia on African American Skin? (Photos)

Answers (2)

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