Thursday, October 15, 2015

Sebaceous Hyperplasia: Pearl-Like Lesions on the Face

WHAT IS IT? I see clients with this ALL THE TIME, and have no clue what they are. "Sebaceous Hyperplasia" are small, harmless lesions that can be found anywhere on the body where oil is produced (yes, including genitalia). They can typically be found on the face, usually the forehead, and are nothing more than a nuisance. I often have clients ask me about them and mention that "when they squeeze them, clear liquid comes out". Do not squeeze them! They are not pustules or milia, but rather inflammation of the sebaceous glands due to an over abundance of oil production. 

That "clear liquid" is sebum, our body's home-made skin lubricant and skin protectant. These lesions can stand alone, like an island in the Pacific, or can be part of a cluster. They resemble small pimples, but are typically the same color of the skin or have a yellow hue to them; they can even be pearl-like in tone. Their shape is either roundish or fleurette-like with uneven boarders. 

Their main identifiable trait is the small hole located in the center of the lesion. This is a chronic condition but is completely harmless. There is probably a genetic component to those who are bothered by them, but if you'd like to see them gone, you need to take action and manage them. So how do you get rid of them? You have to visit your Board Certified Dermatologist to have them removed....easy peezy. But be forewarned: the lesions will inevitably RETURN.