Enlarged sebaceous glands presenting as small, soft, yellowish papules with a central dimple — most often on the forehead and cheeks.
The gland itself enlarges around a central follicular opening. The dimple is that opening. Incidence rises with age and with androgen exposure.
Commonly confused with milia, which are white rather than yellow and have no central dimple, and occasionally with basal cell carcinoma, which is the reason a persistent solitary lesion is examined rather than treated blind.
Colour, the presence of a central umbilication, number and distribution, and whether any single lesion looks different from the rest.
Treatment targets the enlarged gland rather than the surface. Because the lesions are shallow and numerous, the aim is reduction in prominence with minimal textural change.
A single enlarging, pearly or bleeding lesion is not treated as sebaceous hyperplasia until it has been properly assessed.
Enlarged sebaceous glands presenting as small, soft, yellowish papules with a central dimple — most often on the forehead and cheeks.
Commonly confused with milia, which are white rather than yellow and have no central dimple, and occasionally with basal cell carcinoma, which is the reason a persistent solitary lesion is examined rather than treated blind.
Colour, the presence of a central umbilication, number and distribution, and whether any single lesion looks different from the rest.
A single enlarging, pearly or bleeding lesion is not treated as sebaceous hyperplasia until it has been properly assessed.
Every assessment is carried out personally by Dr Sin Yong, Medical Director. 9 Scotts Road, #12-01 Pacific Plaza.
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