Despite being benign, lesions can have a major cosmetic and psychological effect on patients because they are predominantly located on the face.
The treatment options include surgical excision, curettage, cryotherapy, cautery, and CO2 laser, all with associated risk of scarring and pigmentary change.
Recently, light based therapy has shown some good results, with shorter recover periods but more discomfort and higher cost.
Pulse Dye Laser (PDL) successfully treats other benign skin lesions and has been shown to be successful in treating sebaceous hyperplasia. Lesions are eliminated quickly, easily, and painlessly, leaving only a transient purplish (purpuric) effect. Treatment effect is explained by the fact the laser light is absorbed by the vascular component of the lesion, destruction of the vessels removing the nutritional support from the sebaceous hyperplasia.
Of course other non-ablative lasers will have a similar effect to PDL, when used correctly, and we can even offer the new plasma device which uses electrical (RF) energy to vaporize the lesions.