I had a client the other day who had what looked like a large yellowish and flat white head. She had 2 on her forehead and she said that she gets them sometimes and are there for a long time. It looked like if I just lanced the top I could get the contents to easily spill out. But after I  lanced it all that came out was a little blood and nothing else. I didn't want to make matters worse so I left it alone after that. I've never really seen this before, I have been researching online but can't find what it is. Can anyone tell me exactly what this is and how to treat it? 

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Jessica, what is the age of your client?

From your description, I suspect cholesterol deposits.

Cholesterol deposits look similar to milia but are yellower and flatter.  They do not produce anything when attempts are made at extractions.  They are known medically as xanthelasma.  There are many images available on the internet, so you can cross-reference.  If it is cholesterol deposits, they are benign but unsightly, and you may have some luck working on them within your scope of practice.

If you are versed in TCA peeling, and your state permits, you might try a TCA-cross technique.  You could also send her to a derm to have them frozen or lasered off.  

My client is in her early 50's.

I think you may be correct, thanks so much for the help. I work at a day spa and we don't use TCA or other stronger peels at work so I will be referring her out to the Derm. 

Could be sebaceous hyperplasia...benign skin tumor...not in an estheticians scope.

dermatologist can help but its an issue that will keep popping up...esthetician can recommend treatments or products to combat oiliness to help control the issue. Skin inc. had two part article a few months back about rosacea that mentioned sebaceous hyperplasia...very interesting, you should look it up.

After looking up the cholesterol deposits I think thats what my client had. Thanks for all the info on sebaceous hyperplasia though, much appreciated!

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