Sebaceous Hyperplasia - Has anyone treated a client with this disorder?

I have a client who has sebaceous hyperplasia.  I've done research on the problem and have been following the a combination of treatments such as hyfrecator, microdermabrasion and peels.  My client is extremely oil, thick skin, and is Fitzpatrick II.  Anyone have any suggestions as to proper treatment? I know this is a disorder of the sebaceous gland and there is no fix.  Just looking for control of the excessive oil and shrinking of the sebaceous pockets "whitish material".  Thanks.

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Comment by Nancy Squier on July 10, 2014 at 10:02am

RN Faces sells the Skin Classic (lamprobe) that I use for Sebaceous Hypeplasia irregularities.

Stephanie Holvick RN
Cell 719.859.0707
Skype stephanie.holvick
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Comment by Virginia Mabbun on March 7, 2013 at 11:33am

Hi everyone, 

I treated my client for 6 months with the PCA Peel with HQ and Resorcinol combined with dermafile, hyfrecator and extracted the material with extration tool size "00".  After each treatment the sebaceous pockets became less and less prominent until they became barely noticeable.  I gave the client 4 weeks between treatment to heal.    Because the client is very oily, home-care consisted of a facial scrub/cleanser, glycolic-lactic toner and sunscreen.  This helped her control the oil.  

@Nichole:  Thank you for your suggesting your treatment method back in 09/24/11.  Using combination treatment did the trick.    

Comment by Nichole L. Fox on March 6, 2013 at 9:33am

Hi Jill.

Are you in a physician office or spa setting? Im in a Dermatologist office and I use a hyfecator or a 22 gauge needle to open the surface and then extract the sebum and keratin. I have very good success with removing these stubborn lesions. Sebaceous Hyperplasia are simply over active oil glands.The donut shape is textbook, the little 

Comment by Jill Steele on March 6, 2013 at 5:54am

My client has one that looks like there's nothing to extract. the donut shape of it looks a little swollen. I've tried the PCA peel & it didn't seem to change it. Any suggestions?

Comment by Cheryl Bruss on January 31, 2013 at 10:51pm

What causes this? My understanding is it is an enlargement of the pore? But what actually is causing this to happen? I have read that laser or tca can help with them I have seen alot of clients with them and recommend a dermatologist. Good info thanks all 

Comment by Denise Ivers on December 15, 2012 at 2:00pm

Hi Virginia.

Which peel line are you using?

I just noticed this post and wanted to add my two cents.  I personally have a couple sebaceous hyperlasia's and since I used PCA Skin Jessner Peel (Hydroquinone with Resorcinol) they have completely flattened.  They are still there but smaller and totally flat and smooth.  I'm a Fitz III and this peel is an excellence choice for oily thick skin Fitz 1-IV.  I just recently had this peel for the first time although I've been using PCA on my clients for 3 yrs. I normally use Ultra Peel I on myself.  My skin is not thick but I adjusted with less layers (3).  This peel is the most potent one they have for Estheticians.

Comment by Nichole L. Fox on January 29, 2012 at 2:37pm

sorry took so long to reply...I work 5 days a week in the field and also as an Instructor 4 nights a week..I have no life!! LOL. I offer them a Ph balanced cleanser ( I carry IsClinical) which contains glycolic and salicylic acids. It a cleanser designed for hypersensitive skin so not to cause them any irritation. This helps keep them exfoliated and keeps oil under control. Sebaceous Hyperplasia can be treated and controlled and the client will be very happy with the results.

Comment by Virginia Mabbun on September 28, 2011 at 8:56am

Hi Nicole,

Thank you for sharing your treatment technique.  I'll give that a try.  I have tried the Hyfrecator on some lesions by itself.  There did shrink a bit but they were still there.    I will try they Hyfrecator in conjuction with extractions.  Do your clients have a home care routine that they follow?  What products do you suggest to them? 



Comment by Nichole L. Fox on September 24, 2011 at 11:05am

Hi Virginia,

I treat Seb. Hyperplasia in a Dermatologist office. Typically I will do a little microdermabrasion and then use a hyfecator to open the areas and extract the excess oil buildup. If the patient/client is really oily, I will treat with a 35% Salicylic acid peel prior to extraction instead of microderm. I have alot of success with both procedures. Unfortunately, there is nothing that will prevent the Seb. Hyperplasia from returning, but with consistent treatments, over time, our patients/clients tend to get less of the little bumps.

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