Sebaceous hyperplasia Q&A with a dermatologist| Dr Dray

[@kati5302]

I love that you address and take seriously the emotional aspect of skin issues that affect one's appearance--ty for that!

[@DrDrayzday]

thanks!

[@ptcoristine5093]

Agree 100% Scrappykat! I have a few seb-hype spots on my face, and my derm has a "don't give it another thought" attitude about them. But because they are visible to everyone who sees me, I do wonder what are my options to remove them. Thanks for the great video!!

[@leonk9837]

Agreed! I like that she takes emotional health as a vital part of overall health and quality of life. :)

[@andreaplummer3841]

Fun fact: I went to my derm because I thought I had a basal cell cancer on my face. It turned out to be SH. But it was my first visit so he did a full mole check and I had a mole on my back that was positive on the edges for melanoma. It was caught very early and no issues now. Moral of the story: don't diagnose yourself and don't skip your derm visit.

[@faded_7027]

And how much did it cost?

[@andreaplummer3841]

@@faded_7027 I don't remember exactly as it was at least 4 years ago, but I want to say around $800 total, for all 3 visits.

[@piapadmore430]

I have taken your advice and want to share with you, and everyone, that using a retinol works so well to shrink my little sebaceous hyperplasia “donut.” It has been at the side of my nose for twelve years, and this is the first thing that has worked for me! I noticed a difference after two applications. Thank you Dr. Dray🙏🏻

[@shireen175]

Hey ,good to know that, Which product did you use exactly?

[@piapadmore430]

@@shireen175 I have had success with Neutrogena retinol cream. Never put your fingers in the jar, because it will degrade the active ingredient. Plus, even if your fingers are clean, you can still contaminate the product. I use a clean Q-tip to scoop out a bit of product at a time. I use it on my entire face; then, I leave a little glob of it on my SH donut. I sleep with it like that. It has never disappeared, but the appearance is less noticeable.

[@shireen175]

@@piapadmore430 Thankyou, nothing has helped me with my SH, was on accutane once that was the only thing that made it less noticable, will try this as well!

[@piapadmore430]

@@shireen175 I checked my jar. It is silver-ish with white cap: “Neutrogena Rapid Wrinkle Repair- Regenerating- Accelerated Retinol” Let me know please if it works for you🙏🏻😘

[@hectorvasquez8493]

Hello can you please share what strength of retinol did you use to help clear you SH?

[@JD-323]

Hi, I my dermatologist discovered my first sebaceous hyperplasia "spot" when I was a teenager. He described it to me as an over reactive oil gland. Over the years, as I've gotten more, my dermatologists never really look at it as a priority. They do bother me, after watching this, I'm definitely going to speak up. My Dr. is wonderful but never shy about offering an expensive solution. A few zaps are most likely in my future :). Thanks for your great videos and have a great weekend!

[@DrDrayzday]

thanks!

[@georgie2291]

Finally an answer. I will now find a good dermatologist. Thank you for the info!

[@cdm7650]

I've been taking an estrogen blocker for breast cancer for 4.5 years. The SH has gotten much worse during that time. I have been using strong retinol cream for a few months and it seems to be melting, peeling the lesions away. They are deep so I'm going to keep going with the daily application of retinol on my face and upper back indefinitely. Happy that it works.

[@colleendevlin6]

I have sebaceous hydroplasia on my cheek and I'm so pumped to get surgery. I tried using the laser but it made it more red in the area they did a biopsy. I have had mine since birth. Thanks for making this video and you really know what your talking about which is great. Edit:I'm back and Its removed now and I'm so happy

[@lisahoward8676]

What did you have to do to get it removed?

[@somyachawla1436]

Could you please tell me what treatment did you go through ?

[@pradnyabhagat9907]

Hey !! Did they come back after your procedure?

[@Ohkeh640]

How did they remove it

[@ravishirurkar4249]

Hello please share the details what procedure you did

[@laylac]

I have been taking zinc supplements for about 2 months, and even though I can’t comment on its effect on sebaceous hyperplasia, it has helped to reduce oil production slightly. I’m planning on discussing with my dermatologist on the use of anti androgens alongside a laser treatment :)

[@beckyjohnson5247]

Dr. Dray, I'm not sure if you mentioned that people with oilier skin are more prone to sebaceous hyperplasia. I have super oily skin and started getting SH in my twenties. My esthetician of 15 years, learned how to remove SH by a doctor years ago. She creates a tiny "flap" using a sterile needle to remove the "core" (the deep gunk in the hair follicle and gland) on each one. She uses sterile fine point tweezers and a lighted magnifying glass to remove the "core". They actually ARE extractable and she says if you don't get all of the "core" out, they will return (which is why if you've ever picked at one, they don't go away). I've never had one return in the same spot. I put vaseline or bacitracin on them and cover with tiny Clear Spot bandaids overnight or two to prevent scabbing and for faster healing and smoother makeup application. They heal nicely, quickly, and never scar with this treatment. The longer the SH are there, the larger they can get. They can be as emotionally devastating as having acne. It's TRAGIC this treatment isn't taught. My esthetician charges $60 (plus I tip) for 1 hour and can remove several within that time.

[@cnathan1]

Thanks! Are you able to provide your esth's info?

[@beckyjohnson5247]

@@cnathan1 Yes, is there a private way we can exchange information?

[@cnathan1]

@@beckyjohnson5247 Hmm - I don't know if there's a way to do that on youtube. If possible, could you ask the name of the technique used? I can then search to find someone near me.

[@beckyjohnson5247]

@@cnathan1 I don't know what the actual technique is called. I highly doubt many, if any others offer it. If you've ever watched Dr. Pimple Popper, you'll know that most doctors and maybe estheticians won't take the time to remove them or other skin ailments. There is skill involved as well, to ensure the core comes out. I do what she calls the Enzyme & Extraction treatment. She applies an enzyme mask and steams skin for about 10 minutes to open up the pores. Then she'll extract SH, milia, black heads, zits, etc. You can tell her you'd like her to focus on something, such as SH.

[@cnathan1]

@@beckyjohnson5247 Thank you! I've tried extractions, but the estheticians I've gone to don't seem to know the technique yours uses. If you do find out yours is comfortable with sharing business information so others in your area can contact, please do share with Dr. Dray's viewers.

[@jenellebelle9828]

I am totally convinced that it is related to a decrease in androgen and sebum as a result. I have PCOS and have gone on a strict diet to aid my health. These past 6 months I have lost a lot of weight and the oily skin and blemishes have greatly reduced. What has increased dramatically on my skin? Sebaceous hyperplasia (doctor confirmed).

[@mlpinzon18]

Dr. Dray, thank you so much for sharing your knowledge. Your advise has been life changing for me. I’ve have atopic dermatitis since I was little, visited dermatologists all my life but gave up and stoped going because the treatments didn’t work or make a difference so I was used to live with this uncomfortable condition for decades. Believe ir or not, your common-sense minimalist approach has been life changing for me. I stopped using corticoids (which I have used non-stop all my life) about a couple of months ago just by following some of your recommendations (routines, advise and products). Again, thank you, thank you, thank you. Recently someone close to me was diagnosed with urticaria and I was hoping you could make a Q&A video about that condition and everyday advise to cope with it.

[@DrDrayzday]

I am glad to hear things are better :)

[@alexandraaltman9522]

I’ve been watching your videos for a few weeks and want to say how informative and interesting they are. Thanks so much for doing them. You inspired me to start Retin A with your very detailed videos on Differin (since I am 69 I thought Retin A would be more appropriate!). So far so good- I am doing the 0.025% once a week since I am very chicken about redness, peeling, etc., even though my dermatologist said once a day would be ok!! I really like her, but I think you are more realistic on the real life day-to-day effects than most Drs. Thanks again!

[@DrDrayzday]

Thank you Ms Alexandra :)

[@jordanl501]

Will u do a sebaceous filaments q&a with treatments and causes

[@Lillaogrosa]

And how to tell the difference! They can look so much like tiny closed comedones. Very confusing:p

[@kareni8640]

I have on my forehead what first appeared as a freckle, then over time began to rise a bit and get darker. Being a sun worshipper of the 70s and 80s (I know!!) I was quite concerned and had a dermatologist take a look. It is a sebaceous hyperplasia (thankfully!!). I am so pleased with the diagnosis that cosmetically it does not bother me (whew)!! I have noticed though, that with the use of tretinoin it has diminished considerably in color and size. Thank you, Dr Dray for your kind spirit and willingness to share your knowledge to better educate so many!! Wishing you a wonderful weekend!!

[@DrDrayzday]

glad to hear you were able to get it looked at to rule out something else :)

[@Ohkeh640]

How long till you see improvements after using tretinoin

[@irubjaejoong]

I notice that mine start off as zits. And before the zit has time to run it’s course it’s already headed over and formed a sebaceous hyperplasia. I have to hurry to reactive the zit with sulfur… it stimulates the oil production and the zit “unheals” and can run its course. If I don’t use the sulfur soon enough the zits heals over with lumpy skin in the form of sebaceous hyperplasia. Permanently scarring my face 😕

[@littleraven28]

I had a cluster of 3 hyperplasia growing into one big one on my forehead. I went to the dermatologist and he wanted to scrape it off. It didn't feel like the right thing to do, so I left telling him I would think about it. What I ended up doing is I got a monthly 10% salicylic acid peel directly followed by a derma needling pen treatment of the spot. I rang up the dermatologist and he prescribed me tretinoid cream. The results are stunning. In two treatments the spot is less than half the original size. I use 0.05% tretinoid cream 3 times a week. I use about a small pea size that I dilute with about twice as much regular night cream for my whole face. It makes a world of difference.

[@ericmartin9569]

Do you apply the tretinoin directly to your skin?

[@littleraven28]

@@ericmartin9569 no, tretinoine cream is something your skin needs to get used to. What I ended up doing is put about a peasize of cream on the back of my hand and then take some regular night cream and put about 2 pea size next to it and mix it together. That I put on my whole face and the leftover I rub on my hands. Tretinoine cream is also the best anti aging treatment out there so everything benefits from it. I started this routine in February 2020 and my bumps shrank to nearly invisible. In 11 months time I had 6 peelings and derma pen treatments (had one 2 days back) and my skin looks amazing.

[@Khan-ro5uy]

was it from birth? mine is since birth

[@littleraven28]

​@@Khan-ro5uy No mine just appeared when I got older. But once the pores were grown over the bumps kept growing. I get a peel now maybe 2x a year, still use the tretinoin cream every other day. It never came back.

[@Tati_257]

@@littleraven28hi! Can yoh please explain the derma needling pen treatment? Is there a specific name for it or is that the name? And you get it done at a dermatologist at the same time as the SA peel?

[@eunicevillaluna7936]

I have this SH since High School. Recently, I tried using Glycolic acid toner from Inkey List continuosly and in just a months it somehow flatten. Now I am using Paula's Choice BHA to declogged my pores so that it prevents on developing more SH.

[@noonseen2017]

Try Differin!

[@MrKongsMom]

Those little bumps are annoying. I have quite a few. I’ve found a few things that keep them looking flatter but nothing has taken them away completely. I’m getting more used to then just being there. And good tip to have them looked at by a derm. Mine always studies mine each December I go in for my yearly mole patrol lol.

[@DrDrayzday]

"Mole patrol"! Love it!!!

[@ericmartin9569]

I have seen your videos too. Thank you both!

[@Ohkeh640]

What helps yours

[@soniaclark.]

I've done deep microneedling on the areas over and over in a session and then have been able to extract bits out which has made them greatly reduce each.

[@joyfuljewelful]

I went to the dermatologist and has been confirmed I have sebaceous gland hyperplasia. I was also recommended electrodessication (I agree that it's an inexpensive procedure) and offered accutane (but not recommended). I already use bezaclin and differin for my acne. Surprised I still have this condition. I do agree they bother me and keep multiplying more these past few months and years. I do feel like I want to get rid of it. I did notice two was flatten out recently and was not sure if my facial visits help. At my facial sessions I had the aqua peel (hydra facial) done which is a machine with a tip that cleanses and sucks impurities. I will continue to monitor and see if I go the electrodessication solution. Thanks for this video Dr Dray

[@B007-g4e]

Superb information. Wished I had saw this video earlier. Everything mentioned is 100% medically accurate.

[@susanstewart19]

I tried everything….nothing worked and then I used differin omg amazing! I had them all in rows on my far head two dozen….now after 2 months I’m down to about 8

[@gabiston]

I'm on Differin now and hoping it'll clear them. I'm on week 2 and more are coming out, I'm hoping that this is a purge of sorts. Did you experience something similar or did they just disappear for you?

[@joevenezia1822]

@@gabiston thanks.....which of the Differin products did you use?

[@PlutoTheRuler-j5q]

@@gabiston dang , that's great 👍 how is it going now 2 months in? Are they all gone ? Any success?

[@ericmartin9569]

Dr. Dray I have another questions about this annoying skin condition: do you believe sunscreens and/or silicone in skincare products may cause or aggravate sebaceous hyperplasia? Have you seen the new plasma pen or fibro blast treatments to get rid of it? Thanks!

[@michaelsieg804]

Ja, Sonnenschutzmittel und Silikonhaltige Cremes waren bei mir auch der Auslöser! Hat der Pen etwas gebracht?

[@ac868]

Happy Friday!! I can’t wait to see your weekend, hopefully you’re mom will be in there, I truly love how tolerant, sweet, and inviting she is ❤️❤️! Have a wonderful night

[@DrDrayzday]

Happy Friday! She is fab :)

[@cnathan1]

I have had great success with radio frequency treatment through both the Skin Classic and Lamprobe devices offered in some dermatologists' offices and med spas. Both devices emit a radio frequency current that basically evaporates the lipids comprising the sebaceous hyperplasia papules upon contact. My first treatment was expensive - about $400 - because I had about 50 hyperplasia on my face, but I'm down to about $100 for a few maintenance zaps once or twice a year when new ones pop up. I don't know if links are allowed in comments, but if you search both companies and sebaceous hyperplasia, you'll probably find a provider in your area.

[@AL-vk5uu]

Hi I am getting skin classic treatment for my SH soon. In your experience, was it painful?

[@cnathan1]

@@AL-vk5uu It's definitely a "zap" burning-type sensation, but I tolerate it fine. Depending on where you go, you can request lidocaine to numb your face beforehand. I find I don't need anything.

[@gingerd.6604]

Thank you so much for your knowledge and information! Skin care goes way beyond trying to get rid of a wrinkle or two.

[@DrDrayzday]

:)

[@subhankarroy7914]

My dermatologist has given me isotretinoin for sebaceous hyperplasia . What should i do ? I am 17 year old boy and really worried about side effects of isotretinoin.I have not started taking it as i have so much confusion about its side effects.

[@emilychurch7419]

Great Video!! I have several clients who are plagued with this condition and want them extracted mainly for cosmetic issues! Of course its not something I can treat and always tell them to consult with their dermatologist, but I will take the information you provided today and pass it on to them!! 😀

[@DrDrayzday]

Thanks Ms Emily! I hope you are having a good Friday

[@miralindabeautybodyworks2139]

This info was very helpful. Thank you so much. It’ll help me when I explain it to my clients.

[@zeescozykitchen]

As always, thank you so much for the informative video! I've been watching your videos for a while now and have implemented a lot of what I've learned from your advice into my skin care routine. I've seen much improvement in the overall appearance of my skin, and I'm really glad that I came across your channel.

[@DrDrayzday]

Thanks!

[@guyplay]

I literally just had these treated today by my derm. She cauterized them. I'm hoping they heal well and don't leave a scar.

[@sauntonsunset7660]

updates? hows it going?

[@guyplay]

@@sauntonsunset7660 after a year I’ve had several come back. Not as bad as before. If you have them removed make sure you leave the scab alone. Put a little aquaphor on each one

[@guyplay]

after a year I’ve had several come back. Not as bad as before. If you have them removed make sure you leave the scab alone. Put a little aquaphor on each one

[@senapathihareesh8147]

They came back to the same spot , like the one treated?

[@susanstewart19]

I’ve been using Nizoral shampoo as face wash and I’m blown away! I’ve documented it with pics and it’s 90% gone! In just ten days...

[@ericmartin9569]

Where can we see the pictures? That's probably fungal acne and not sebaceous hyperplasia.

[@nolegirl2863]

Where can we see the pictures? That is exciting!

[@dhirenpanelia6642]

Please share your Instagram to see your pics

[@47bigcadillac]

I had 3 bumps pop on my cheeks 3 month ago. One is quite large maybe 3 mm in diameter and raised so with ceiling lights it looks quite apparent. After doing a bit of research, the cause of Sebaceous Hyperplasia is testosterone ( or DHT). There is a new treatment for acne which blocks the effect of androgen on the skin only, its called Winlevi cream, the active ingredient is Clascoterone which is a topical anti-androgen with no side effects (I am a male). I have been using this on my Sebaceous Hyperplasia bumps once a day for the last 2 weeks and the bumps have decreased by 50%, including the large one. At this rate they will be gone in one month.

[@michaels999]

Is the winlevi working for you? Thanks, I also need breezula lol

[@marshadamour7507]

Enjoyed the Q&A. You are such a caring physician.

[@DrDrayzday]

Thanks Ms Marsha :)

[@daniliveslifec577]

Thanks for addressing this. I started getting these in my early 20s. :(. Super oily skin no matter What I do.

[@DrDrayzday]

Very frustrating to deal with

[@somyachawla1436]

I have the exact same problem :(

[@williambranham6249]

I am 78 and have a mild breakout of SH as described. I have make friends who have had it treated with electrocautery with good results. What I don’t understand is that within the last few months it seems every dermatologist on YT had found me. I get a new video every day. Weird.

[@kimalonzo3363]

It's the algorithm. Once you watch one video on a specific topic, you receive MULTIPLE video recommendations on that topic. ❤

[@MaMa-Marie]

The destruction method is covered by my insurance once a year So it doesn't hurt to see if yours will be covered. I have had it since I hit puberty.

[@barbaralegere]

Thanks, Dr. Dray. I have a lot of it on my forehead and am so self-conscious. Great info. Your'e the best :)

[@DrDrayzday]

thanks for watching

[@ericmartin9569]

Barbara Elle have you found something that works to get rid of them?

[@mariac.delgado6780]

I agree with you totally, besides we have to use salicylic acid religiously for a long period, not for a month or so, I'm learning all the time with you. Thank you.

[@DrDrayzday]

Thanks Ms Maria :)

[@fondaproctor9034]

My dermatologist zapped them years ago but they all returned. It is seriously bothering me. What can be done to get rid of it for good???

[@RachelJane101]

What did they use to zap them and how soon did the lesions return?

[@cnathan1]

I have had great success with radio frequency treatment through both the Skin Classic and Lamprobe devices offered in some dermatologists' offices and med spas. Both devices emit a radio frequency current that basically evaporates the lipids comprising the sebaceous hyperplasia papules upon contact. My first treatment was expensive - about $400 - because I had about 50 hyperplasia on my face, but I'm down to about $100 for a few maintenance zaps once or twice a year when new ones pop up. I don't know if links are allowed in comments, but if you search both companies and sebaceous hyperplasia, you'll probably find a provider in your area.

[@fondaproctor9034]

@@RachelJane101 electrocautery device. They all started returning within a year.

[@fondaproctor9034]

@@cnathan1 thank you!

[@barbarashortall6146]

I have had these for years, mostly on my forehead, cheeks , jawline, nose etc. I have tried everything including laser, retinol and numerous OTC meds, nothing worked. I finally put out the $$ and had radio frequency treatment.... so far so good, gone!

[@wombatlittle1]

What kind of radio frequency treatment? My sebaceous hyperplasia is getting worse and it's getting me down.

[@barbarashortall6146]

@@wombatlittle1 hi a plastic surgeon did it in his office. it is called radio frequency. it actually burns the skin a bit and dissolves the oil deposit. it did hurt tho, my guy did not freeze skin. i also had some moles removed. the healing time however seems long especially for the moles and im afraid it may scar

[@ericmartin9569]

@@barbarashortall6146 is that the same as Thermoclear/skinclassic?

[@sweetrach0488]

@did it totally removed your SH?

[@trixiebiggs3317]

Thank you for your wonderful and informative videos. I love watching them. You are making me smarter. Thank you, Dr. Dray!

[@snicklefrick]

I have had a handful of these. I always run to the dermatologist when they are very small. They have always used the hyfractor on mine and it works every time. My father had many large SH. I have used tretinion since I was 15. I am 58.

[@TheDobermanExperience]

You mentioned cyclosporine can cause sebaceous hyperplasia. Cyclosporine is an ingredient in Restasis can people who use Restasis be more susceptible to sebaceous hyperplasia?

[@nikkired4552]

Can microneedling cause Subaceous Hyperplasia or a pore to become inflamed?Thank you

[@valeriadelrio-rodriguez4953]

Mine is so severe people ALWAYS think I'm sweating. When I wipe the edge of a card onto my face and wipe on my arms people think it oil lotion from how thick and how much there is....iv been dealing w.since I was 8 i need a solution

[@jdg493]

Great explanation for a common issue. I had about 20 small ones of these on my face and my dermatologist put me on Retin-A at night and spot treat of BHA in the morning. It was a slow process but after about a year they are virtually gone or basically so flat that they are hard to see with the naked eye. Since I’ve continued to use the Retin-A I have no new ones either. Yeah!

[@DrDrayzday]

Thanks!

[@onionpatchkids]

What type of retin-a and what percentage/type of BHA?

[@ericmartin9569]

How frequently do you apply the Retin A? My derm was so disappointed because I've been on Retin A since July 2018 (I don't apply it daily because it burns my skin if I use it too frequently) without any dramatic changes...

[@Ohkeh640]

So awesome to hear I’ve just started my tret journey. What spot treatment during the day?? Thanks

[@CBNX7]

I just had many of these cautherized at the dermatologist's office. Quick, slightly uncomfortable, but so worth it! They only charged me $10/spot. At the same time they treated a few cherry angiomas on my face. I wish I would have asked about getting them treated years ago!

[@Jojoma449]

I would highly recommend the Evologie Intensive blemish serum ( I do not work nor associated in anyway with this brand ), I went to the dermatologist and she tried to burn one sebacious hyperplasia spot off (electrocautery), but it left a scar and pretty much came back. But I started with this serum and it diminished my spots significantly that they are barely visible. I will continue using it and see if it gets even better. Apparently, it has salicylic acid, tea tree oil and azelaic acid. Try it and see if it works for you.

[@kimdebs1577]

What is the name of it?

[@Jojoma449]

@@kimdebs1577 Evologie Intensive blemish serum

[@kimdebs1577]

@@Jojoma449 Thank you. Does it still work? I see you posted this 2 years ago. Or have you found something different?

[@angelasmith257]

@@Jojoma449 where can u get it?

[@constancetan9811]

Sebaceous = oil glands Hyperplasia = overgrowth Meaning because of your oil glands, there is an overgrowth of cells causing bump like texture on your skin. Basically meat bumps on your skin caused by overgrowing cells of your oil glands. Common places would be oily parts of your face like nose, T zones.

[@lmvicente1]

Love your vlogs!!! You are so informative and I love your recipes. Thank you for all your content.

[@DrDrayzday]

thanks!

[@geeta7768]

Mine started at the age of 18 instead of the usual teenage breakouts. And theya re on my chin only. I do have an oily tzone though. But they are only on my chin.

[@aparnaloganathan]

I have them on my chin too. :(

[@kanishkajalan1064]

Sameee

[@klrp3248]

I can't figure out my skin issue. I have these bumps that aren't acne or cystic acne (I've struggled with both), they're not really that red, they're not white or yellow or black, they're not even that hard, they're not painful.... They're just raised bumps and I can't find an answer lol. Pictures online don't help

[@ericmartin9569]

Hey doc I wanted to share that I recently started Benzoyl Peroxide lotion 2.5 and the sebaceous hyperplasia got smaller and even seems to be drying put and getting flatter. Why is that? I have used this lotion before and the results were not that dramatic. Maybe my skin had gotten "inmune" to it. What do you think? Thanks!

[@maggieb4736]

I know this is weird but I did a 10 day fast years ago (Master Cleanse---I know, I know, young and dumb), and they "dissolved" away. Autophagy? They came back eventually, though.

[@simonwest6002]

Any updates to treatments in the past 6 years or do these still stand?

[@debbadepp]

I have sebaceous hyperplasia and adult acne. I was on Accutane 3x in the past and it cleared the SH completely, but after the med stopped, it returned. I've also had freezing, cauterization, topicals, but the isotretinoin is the only thing that worked. My question--can isotretinoin be used in small does indefinitely to maintain results? Thanks for the informative video.

[@silvercarolina4045]

Hey, I've discussed the accutane with my dr before. If it worked why not go back to it?

[@kotare86]

Isotretinoin (roaccutane) is also available as a topical cream treatment, perhaps that could work. People seem to have seen an improvement using tretinoin too.

[@fsc2198]

I ve had ellman radiofrecuency (electrocauterization) and the SH dissapared, but I got 2 scars 😢, they have some weeks, and I dont know what to do. My derm told me they wont leave scars... but I am watching other thing, I am stressed

[@fsc2198]

In what part of the face did you get the cauterizacion?

[@debbadepp]

@@fsc2198 everywhere

[@carmendee6481]

I have been trying to figure out what exactly it is that I have under my eyes. It’s shinny dots. It looks worse when I wear concealer to cover it. People always think I’m sweating under my eyes but I’m not. I completely hate it. It’s getting worse. I now wear big dark glasses because I can’t stand it. I cannot find a Dermotologist that deals with this in my area. They won’t go near the eyes.

[@monicacappetta7017]

Hi Dr. Dray, Thank you for the information regarding sebaceous hyperplasia. I had a dermatologist zap them off my forehead, approximately 1 dozen but unfortunately they came back. I will now be starting treating my skin with Retin-A. Hopefully this will help.

[@Ohkeh640]

Did it help in using tretinoin now

[@CDN1975]

The dermatologist I saw for this was horrid. She pranced in, said it's sebaceous hyperplasia, nothing can be done" and walked out. So frustrating.

[@cnathan1]

I have had great success with radio frequency treatment through both the Skin Classic and Lamprobe devices offered in some dermatologists' offices and med spas. Both devices emit a radio frequency current that basically evaporates the lipids comprising the sebaceous hyperplasia papules upon contact. My first treatment was expensive - about $400 - because I had about 50 hyperplasia on my face, but I'm down to about $100 for a few maintenance zaps once or twice a year when new ones pop up. I don't know if links are allowed in comments, but if you search both companies and sebaceous hyperplasia, you'll probably find a provider in your area.

[@CDN1975]

@@cnathan1 Thanks for the information. Appreciate it.

[@samawalid1214]

Is it normal that I'm only 15 and have them all over my cheeks ☹️☹️☹️ I started having them like a year or two ago which is much more weirder. Their number also keeps increasing with time and it's super depressing.

[@qt314nextdoor]

Unfortunately, I have SH 50+ lesions that I’ve had cauterization, laser, but still come back. It’s starting to effect my nose as well. The only time they went away was with Accutane ( pulse therapy) but came back after stopping. Now at 52 , can I go back on Accutane for short time if my liver isn’t 100%? A doctor once said that intestinal health is involved as well with my case? I’m just so sad about my SH problem.

[@fsc2198]

How was your skin after cauterization? I am afraid because I got to scars and my derm told wont be no scars, no stains

[@heatherbrandon1681]

Thanks for the great advice.. I am subscribing!! I suffer from SH and have had NUMEROUS treatments. I am always scared my sunscreen will irritate or clog my pores and cause more SH, so I don't use sunscreen as often as I should. What sunscreen would you recommend? I'm 40, combo skin and still have acne.😣

[@ericmartin9569]

You must use sunscreen everyday because you can get more from sun exposure. I have tons on my face. Nothing gets rid of them: Retin A, adapalene, Salicilyc Acid, AHA, not even electrocautery. I have an appointment next month with a plastic surgeon. I will ask him about getting laser done on my face.

[@texasskygirl7890]

I had abdominal cancer and theyntook all my girl parts and my spleen. Since then, I started getting sebaceous hyperplasia on my forehead. I use to have beautiful skin. Now I lool like I have acne. Still super oily skin. Using Neutrogena Stubborn Texture daily cleanser and Neutrogena rapid wrinkle repair regenerating cream. It seems to reduce the appearance.

[@students6740]

Can we use salicylic acid combined with niacinamide during day and retin A during night ? Will they cause any problems ?

[@DrDrayzday]

yes

[@rahmaay7105]

Dr Dray can we use salicylic acid for under eye area?

[@skincarelover9568]

I had it and my dermatologist used that thing to burn it , it came back so he did again and now I'm good, I do use retin a . Thank you Dr Dray for all your videos ☀️😎

[@DrDrayzday]

Frustrating for sure. I hope you are having a good Friday :)

[@MsDd33]

Where did you have it? I have it on my nose so she didn’t want to burn it cause it can scar😫

[@skincarelover9568]

MsDd33 I had on my nose and one close to my eye, he did both twice and now I'm ok , I use retin a . Last time I had it done was two years ago

[@skincarelover9568]

I got lucky the insurance covered it. It because i have history of acne , the insurance have been covering my retin a for 10 years now

[@dannaboo8517]

Dr dray I have a question regarding androgens. I had high blood levels when I was younger and had cystic adult acne. I was cured for the most part by taking aldactone. My understanding was that it binds with the free testosterone and that had the affect of reducing my oil production. Whatever it did was a miracle. I could never take birth control pills of any kind and antibiotics and retin A did nothing for me. Here’s my question. I am now 55 years old still break out on occasion but have now developed many sebaceous hyperplasia lesions. I still take the aldactone. I am wondering if my age is affecting androgen levels naturally and I am at the same dose of medicine which could be lowering them more-would I notice improvement if I decreased the aldactone. Is there even a connection? I now use coconut oil to wash my face and am able to tolerate retin A and that is helping some with the hyperplasia but new ones are developing. Thank you for your time! Great videos and service you are giving to us all!!

[@betom3118]

What's the difference between syringoma and sebaceous hyperplasia?

[@delilahcook7059]

This might sound like a dumb question but is the CeraVe hydrating cleanser water based?

[@DrDrayzday]

yes

[@taraberg]

Hi Andrea! Thank you so much for this video. I am one (of the many probably) that requested this topic. I will admit it has been a while since I have seen a dermatologist and I am self-diagnosed with mine. In addition to that, now that you mention it, there are some spots that appear they could be something else more threatening. With that, I am going to set up an appointment ASAP and get these checked, so thank you. One question I have...will my retin-a affect any of these if they are NOT Sebaceous Hyperplasia, before I can get in?

[@DrDrayzday]

thanks! if it is irritating to you then the retin a can obscure the apperance of something

[@robinnikolai5608]

Hi Dr. Dray! Thanks for the informative video on sebaceous Hyperplasia. I wonder if you could perhaps do an informational video on something I believe I have under both of my eyes but never knew what it was called. I refer to it as looking like "chicken skin" but believe the correct name for it is Syringoma. It is becoming much more noticeable as I age (soon-to-be 54) and would like to know what options are available for treating and/or getting rid of it. Thank you in advance!

[@DrDrayzday]

good idea :)

[@debbadepp]

Great video Dr., thank you. I have had numerous tx fro my SH and nothing has provided lasting results, freezing, burning them off, but they return. I was however, on Accutane 3x and the disappeared every time, but returned after tx stopped. Can Accutane be used in a small dose to keep them at bay long term? My dr. does not seem very receptive to this, but it is the ONLY thing that worked for me. I am so discouraged. Thanks.

[@DrDrayzday]

there are some case reports of it helping

[@ericmartin9569]

debbadepp what did you do?

[@jenniferpochynok2024]

Accutane was a miracle for me and my extremely oily skin and SH. I wish I could get it again. (after 2 rounds of 6 months each, they said no more due to risk of liver damage.)

[@oganotluibov]

Hi Andrea, I have one more question (I posted a bunch today under various videos). I have a bit of vitamin D deficiency and started reading about which vitamin D to take (D2 or D3). In the meantime, I found that the skin needs to be exposed to UVB light (the rays that cause wrinkles) to produce Vitamin D. So if we wear sunscreen all the time, how will we produce enough Vitamin D?

[@DrDrayzday]

uvb is not the wrinkling ray it is the cancer causing ray...which is why there is zero amount of sun exposure to raise your vitamin d without raising your skin cancer risk

[@oganotluibov]

Dr Dray I did not understand your answer. The point is that at least some amount of damaging rays are necessary to produce vitamin D. I came across info that among the people who are at risk for vitamin D deficiency are those who overuse sunscreen.

[@simpyskitchen]

Fire of Love - Огън от любов Hi.. expose yourself to sun without any sunscreen within 1 hour of its rising time... or 1 hour before sunset...it wont cause any harm but will give good vitamin D .

[@Hri3ihruwiwgsjro2y]

I have lot of it on my chin and sometimes they become acne. IPL can help to reduce?

[@daniliveslifec577]

Also, I picked up the neutrogena hydro boost gel cream for night time. I have never really been sensitive to any skin care. This burned my skin going on, and took about 10 min to go away. My whole face is bright red. I wonder what is in this That my skin is so reactive to? I love the texture of it...but probably shouldn't use it again. I'll stay on the search!!!

[@DrDrayzday]

make sure you got the one labeled "extra dry sensitive skin" ....otherwise there is fragrance

[@daniliveslifec577]

Dr Dray aww! Ok! I dont have that one! Thanks!

[@pikachuiswatchingyou]

Could you please talk about warts and flat warts especially ?

[@vime0510]

Super informative! Thank you so much Dr Dray!✨

[@DrDrayzday]

Thanks!

[@ccdeadeye1850]

Mine on lips aka foydce bumps, trying to find a fix so I can get back to feeling more comfortable around others

[@rhamil89]

Thank you for discussing this topic. I've had them since I was 20yo. I have more than 15 on my forehead alone. My Derm provider offered to do an ED&C on them, but I'm afraid of the scarring. Any thoughts on that?

[@mhcpa0628]

Cool subject. I am 54 and have some of them but not too bad. I see my dermatologist yearly so no issues. Thanks! I am interested in the derma rolling topic.

[@DrDrayzday]

:)

[@Bee-uy2cn]

I would love to see a video on hidradenitis suppurativa. I know it has alot to do with internal workings but maybe how to treat it externally as well. Love the videos! Heart ❤️

[@DrDrayzday]

:)

[@rakee1451]

its 2024 is there any creams or pills available to clear them out...??? Plz suggest if available.

[@josephmorriscunado9692]

Have you ever heard fractional co2 laser treatment? Is it effective for SH?

[@Tati_257]

I got this for it and it did absolutely nothing. I only did it once… but why do it more if there wasnt ANY improvement at all, ya know?

[@lisag8442]

Hi Dr Dray. I was diagnosed with sebaceous hyperplasia 1 yr ago. Dr prescribed tretinoin and glycolic acid. They have helped a lot, some even disappeared. I am wondering about products with silicones or oils, should I avoid them? Can they make it worse?

[@ericmartin9569]

Lisa G I have the same question. Which glycolic do you use?

[@amososemwengie]

Which glycolic acid and how did u use it with tretinon thanks

[@lisag8442]

It was a cream from a compound pharmacy where they mixed tretinoin and lactic acid. However, I have since changed I now use in the evening a toner with niacinamide after that I use salicylic acid (not every night) then tretinoin. In the morning I use the Ordinary niacinamide serum. I also use other products but these things have made a huge difference. I stopped using anything that has oils in it but silicones are fine. I hope that helps :)

[@lisag8442]

@@ericmartin9569 sorry so late. I didn't see your reply until now

[@ericmartin9569]

@@lisag8442 don't worry. Thank you very much. I have been using The Ordinary Niacinamide and Zinc too. I have noticed a difference as well but I've been doing a bunch of things in the last 3 months: Blue LED light Theraphy (shrinks enlarged oil glands), Tazorac or Adapalene at night (speeds up cell regeneration to help fix damage to the cells and reduces excess oil), dermarolling once a week with .5 microneedles (plumps skins which helps to make the bumps less visible), The Ordinary Peeling solution and Salicylic acid mask (surface exfoliation helps to flatten the bumps and deep exfoliation cleans out pores to reduce hardened sebum) and use SPF every single day. I purchased am electric needle but the bumps came all back. I was able to extract a few of the bumps for the first time. The pore dilated and I was able to get all the hardened sebum out. I could never do that before.

[@susanbochy9657]

Enjoyed:) Love your well explained and very informative Q&A’s A++++!! The skin is so FASCINATING and FRUSTRATING at the same time!! Happy Friday:) Hope u and Mom have a super weekend!!

[@DrDrayzday]

Thanks Ms Susan! Happy Friday to you, Ms Diane, and Echo

[@mokshalala]

Spot treating with BHA significantly shrunk the one I have on my face. It increased in size again though. I need to spot treat it again.

[@DrDrayzday]

makes sense, as BHA targets oil glands

[@mokshalala]

Mine is still in the early stages. It 'grew' about a year ago. I doubt BHA could help a larger/older one.

[@ingramrivera1459]

Love your channel & have learned a lot!! Wish you would show some pictures depicting the conditions you’re describing ☺️👍

[@Moleanimationchannel]

I’m 52 and have developed these pesky bumps. I’ve had 3 accutane treatments in my life but that was years ago. I take Adapalene now but it doesn’t really do anything for it. I really want them off my face. But I don’t want scaring.

[@Hardspace1979]

His dr.... i know i am late the party here, but i seem to be not producing as much sebaceous oil as i need. My skin is always a lot dryer than i remember, especially in sensitive areas. As you can appreciate, this can cause some distress. Any ideas??

[@nukimm]

hello , I was diagnosed with sebaceous prominence around my eyes (in front of my eyes, which has spread to my eyebrows). The doctor said it could be treated with Agnes laser. it is possible?

[@victoriabenhaddou4955]

I just recently got this diagnosis from a dermatologist. I am 35 and i have 14 over my face. I got my first one when I was a teenager. It's starting to really bother me. In the UK I am struggling to find someone to treat it. Can the lesions be shaved off?

[@begformeowcy]

They can, I’ve had them shaved off, however they have all come back. I’ve had moles etc shaved off and none of those have come back, but the hyperplasia has always come back.

[@victoriabenhaddou4955]

@@begformeowcy thank you. I am going to look into laser treatment for them.

[@dystoniaify]

I have this really bad as well as female allopecia, really bad globular lines, kp, and other issues at age 41 (self diagnosed). Luckily I'm too poor from my long list of disabilities to afford a dermatologist or treatments. I am so depressed 😔

[@01302]

I've bought a mole remover pen from amazon, was very cheap and people in reviews of it said they had success

[@Tati_257]

Have you researched saw palmetto? Ive seen its good for female hair loss.

[@BlackMoonstone531]

I have a mole removal pen for home use that I use to get rid of skin tags (works quite well for those) and was wondering if I could use it to get rid of enlarged pores as well. Mine look like acne bumps (no depression in the middle) but I was told by the derm that it was enlarged pores and that she could burn them off for me on my next visit. Can't afford it right now, so would the mole removal pen work? Retin-A is not helping and my handheld home dermabrasion device is not helping anymore.

[@johnmilnes8965]

I’ve been getting Agnes RF treatments from my plastic surgeon and have found these treatments to be quite effective. It’s relatively new and would encourage anyone who is dealing with this condition to research whether or not this could be a viable treatment option.

[@anaceciliamuench4700]

Hello Dr. Dray thank you for your generosity of sharing so much information with us. I have a question, does galvanic desincrustation help? I am a skin care teacher and your information is so valuable for my students. Thank you

[@StayGold_MrsE]

I just started menopause in January and I read that sebaceous hyperplasia can come right after menopause starts so I've been dealing with this for months now and I'm really frustrated... I'm wondering if skin tag removal medication will do anything for these at all? I've been using that as well and haven't seen anything yet but I do have Retin A 1% that I just started using. Also what can I take to lower androgens?

[@Tati_257]

Ive read saw palmetto helps with androgens/DHT… I am going to start on some tomorrow, you could look into it.

[@StayGold_MrsE]

@@Tati_257 thanks, I will!!

[@stephanieguinn8616]

Off topic question. What’s a lower cost alternative to Coolibar? Can “regular” clothes help with sun protection?

[@DrDrayzday]

regular clothing with a tight weave (i.e not linen)

[@ianowak]

after 17 years , i already know what happend in my face now...

[@debbadepp]

I just bought an at home microneedling device-the Glopro. It has a .3mm needle depth. Will it help my sebaceous hyperplasia or make it worse?

[@kassandar]

Dr Dray, is there any updated information on this topic? Or any over the counter treatments? I have multiple and I want them off my face! Any advice would be helpful. My nurse practitioner wants to “burn them off”, is that the only option? I have using Differin for about three years now. Would switching to RetinA be more helpful?

[@bigA007]

This Amazing Video Is Just what I needed to Hear. Thank you so Much for your Help.

[@DrDrayzday]

thanks so much! glad to hear