Sebaceous Hyperplasia Treatment Case Report: Cosmetic Lesion Removal in Katy & Houston, TX

By: Dr. Ashley Baldree

Facial skin lesions that darken or enlarge can understandably cause concern, especially in young adults. At Village Dermatology, we carefully evaluate all changing facial lesions to rule out concerning pathology and provide safe, effective cosmetic treatment options. This case highlights the diagnosis and cosmetic removal of sebaceous hyperplasia in a 22-year-old patient in Katy and Houston, Texas.

Patient Presentation

A 22-year-old male, an established patient, presented for evaluation of multiple facial skin lesions located on:

• Nose

• Right cheek

• Left cheek

The lesions had been present for several months and were described as:

• Darkening

• Enlarging

• Irregular in appearance

• Moderate in severity

The lesions had not been previously treated. The patient requested evaluation and management.

Clinical Examination

A focused dermatologic examination of the scalp, head, and face was performed.

Findings revealed multiple small papules distributed on:

• Nasal dorsum

• Right nasal sidewall

• Nasal tip and supratip

• Left superior medial malar cheek

• Left medial malar cheek

The appearance was consistent with sebaceous hyperplasia, a benign enlargement of oil glands.

Diagnosis

Sebaceous Hyperplasia
Benign enlarged sebaceous (oil) glands of the face.

Treatment Plan

The benign nature of sebaceous hyperplasia was reviewed with the patient. Treatment options were discussed, including:

• Electrodessication

• Laser therapy

The patient elected to proceed with cosmetic electrodesiccation.

Procedure Details

• 10 lesions treated

• Locations: nasal dorsum, bilateral malar cheeks, nasal sidewall, tip, and supratip

• Informed consent obtained

• Risks reviewed, including:

  • Crusting

  • Scabbing

  • Blistering

  • Pigment changes

  • Recurrence

  • Infection

  • Scarring

Detailed post-procedure care instructions were provided.

Post-Procedure Instructions

• Apply Vaseline to treated areas if crusting occurs

• Avoid picking or scratching

• Use daily sun protection (SPF 30+)

• Expect mild redness and scabbing during healing

Patients were instructed to contact the office if lesions fail to improve or if signs of infection develop.

Additional Cosmetic Consultation

The patient also consulted regarding acne scarring, with plans to consider treatment after completion of his isotretinoin (Accutane®) course.

Potential future treatments discussed included:

• CO₂ laser resurfacing

• Subcision

• Chemical peels

Cosmetic Dermatology in Katy & Houston

Sebaceous hyperplasia is common in young adults and can mimic more concerning lesions. At Village Dermatology, we provide expert facial lesion evaluation and advanced cosmetic treatments, including electrodesiccation and laser therapy, in Katy and Houston, Texas.

If you notice enlarging or changing facial lesions, schedule a professional evaluation for peace of mind.