Expert Advice | What can you do about sebaceous hyperplasia?

Have you had an oily or combined skin for years? And after the age of forty, have you suddenly found small, persistent bumps with a whitish rim on your face? Then you may have the skin problem sebaceous hyperplasia. It is very difficult to get rid of, but fortunately not impossible!

What is sebaceous hyperplasia?

Sebaceous hyperplasia is the Latin name for a benign little bump on the skin. These bumps are the result of damage, which leads to overproduction of sebum by the sebaceous gland. The damaged sebaceous glands can become enlarged or blocked. This turns them into bumps that may be soft or hard, with a white or yellow surface. They appear to be somewhat indented in the middle. This indented centre is characteristic of sebaceous hyperplasia. It has nothing to do with milia or an old spot.

You often get multiple bumps at the same time. They may be spread out or close together. Sebaceous hyperplasia often occurs on the forehead and in the middle of the face. The bumps can also appear on other places on the body, especially in areas where there are many sebaceous glands under the skin.

One of the causes of this skin problem is long-term exposure to the sun. Sunlight damages the skin and the sebaceous glands. Therefore, protect your skin every day with a good sunscreen.

How do you get rid of it?

Sebaceous hyperplasia is often treated by a skin expert, but there are also products you can use at home to keep the bumps under control.

A skin expert may select one of the following treatments or a combination of different treatments:

• A facial peel with salicylic acid.
• Laser treatment. This shrinks the bump; the sebum is broken down and a crust appears that falls off after a week.
• Photodynamic therapy, in which the skin is treated with a gel that reacts to light; you generally require several appointments for this.
• Liquid nitrogen. This is a risky option because if the nitrogen penetrates the skin too deeply it can cause a scar or topical reduction in pigment.
• A treatment with a prescribed retinoid (vitamin A) or azelaic acid. This makes the problem less visible but does not solve it.
• Surgery to remove the bump. This could cause scarring, but the bump will not return at the spot from where it was removed. Surgery is therefore often seen as a last resort.
• Prescription of medicine with an anti-androgen effect that reduces the production of testosterone and other hormones. As with surgery, this option is chosen when nothing else helps.

IMPORTANT: Some sebaceous hyperplasia bumps look like a form of skin cancer known as basal cell carcinoma. So always see a dermatologist first for the correct diagnosis.

The best products for skin with sebaceous hyperplasia

Studies have shown that retinol (vitamin A) is effective in fighting sebaceous hyperplasia. It tells the cells to act ‘normally’ again so that they can return to their original shape, resulting in an improved skin structure. We would recommend the Environ AVST range as a good place to start.

Products containing salicylic acid can be effective. The maximum permissible dose of salicylic acid in cosmetic skincare products is set at only 2 percent in the EU, but your skin will greatly benefit from it as part of your daily facial skincare routine. We would recommend Environ Sebulac range.

Another ingredient that helps is niacinamide (vitamin B3). This cell-communicating ingredient helps regulate excessive sebum production and repairs the skin’s protective barrier.

The combination of salicylic acid, retinol and niacinamide visibly helps reduce sebaceous hyperplasia. It is most effective if you use the skincare products once or twice a day after cleansing your face.

Avoid scrubs. The problem is deep in the skin, underneath the surface in the sebaceous gland. A scrub only works on the surface of your skin. What is more, if you scrub away at the bumps overzealously, you may damage your skin and cause other skin problems such as dryness and irritation.