Sebaceous hyperplasia is a common condition of the sebaceous glands in adults of middle age or older. Lesions can be single or multiple and manifest as yellowish, soft, small papules on the face (particularly nose, cheeks, and forehead).
Sebaceous hyperplasia is completely benign and does not require treatment. However, lesions can be cosmetically unfavorable and sometimes bothersome when irritated. Treatments are mostly mechanical. Lesions tend to recur unless the entire unit is destroyed or excised.
Therapeutic options include photodynamic therapy, cryotherapy (liquid nitrogen), cauterization or electrodesiccation, laser treatment, shave excision, and excision. Complications of these nonspecific destructive therapies include atrophic scarring or transient dyspigmentation.