Bumps on the face: What are these? Could it be Sebaceous Gland Hyperplasia?

Have you ever wondered about Sebaceous Gland Hyperplasia? It’s a condition many people experience, presenting as tiny bumps on certain areas of the face, especially on the forehead and cheeks. These bumps are actually related to an overgrowth or enlargement of the sebaceous glands, which are a natural part of the skin.

sebaceous hyperplasia

What are sebaceous glands?

Embedded in our skin are tiny glands that secrete oils to moisturize and protect. These are the sebaceous glands. Occasionally, these glands can overgrow or enlarge, leading to the condition known as Sebaceous Gland Hyperplasia.

What are the symptoms of Sebaceous Gland Hyperplasia?

These manifest as small bumps on the skin, often appearing soft, shiny, and ranging from flesh-colored to slightly yellowish. Frequently, noticeable blood vessels can also be seen around these lumps. Although these nodules are quite small, about 2-5 millimeters in size, they are painless and do not pose any health risk.

Why does this occur?

The exact cause of Sebaceous Gland Hyperplasia remains unclear. However, hormonal changes, particularly the decrease in androgens with age, have been suggested as contributing factors. This condition is common among middle-aged and older adults, especially those over 50. Genetic predispositions and immunosuppressants can also increase the risk.

Distinguishing from other facial bumps:

①Sebaceous Gland Hyperplasia:

■Appearance: Soft, shiny bumps ranging from flesh-colored to slightly yellowish.
■Features: Often has a depressed center.
■Location: Face, especially forehead and cheeks.

②Syringoma:

■Appearance: Small, flat, flesh-colored papules measuring 1-3 millimeters.
■Features: Uniform color with a smooth surface.
■Location: Typically, lower eyelids and cheeks.

③Milia:

■Appearance: Small, hard bumps that are white or yellow, about 1-2 millimeters.
■Features: Resemble tiny pearls and feel as hard as keloids.
■Location: All over the face, particularly around the eyes.

④Eccrine Hidrocystoma:

■Appearance: Small cystic lesions containing clear or bluish fluid.
■Features: They may enlarge in hot and humid conditions.
■Location: Mainly on the face, especially around the eyes.

How is Sebaceous Gland Hyperplasia treated?

While the condition is benign and often doesn’t require treatment, those who are bothered by its appearance have several options. Cryotherapy using liquid nitrogen, electrocautery, and laser treatments are a few methods available. Recently, a treatment known as “Agnes” has garnered attention, claiming to address multiple occurrences of Sebaceous Gland Hyperplasia in a single session.

Conclusion

Sebaceous Gland Hyperplasia is a harmless condition characterized by small bumps on specific skin areas and is particularly common in middle-aged and older adults. If you’re concerned about this condition, it’s recommended to seek advice from a dermatologist.

Written by Kenta Motogami, M.D.

Director of Funabashi Chuou Clinic (Chiba Pref. Japan) ana Aoyama Celes Clinic (Tokyo)

English is available at these clinics.

【Related Articles】

“Bumps Around the Eyes: What Are They? ①Could it be Syringoma?”

The Mysteries of Syringoma: Understanding Its Nature and the Innovative Treatment “Agnes”

“Bumps Around the Eyes: What Are They? ②Could it beMilia?”

“Bumps Around the Eyes: What Are They? ③Could it be Eccrine Hidrocystoma?”

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