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Yup. He does tiny numbing sticks, the scrapes the things out.
He's a well-known derm and teaches at the medical university here to boot, so I know what he's doing must be acceptable to the general medical profession and it sure works for me. I guess he may be a little more self-assured and maybe he's developed his own technique for making it work-I'm not sure. He had a resident with him the time he was removing the one above my eyebrow that left a little indent for a couple of weeks and I remember him showing the resident something (I could not see that of course) to do so that it would not scar since the SH was so large and he had to scrape a larger area than normal. It worked whatever it was as I do not have a scar and could not even tell you for sure where the SH was located exactly.
A few more questions about this sebaceous business.
You mentioned it scrapes something out. Do your sebaceous hyperplasia look like little donuts with a small indent in the middle? And the rest of it is raised above the level of skin on your face? I just want to make sure we are talking about the same thing.
Except for one, there doesn't look like anything to scrape out. It would be more like they need to be scraped off. Does this make sense?
Where is your doctor located? If you prefer you could email me directly if you would want to.
I have been told that the only way to get rid of these is with erbium laser or electric needle. I want the one that has the less chance of leaving a scar. I would travel if it means going to someone who knows what they are doing.
Thanks for your hep.
Yes, mine look like you describe. He does sort of scrape them off, I guess or scoop them out. I've never watched so I'm not sure. All I know is they are gone when he's done, a little blood in their place, and no scar when they heal. He's never removed them from my fatty areas of my cheek, though. He has removed them from my forehead, sides of my face, chin, and close to my ears. I have one on my nose that I simply despise and he said it "might" scar if he had to go too deep to remove it, so I opted out of that one. I'm saying lancet, because I think that's what I heard him say he was using, but maybe it's a scalpel. I'm truly not sure. I trust him, so I don't ask a lot of questions. He's never made a mistake with me in over 20 years, so I just go along with what he recommends. I do have a great deal of faith in him. I'm in Atlanta. PM or email me and I will be happy to give you his name and website info.
I am glad you mentioned that you have not had any removed from the cheek area, because that is where the two are (others over other parts of face, forehead, sides of cheek, nose), that really bother me and show the most. I wonder how they would turn out. Have you ever done the cautery route? Do you think that would leave a scar.
A couple of years ago, a derm removed some kind of growth from my other cheek. He said it would not leave a scar, and said he would just slice it off. My daughter was with me, and she saw him remove. She said he made a scoop inward. As a result, I have quite a large indent on the middle of the cheek. I have had it vbeamed more than once to get ride of the redness. The redness is better, but the indent remains.
I used this filler makeup, which works pretty good. But I am unhappy because he said he would go straight across. As it turned out, it was a sebaceous hyperplasia after all.
I am just wondering if they were sliced straight across, would they return?
Have any of yours returnned where you had them removed?
I am going to order the SAS wash now.
I have never had cautery. Dr. B has never suggested it. He just does the removal thing for me. They've never come back in the same exact place, but they do pop in other places.
I think once you have one, it won't go away on its own. You have to have intervention of some type to get rid of it, then you try to keep more at bay the best you can. The salicylic wash is a great place to start, it has kept many new ones from popping up for me. I do get one every now and then, but not nearly as many as I once did.
I read on another board here that The Muse's son had blue light for acne as it shrinks oil glands (SH is enlarged oil glands) and it has helped, so maybe that would work for SH too. You might ask a derm in your area who does it, if it would help with new ones popping up.
I've been reading your comments on sebaceous hyperplasia. I too have this skin disorder and am a 54 year old woman. I have been searching endlessly for a cure or treatment. I have had oily skin most of my life but never had pimples or acne at all. Was told how beautiful my skin was. Now in my late 40's and 50's I've gotten this. I hate it also! am very self consious of it. I started out with just one or 2 but it seems since I went into menopause and within the last year they have multiplied. mostly on my cheeks (side of face) and a few on forehead. I too think it is hormonal related. I have used proactiv for the past 7 years. don't know if it helped from multiplying or could have caused the problem to get worse. I am looking for something that works too. My derm had the same response as all of you have. I was surprised to see most of the inquiries were of women. Where I head this was mostly in men of middle age. It's hard for me to believe that just having oily skin could cause this to happen, especially since I never had acne or pimples at all. My derm told me that I am getting older so my skin is too and that it runs in families. But I know no one in my family that has or ever had this disorder. It would be nice to be able to communicate with others that are having the same kind of problem. I live in a smaller city in PA and I do not know anyone that has this or even knows what it is when I tell people. I stopped the Proactiv because of my concerns of using benzoyl peroxicide on my face for so long. thought maybe it could have caused this? Don't know. seems like no one knows. I have never used moisterizers on my face at all, nor do I use makeup. They seemed to make my face breakout. I'm not sure now what skin care I should use on my face. I am getting older so I don't want to use as harsh of chemicals like proactiv although it never dried my skin out or caused irritation. I was thinking of trying laser treatment but after reading your remarks and having no results from an expensive treatment I don't know where to turn to next. Mine is getting worse and multiplying seems quickly for some reason. I am quite concerned that this is going to become disforming. I wish someone or some doctor would offer some concern and look into the cause and perhaps a cure for what causes this.
I am heading towards 54 in a month - and YES mine are getting much worse now, used to have 2-3 on my forehead but bangs covered it, after menopause many appeared on my forehead and temples, a few on my cheeeks now for the first time. I am thinking about getting an 'estimate' on scraping off the ones that show and see what happens, my derm said no guarantee they won't come back! Still very oily and still blackheads whiteheads, some regular pimples too. I have been on Retin A for the last 18 months for breakouts and knowing it is supposed to affect the cellular structure I figured it would be the best option for the SH, my derm also asked if that didn't keep it in check, no way. hopefully it will help keep wrinkles to a minimum so I can be proud of that at least.
I too do not use makeup, just Retin A Micro every night, sunscreen in the morning, and plenty of oil blotters throughout the day from a company called reinaclaire, I must use 8 per day.
Guess there's always sumthin....
Do you know anything about this doctor in New York? Have you known anyone who has had this done?
I have had 4 sebaceous hyperplasia removed by the erbium laser by a doctor in Chicago. If I keep them mosit, I don't get scabs, which for me leaves scars. I know you are leery of lasers, don't blame you.
This is just spot treatment. Seems to healed up well.
Going for two more in a couple of weeks.
Just thought I would ask.
I called out to that facility in New York as I was very curious with their radiosurgery method. It can leave a scab, for which the doctor orders a prescription. So based on what I heard, I think the way I am doing it is better.
The last one I had done in Chicago was on my chin. The doctor said chins are the most vascular. So I expected this would stay red alot longer. It is so nice to have it gone.
Its been three weeks, and its really fading. I have two large ones on my cheek I am getting done in a few weeks. He does not use any numbing cream, doesn't hurt at all. Keep it moist, and away it goes.
I am so glad I found him. I have small ones, but these big ones were bugging me alot. Just have to wear sunscreen so they don't hyperpigment.
I suffered with them as all you ladies have done.
Hi, Sue. I know nothing of the doc in NY. If you are happy with what you are doing for yours, there is no reason to change.
My doc just excises them with a lancet, it's quick and easy. I've never scarred either. Removing them is not nearly as difficult in my opinion as keeping them away. That is the real solution. If we never got them, we would not need to have them removed . Because they are benign and only bother the people with them, most docs don't really offer much in the way of prevention, nor have any reason to prevent them.
The closest I've come to keeping them to a minimum is with salicylic wash. Just wish I did not have to deal with them at all!
How did the rest of your SH heal? I have SH over most of my face, and it gets worse with every year. I heard it was from sun damage and age. I grew up in Las Vegas, so I guess that explains the sun damage. My derm says if you use some kind of acid (I forget the exact name) on the skin, and then go under the blue light, it helps to reduce them. I am thinking of doing that, and was wondering if anyone else has???
My sebaceous hyperplasia have healed perfectly, the last one was two months ago, and fading out. Actually, this one took the longest, have no idea why. I looked at some pictures of my face with them on, the two on my checked looked like I had giant warts on my face. I was so self conscious. Getting two more done after Christmas. Also, I use salicylic products, and have not been getting hardly anymore. I think a person has a tendency to get them, and one needs to be proactive. Any more questions, just ask. Good luck.
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