Sebaceous hyperplasia: has anyone had any successful treatments

[Geppili]

My really wonderful DH is worried about spreading sebaceous hyperplasia lumps on his forehead and has asked for a dermatologist appointment for his birthday. He also thinks he has rosacea on his nose which looks a bit lumpy and red. He doesn't drink and vapes a little. Cycles 10 miles per day and is very slim Does anyone have any advice about treatments for this condition? I would be grateful to hear people's experiences. Thank you.

Hi there, a late reply! I suffer with these and have had them removed here, https://skin-hub.co.uk/sebaceous-hyperplasia/

I had it done in February of last year. Unfortunately they do return so I am booked in again soon. It's a bit uncomfortable and there's some light crusting for a few days but then you are clear of them for about a year or so.

I'd love to know if there's anything dietary etc which causes them!

Ohhh! Thank you! I was just mooching around MN and saw your kind reply. Thank you. Can I ask did you have and discolouration after they crusted off? Thanks. My DH has quite a few. He hates them. He has a very oily skin. He is also developing rosacea on his nose. One thing I have done is started changing pillowcases more often and boil washing them. I have a suspicion it might be linked to demodex mites and demodicosis.

Glad I could help! There was some slight redness afterwards, as it's new skin revealed, but it faded and blended in quite quickly. I'm going to look into your suggestions too! I hope your DH can get it sorted.

Two dermatologists told me not to attempt to have SH removed as there's no way to do it wihout scarring. I was advised to use adapalene, which can minimise them but doesn't make them go away.
Otoh rosacea should be easier to treat.

I've never been to see a dermatologist about it so it's interesting to hear their take. It definitely hasn't caused any scarring for me and diathermy seems to be recommended by some dermatologists online as in this article.

https://www.byrdie.com/sebaceous-hyperplasia-treatment-5194109

It unfortunately requires regular treatment.

Soolantra for the rosacea - kills demodex and was a miracle for me.

I saw both an NHS and a private dermatologist and asked them about SH during appointments for unrelated issues.

Just to clarify, I think they were saying that anything that claims to treat SH is unproven (therefore suspect) and risks scarring, not that scarring is guaranteed iyswim. Whereas using niacinamide or adapalene will also shrink/minimise the lesions without the same risk.

Low dose oral isotretinoin is a proven treatment. However, they usually return fairly quickly after stopping.