Small permanent bumps on face; Sebaceous hyperplasia

What is your favorite method to get rid of sebaceous hyperplasias? I do not want dents on face or red marks left that linger. I use SPF 50 daily. Exfoliate and do peels regularly also, these just keep appearing. Electric cautery in past for a few, now I have a lot on forehead. Please help me decide. Thank you.

Getting rid of these small permanent bumps on face (sebaceous hyperplasia)

Okay……….so first of all…….PLEASE do not self diagnose these small permanent bumps on face from photos on the web.  We’ve seen a number of patients who have come in with this self-diagnosis who actually had various skin cancers!   Make sure that at least your primary care doctor or a dermatologist have looked at these.

Skin Care Treatment of the Face

Skin Care Treatment of the Face

Plastic surgeons?  Do not count on this – they have  zero training in skin diseases.   Just to give you an example, one of my doctor (not a derm) friends had been seeing her plastic surgeon regularly and telling him which “moles” to take off.   Meanwhile they both missed the melanoma on her arm – thankfully caught in time.

Assuming that you DO have sebaceous hyperplasia, then there is honestly no way to remove (or flatten) these without having a red spot there for approximately a month.  In my opinion, generally the best way to remove these is still use either a CO2 laser (doctor must be an expert at this), or to use electrocautery (small electric pen) with a tiny currette or comedone extractor to try to remove the deep oil/coil at the base at the same time.   Again …..this takes experience to do with no scarring or dents!

You cannot have electrocautery done if you have a pacemaker!   Doing an IPL treatment approximately 2 weeks after this treatment might hasten the resolution of the red spots that come from treating these small permanent bumps on face.

Hope this helps,  Dr. Irwin

See Dr. Irwin’s article on Moles Lumps and Bumps


Dr. Brandith Irwin, MD

Ask me your skincare question!

Hi, I’m Dr. Irwin. I believe that consumers deserve a medically trained and unbiased skin care advocate.

  • All our content is written and researched by myself.
  • My medical office in Seattle has treated thousands of patients for 15+ years.
  • This site is not affiliated or financially tied to any product, treatment or device.
Ask Me Something
SkinTour Skincare
One of the best investments in your skin is your daily skincare. Why? Because you can prevent many problems with blotchy skin color, lack of glow, texture, some types of acne, and fine lines with good skincare products. You can also correct some of these problems with effective skincare products. Great skincare is often more expensive because quality ingredients are expensive. Some companies spend on research/development which benefits all of us and adds to the cost. Are they worth it? In general - yes! I have handpicked some of what I consider to be the best skin care products, and offer them for sale on SkinTour's shop. This is based on my team and I's testing and research at our clinic. Many of the products are in my own regimen. What could be better than using skin care products a dermatologist uses?!