Notice small, yellowish bumps on your face after finishing Accutane? These might be sebaceous hyperplasia. They’re benign, but can be unsightly. Accurate diagnosis requires a dermatologist’s examination. Don’t attempt self-diagnosis or treatment.
Confirming the Diagnosis
Your dermatologist will visually assess the bumps. They may use a dermatoscope for closer inspection. A biopsy is rarely needed, but it can definitively rule out other skin conditions.
Treatment Options
- Observation: If the hyperplasia is minimal and doesn’t bother you, monitoring may be sufficient. Topical retinoids: Retinoids like tretinoin can sometimes help reduce the size and appearance of lesions. Your dermatologist will advise on appropriate strength and application. Chemical peels: Superficial chemical peels can improve the texture and appearance of the skin. Several treatments might be necessary for optimal results. Choose a dermatologist experienced in this procedure. Laser treatments: Procedures like CO2 laser resurfacing or pulsed dye laser can effectively reduce the size and visibility of sebaceous hyperplasia. Recovery time varies based on the treatment used. Surgical excision: This is the most invasive option, involving removal of the lesions with a small scalpel. This is usually a last resort.
Post-Treatment Care
Strictly follow your dermatologist’s post-treatment instructions. This often includes sun protection, avoiding harsh skincare products, and using prescribed medications as directed. Be patient. Results may not be immediate. It often takes several weeks or even months to see the full effects of treatment. Schedule follow-up appointments with your dermatologist to monitor progress and address any concerns.
Preventing Recurrence
While sebaceous hyperplasia isn’t always preventable, maintaining a consistent skincare routine with sun protection is crucial. Regular skin checks with a dermatologist are also recommended.
Choosing a Dermatologist
Seek a board-certified dermatologist with experience managing skin conditions like sebaceous hyperplasia, especially following Accutane therapy. Read online reviews and ask for recommendations.


