What treatment modalities have you had success with for treating sebaceous hyperplasia?

I have used light electrodesication with a blunt tip needle with good effective results without visible scarring for the vast majority of patients. I find that it is efficient and less expensive than laser modalities. The procedure is uncomfortable for my patients and typically I need to use topical...

Isotretinoin works incredibly well. I have patients who are transplant recipients and they have numerous lesions and they melt away with low-dose isotret.

I used the pulse dye laser with purpuric settings with a very small spot for lighter patients with reddish-type sebaceous hyperplasia, and then for darker patients, I typically use light electrodesiccation a setting of 1.5 or so with an epilating needle with the Hyfrecator and then gentle comedone e...

Over the past four decades, I have tried light cautery, focal LN2 cryotherapy with a solid applicator (non-spray), and multiple lasers for SGH: none are selective and all have a narrow therapeutic index between failure/recurrence and focal scarring. I agree that oral isotretinoin shrinks SGH but les...

Though I used to use the pulse dye laser, the purpura was a distinct disadvantage and sometimes would require more than one treatment, so for the past several years, I have used the Scioton erbium ablation with a 2 mm spot/20 µ till the sebaceous hyperplasia is gone. I clean the surface with a wet Q...