An enlarged oil gland, also known as sebaceous hyperplasia, develops when the lobules surrounding a sebaceous gland become inflamed or from a surrounding tumor of the follicular infundibulum. An enlarged oil gland is benign with no significant medical complications, but it can be a major cosmetic concern for some people. Sebaceous hyperplasia is relatively common in adults where symptoms may present as a single or multiple yellowish papules(s) (3-4mm) commonly seen on the face and upper trunk.
Due to the risks and responsibilities that come with this treatment (e.g., the frequency of HSV outbreaks may be high), we will make sure to discuss your expected outcome and reason for wanting to pursue this procedure. We will make sure to review any specific risk factors given your medical history, for example, if you have had a recent reticular dermis resurfacing procedures. Prophylaxis with valacyclovir is prescribed for ten days even to those without a history of HSV due to severe consequences should an outbreak occur. We also recommend restricting your food and liquid intake beginning the night before your procedure.
We will start by administering a mild sedative intravenously. Next, we will perform a technique known as electrodesiccation where an epilating needle with an electrical current is inserted into the lobules of the enlarged gland and pressure is added in one-second increments. You may hear a “popping” sound indicating the removal of the abnormal oil gland. Next, a technique known as resurfacing is utilized where a carbon dioxide laser is applied to the target. Resurfacing allows for a more uniform and rapid laserbrasion with benefits including a faster procedure time and excellent wound healing.