Rufus R. Noble Introduction: Sebaceous Hyperplasia is a skin condition that occurs in many adults. Patients may want to remove them due to their yellow papular appearance. Although many treatment options have been reported, it is unclear what the full range of effective treatments is.
Objective: Determine the efficacy of laser treatment for SH. The authors will assess the effectiveness and side effects of Er: YAG treatment for SH using a variable-long pulsed Er: YAG (SP Dynamis Photona laser, Ljubljana Slovenia).
Materials & Methods A literature search using search terms ((sebaceous Hyperplasia),] and ((laser[s], Er-Yag or Er: Glass lasers, Fraxel CO2, Pulse dye Laser, XeCl, Excimer Argon, Ruby Alexandrite, Nd: YAG, or YAG)] was conducted through PubMed, EMBASE, and Web of Science. The search returned a total of 119 results, of which eight were deemed relevant for this review.
Results: The pulse dye laser (PDL), which is a non-invasive treatment, can provide a range of influences from flattening the SH to complete reduction. There were no reported recurrences. The treatment response was faster with short PDL than with long PDL. CO2 lasers can have significant positive cosmetic results with marked improvements in clinical outcomes without recurrence. However, there are also reported adverse effects. It has been reported that the 1450-nm laser produces good (75%) clinical improvements and lesion shrinkage between 50% and greater than 75% without any lasting adverse effects. In our clinic, the Er: YAG laser has produced very significant cosmetic results with a low recurrence and minimal side effects.
Conclusions Laser modalities are effective in removing SH. The laser should only be used by a professional who understands the tissue interaction and is familiar with its device. This will minimize any adverse effects on the patient while providing the best possible cosmetic result. Our experience has shown that Er: YAG can be a highly effective and safe solution for SH.
INTRODUCTION
Other variants of SHs include transient SH in neonates from exposure to maternal hormones and rows within the juxta clavicular area, appearing as an adverse effect of cyclosporine or as a familial disease. There are several other variants of Sebaceous Hyperplasia (SH), including transient SH in newborns from maternal hormone exposure, rows of bumps in the supraclavicular region, and SHs that appear in familial diseases or response to cyclosporine. Many treatments have been described for SH, including isotretinoin3, electrodessication4, cryotherapy5, pulsed dye laser6, CO2 laser7, and photodynamic treatment8.
We investigated the literature to see how lasers can be used for SH. We are aware of no literature review published on laser treatment for SH. There is also no literature published on the medicine for SH using the Er: YAG laser.
OBJECTIVE
This study was designed to evaluate the effectiveness of laser treatments for SH. The authors assessed the efficacy, recurrence rates, and side effects profiles of Er: YAG.
Methods
A literature search using PubMed, EMBASE, and Web of Science was conducted on April 2, 2019, by searching for [(sebaceous Hyperplasia)] as well as [(laser[s], Fraxel CO2, Pulse dye Laser, Diode Xe-Cl Excimer Argon KTP Ruby Alexandrite or Nd: YAG).
Laser hair treatment risks
Blisters can be more common in people with darker complexions. A rare side effect can be the hair treated turning gray or a greater number of hairs growing in the area treated.
Do not let an unlicensed technician handle your project. It would help if you only went to someone who you trust. Check the credentials of any doctor or technician who will be performing laser hair removal.
