Treatment of Sebaceous Hyperplasia with Pulsed Dye Laser

Abstract
Background: Sebaceous hyperplasias are benign skin lesions mostly seen on the face. These lesions are a common cosmetic concern but are difficult to be treated, as the entire sebaceous gland needs to be destroyed. Multiple treatment modalities have been employed for the management of seba-ceous hyperplasia but some therapies are associated with side effects and recurrence rates. The pulsed dye laser may be an effective and safe alternative treatment option.
Aim of Study: To evaluate the efficacy of pulsed dye laser in treating sebaceous hyperplasia.
Patients and Methods: Twenty patients with a total of 72 sebaceous hyperplasia lesions were treated by 1-3 sessions of pulsed dye laser, two weeks apart (with parameters of hand piece 7, fluence 9-12J/cm2, pulse width 1.5ms, rate 1HZ and air cooling). The patients were assessed clinically to evaluate the efficacy and safety of PDL.
Results: 83.3% of lesions responded to treatment, with complete reduction in 46 lesions (63.9%) and partial reduction in 14 lesions (19.4%). Treatment was well tolerated with no side effects and high patient satisfaction.
Conclusion: Pulsed dye laser is effective and safe as a monotherapy for treating sebaceous hyperplasia.