Sebaceous Hyperplasia Appearance

The sebaceous hyperplasia lesion begins as a 1 or 2 mm soft, pale yellow to skin-colored, minimally elevated papule. With time, the lesion attains a maximum size of 3 to 4 mm and develops a central umbilication. Mature papules possess a distinctly yellow-orange color and are more sharply defined from the surrounding skin. Papules may be solitary but are more commonly multiple and scattered randomly on the forehead, eyelids, nose, and cheeks. Papules may yield sebum from the central umbilication with palpation. An orderly array of fine telangiectasias may radiate outward from the umbilication toward the periphery of the papule. Individual lesions may be confused with basal cell carcinoma, small keratoacanthoma or molluscum contagiosum.