Perceptions, Utilization, and Cost Assessment of Sebaceous Hyperplasia Treatment Modalities: A Pilot Survey

Area of Science:

• Dermatology
• Aesthetic Medicine
• Clinical Research

Background:

• Sebaceous hyperplasia (SH) is a prevalent, benign skin condition causing cosmetic concerns, particularly in older adults.
• Current treatment options lack a universally accepted first-line approach and standardized pricing.

Purpose of the Study:

• To evaluate current treatment modalities and associated costs for sebaceous hyperplasia.
• To identify dermatologists' preferred treatments and perceptions of efficacy.

Main Methods:

• A survey was distributed to dermatologists via the Orlando Dermatology Aesthetic and Clinical Conference email listserv.
• The survey assessed treatment approaches, session requirements, recurrence rates, and costs for SH.

Main Results:

• Electrodesiccation (ED) was the most frequently used in-office procedure (83.9%) for SH.
• ED and cryosurgery were priced between $200-$400, with ED and CO2 laser showing the lowest recurrence rates.
• Most treatments, including ED, CO2 laser, and cryosurgery, required 1-2 sessions for lesion clearance.

Conclusions:

• Electrodesiccation is perceived as a common, cost-effective SH treatment with high efficacy and low recurrence.
• Dermatologists expressed interest in learning about novel SH treatment methods, indicating a need for further research and best practice guidelines.