Different Bumps Require Different Treatments: How to Identify and Treat Milia, Sebaceous Hyperplasia, Seborrheic Keratoses, and Syringomas

Understanding Facial Bumps

Not all bumps on the skin are the same—and each type requires a different approach. Whether you notice tiny white dots, waxy growths, or small yellowish bumps, understanding what you’re seeing is the first step to proper treatment. Below, we explore the most common types of benign facial bumps and how they can safely be treated.

1. Milia

What they are:

Milia are small, white, keratin-filled cysts that form just under the skin’s surface. They’re often mistaken for pimples, but unlike acne, they can’t be squeezed out. Trying to remove them at home can lead to redness or scarring.

Why they appear:

Milia often occur in people who use rich creams or occlusive skincare products that trap keratin beneath the skin.

Treatment options:

Milia can be removed through extraction by a licensed provider, ensuring minimal trauma and optimal results. To help prevent new ones, switching to lighter skincare formulations is recommended.

2. Sebaceous Hyperplasia

What it is:

Sebaceous hyperplasia appears as soft, yellowish or flesh-colored bumps caused by enlarged oil glands. They’re more common in individuals with oily skin and often have a small central indentation.

Why they appear:

This condition is typically genetic, rather than caused by skincare habits.

Treatment options:

While topical retinoids may help prevent new lesions, existing bumps can be easily removed in-clinic using gentle electrocautery or Fractional laser treatments performed by trained professionals.

3. Seborrheic Keratoses

What they are:

Seborrheic keratoses are harmless, non-cancerous skin growths that often appear with age. They may look waxy, scaly, or slightly raised and range from light tan to dark brown.

Why they appear:

These growths are largely genetic and tend to increase with age.

Treatment options:

For cosmetic concerns, they can be safely removed using electrocautery, liquid nitrogen, or Alexandrite or fractional laser therapy.

4. Syringomas

What they are:

Syringomas are small, harmless bumps caused by an overgrowth of sweat gland cells. They most often appear around the lower eyelids but can occur elsewhere on the body.

Why they appear:

They can develop at any age but are commonly seen in young adults.

Treatment options:

Although not medically necessary to remove, syringomas can be treated for cosmetic reasons using electrocautery, laser therapy, or minor surgical excision. It’s important to note that recurrence is possible, even after successful treatment.

When to Seek Professional Help

If you’re unsure what kind of bump you have—or if it’s changing in appearance—it’s best to have it examined by a qualified physician.

Book a Consultation

Not all bumps are the same—let our physician help you find the right treatment.📍 Visit us at Papillon Bleu Aesthetics, Port Moody📞 Call 604-468-4482 or book online to schedule your personalized consultation.