In this procedure, they remove a sample of tissue from the affected area to examine under a microscope. But if you want to remove the spots for cosmetic reasons, remedies are available. Here are some of the options you can discuss with your doctor. Your doctor may use micro-punch surgery to rapidly and effectively remove multiple spots from your face or genital area.
Before performing it, they apply a local anesthetic to reduce your pain. Then they use a small pen-like device to punch your skin and remove unwanted tissue. Your doctor may use carbon dioxide laser treatments to zap your Fordyce spots. However, this type of laser treatment might leave scars. Pulsed dye lasers may be less scarring. Both lasers use a concentrated beam of light, but at different wavelengths.
Treatment with a pulsed dye laser is more expensive. Topical treatments to shrink or remove Fordyce spots include bichloracetic acid, topical tretinoin Avita, Retin-A , and oral isotretinoin Sotret, Claravis. Your doctor may recommend combining these topical treatments with laser treatments. They may produce side effects, such as inflammation and a burning sensation. Fordyce spots generally fade in time without treatment. The majority of people have them.
Fordyce spots are a natural and harmless occurrence. If your spots are making you uncomfortable for cosmetic reasons, discuss possible treatments with your doctor. If irritation is noted, a mild topical steroid may be prescribed for relief, but it should be used with caution.
While there is no certain treatment for Fordyce sports, in some cases, treatment with a laser can make them less noticeable. Bolognia, Jean L. Dermatology , pp. New York: Mosby, For those patients in whom treatment is desired mainly for esthetic reasons, treatment options include micro-punch surgery, electrodesiccation , cryotherapy, ablative laser, photodynamic therapy, topical bichloracetic acid, topical tretinoin, and oral isotretinoin; typically dermatologists provide the treatments where requested [,6,10].
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Links Advanced knowledge sharing through global community… Read More. Take a look at the Recent articles. Fordyce Spots Alexander K. Key words fordyce spots, fordyce granules, sebaceous glands, lips, oral mucosa, genitalia Introduction In , Fordyce described the occurrence of whitish spots on the oral mucosa and vermilion border of lips; the condition now bears his name [1].
Epidemiology The incidence of Fordyce spots, also known as Fordyce glands, increases with age, being more common in adults than in children [2]. Pathogenesis Fordyce spots are enlarged sebaceous glands that can occur on various body parts such as the lips, oral mucosa, penis, and, labia.
Histopathology Histological examination of the lesions show enlarged cutaneous sebaceous glands, consisting of a group of mature sebaceous lobes surrounding small ducts that emerge at the epithelial surface [8]. Clinical manifestations Clinically, Fordyce spots appear as asymptomatic, isolated or grouped, minute pinhead-sized , creamy yellow, discrete papules [6]. Figure 1. Fordyce spots on the upper lip Figure 2. Fordyce spots on the scrotum Diagnosis The diagnosis is mainly clinical.
Differential diagnosis Fordyce spots should be differentiated from milia and sebaceous hyperplasia. Complications Fordyce spots can be cosmetically unsightly. Treatment Treatment is usually not necessary apart from reassurance about the benign nature of the condition [3,9]. References Fordyce JA A peculiar affection of the mucous membrane of the lips and oral cavity. In the presence of any of these signs or symptoms, the dermatologist should be consulted to make the diagnosis of the disease and discuss treatment options.
Fordyce spots are usually present from birth; however, they may not be easily seen. After adolescence, and with hormonal changes, these spots can become larger and more visible. The spots can appear in anyone but are twice as frequent in men and in people with very oily skin.
Fordyce granules are not contagious or caused by an infectious agent such as bacteria or viruses.
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