LAM FACIAL PLASTICS

Dear doctor lam, i have a few (2) bumps on my left cheek that have basically destroyed my self-esteem. I think one of them was caused from a big pustule (i applied a topical benzoyl peroxide, the name of the topical is duac), and for some reason the pimple never healed. I should have just left it alone instead of applying the topical. Anyhow, here are the photos

As you can see in the photos, i have two bumps that look like sebacious hyerplasia. These are not "distinct" bumps, in the sense that they are not like moles or other bumps that could easily be cauterized. These bumps seem like they are raised and at the same time part of the skin.

I am asking you doctor if you could remove these bumps with minimal scarring. Even if i get some scarring, it is better than having these bumps on the face. What type of scarring would most likely occur if you removed these bumps? Thanks for your time

A few more things doctor lam.

1)If it is sebacious hyperplasia, would this work? http://www.youtube.com/watch?v=iw6hSctJRvk

2) I had a dermatologist use electrodesiccation (cauterization) and it did not seem to help.

Thanks

what you are showing is what an aesthetician does and it really will do nothing for them. personally, i would use cautery but if that failed a handgun of nitrous oxide may do the trick.

thanks for the response dr.lam. So these bumps/lesions can be removed?

Is the handgun of nitrous oxide a tricky procedure? I.E. do would i need to make an appointment with you (but i live in southern california, so i wud have to fly) or could a qualified dermatologist do the procedure?

I own a very nice one but to be honest u will be fine in Cali.

thanks for the response doctor lam.

What exact equipment should i make sure a dermatologist has in their disposal in order to get rid of these bumps?

Is it just called a handgun of nitrous oxide, or is there a specific name for it?

Also, is it a risky procedure?

you really should ask your derm. there are many versions and i think you will be fine.
s.

which version do you have?

cryoprobe but don't worry about it. it is not fair for a dermatologist to have to own the exact model i have.

fair or not, i just want to have the safest and best possible method to remove these bumps that i can get.

A quick question dr.lam, do you happen to know any dermatologist in california who has a cyroprobe?

no, i don't know any there. really, these kind of skin issues are better treated by a good dermatologist than a facial plastic surgeon.

dr.lam, i just want to ask you one last thing. Judging from the photos i posted, do these lesions seem very easy to remove and with minimal scarring?

thanks

honestly, i don't have a lot of experience removing them so i can't give you a good answer to that question.