Treatment for Fordyce Spots
Hello, I wanted to contact you in regard to Fordyce Spots. I've been living with Fordyce Spots on my upper lip since age 17 or so. A few years ago, a dermatologist "tested" the hyfrecator on a couple areas - this seemed to help minimize them a bit, but they kind of reappeared. I also noticed that while I was on Accutane, the appearance of them pretty much dissipated entirely as it dried out the glands. Of course they reappeared after my Accutane cycle was complete. Over the years, it looks like they've become more prominent. I know some doctors simply say not to worry about them, but I find myself becoming very depressed by them every couple months as I have large lips and many, many spots. This has led to many hours of research and I'm very curious about trying CO2 laser treatment as it seems like the most effective treatment. I'm wondering if you have experience treating these. Thanks.
Thanks for the email. We do treat Fordyce spots on the lip. I agree that the CO2 is usually the most effective option. We just treated a young male patient with Fordyce spots. We did a test patch first and then full treatment once we were satisfied with how he responded. I like to do it like that as every patient is different. We don’t want to leave scars that look worse that the spots – so a conservative approach with a test patch is good.
You need to be sure that you have been off of Accutane for at least a year before we can treat you with the CO2 as Accutane decreases the ability for the skin to heal itself. It is otherwise a wonderful medication for acne (obviously).
Please call at 206-859-5777 to make an appointment for a consultation. Do know, that insurance will not cover the treatment of Fordyce spots. It is out of pocket (cosmetic). We can discuss cost when I see how large the area is.
Thank you again.
Jennifer Reichel MD
Director, Pacific Dermatology & Cosmetic Center
11011 Meridian Ave N Ste 102
Seattle WA, 98133