I went to Jean Kingston, Radiance Skin care in Prescott, AZ. She uses a small lead like electrical pencil (believe vascu touch). The SH turned to scabs (total - 10 days down time). Am left with 3-4 tenacious ones, but that's it. Have been dealing with SH for about 15 years now. Use tretitinion every night and was advised that products with glycolic help. -exfoliating cleanser from Amazon, mineral make up). Best of luck...they are a nuisance!
I have had my sebaceous hyperplasia treated with amazing results using the smoothbeam laser. I found a great and talented doc that is know for his laser expertise here in Richmond, VA. So I would recommend finding someone really good with the Smoothbeam laser. They used a substance "ALA" first, before the laser itself, and the ALA enhances the laser treatment. My doctor told me that there is a 60% success rate with it. Well, it's worked great for me. The laser basically destroys the oil gland. Hope that helps! Just got my second treatment yesterday. I couldn't be happier. I literally had dozens of those things on my face. Thank God for lasers!!!