From the Research
Fordyce spots are harmless and do not require treatment, as they are a normal anatomical variant, not a disease or infection. They are simply enlarged sebaceous glands that are visible through the skin. If you're concerned about their appearance, a dermatologist can confirm the diagnosis and discuss cosmetic options like laser therapy or chemical peels, though these are rarely recommended due to potential scarring.
Key Points to Consider
- Fordyce spots affect up to 80% of adults, tend to become more noticeable with age, and don't indicate any underlying health issues 1.
- They cannot be transmitted to others and don't cause any symptoms beyond their appearance.
- Maintaining good hygiene is recommended, but no special care is required.
- If you notice any changes in the spots, such as bleeding, pain, or rapid growth, consult a healthcare provider to rule out other conditions.
Treatment Options
- Laser therapy, such as CO2 laser, has been shown to be effective in treating Fordyce spots, with excellent cosmetic results and no side effects 2.
- Other treatment options, such as isotretinoin, have also been reported to be effective in some cases, although the response can be dichotomous and long-term results are not well documented 1.
- Intralesional electrocoagulation using a proximally insulated microneedle and monopolar radiofrequency device has also been reported to be effective in treating Fordyce spots, with marked cosmetic improvements without surface damage 3.
Recommendations
- No treatment is necessary for Fordyce spots, as they are a normal anatomical variant, not a disease or infection.
- If you're concerned about their appearance, consult a dermatologist to discuss cosmetic options and determine the best course of treatment.
- It's essential to prioritize morbidity, mortality, and quality of life when considering treatment options for Fordyce spots, and to weigh the potential benefits and risks of each treatment option.