Sebaceous hyperplasia refers to small, benign papules on the face of adults representing hypertrophy of the sebaceous glands.

These fairly common lesions are often confused with basal cell carcinomas.

Lesions are asymptomatic but are of cosmetic concern to some patients.

Lesions typically occur on the forehead and cheeks.

Lesions are yellow or cream-colored papules are often doughnut-shaped with a dell (umbilication) in the center (Fig. 30.23) and are generally small 1 to 3 mm in diameter.

Telangiectasias radiate in a spoke-like fashion (Fig. 30.24).

The diagnosis is made by the lesion's typical clinical appearance (little bagels).

“Popcorn” appearance on dermoscopy (Fig. 30.25).

Biopsy is indicated if basal cell carcinoma is suspected.