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Dr. Nair
Dr. Nair, Dermatologist
Category: Dermatology
Satisfied Customers: 9190
Experience:  MBBS, MD (Dermatology, Venereology & Leprology)
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I am developing a number of small spots on my forehead can

Resolved Question:

I am developing a number of small white spots on my forehead can you recomend a treatment
Submitted: 6 years ago.
Category: Dermatology
Expert:  Dr. Nair replied 6 years ago.

How big are these spots and how long have you had them?

Are they flat or raised?

If I may ask how old are you?
Customer: replied 6 years ago.


vpprox 1mm max very slightly raised 78 yrs

Expert:  Dr. Nair replied 6 years ago.
Okay. Please take a look at the following photographs and tell me which resembles your condition more:

Customer: replied 6 years ago.
the upper image but not as big
Expert:  Dr. Nair replied 6 years ago.
I hope you find our interaction helpful. If you are satisfied with my response(s) please remember to press the ACCEPT button.

Thank you for the information. There are three possibilities regarding your skin condition: Senile comedones, Milia and Sebaceous Hyperplasia. Senile comedones and Milia seem more likely based on your history, since Sebaceous Hyperplasia usually has bigger yellowish-white dimpled lesions. Your doctor should be able to differentiate between the two after examining the lesions closely. Treatment wise what works best is simple needle extirpation of the white bumps with a sterile hypodermic needles. Once the area heals Retin-A micro 0.04% gel should be started once at night to prevent the lesions from reforming. This will require a prescription. Also it is important to use an SPF 50+ sunscreen 2-3 times during the day.

Hope this information is useful, please feel free to ask if you have any queries.
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