Doesn't look like sebaceous hyperplasia to me. I've had that myself. Plus older people usually get that, like me lol, and you're only 22. I would bet it's some scarring from picking if it's been there for 5 years. Curious to hear what your doc says when you go. If you go and they're not spending the time you need with them, or not confident, or if in any other way you're not getting the care you need, go see another one, and another if needed. Basically, as you've been experiencing, you might need to kinda shop around until you find someone confident with a good, correct answer.

Any update on what the doctor said? I have the same thing too and I'm very curious.

So I've seen two doctors, and one of them told me those are closed comedones which I do not think is true for many reasons. The second one told me this is most likely to be scarring and said we could try CO2 laser. We decided not to do it in summer, and I'm going for it tomorrow! If you want I'll post updates.

Also the doc said the skin on the chin probably won't be as good as areas without the scars, but we can try to improve the texture.

I understand your concern about the bumps on your chin. While I'm not a dermatologist, I can offer some general information that might be helpful,

Those bumps on your chin could indeed be sebaceous hyperplasia, which are essentially enlarged sebaceous glands. They're quite common, and many people have them. In some cases, they can be removed with laser treatment, as your dermatologist mentioned.

However, it's a good idea to consult with another dermatologist, as you plan to do. They can provide a more accurate diagnosis and recommend the best course of action. It's also great that you're taking this step to address your concerns.

As for your worry about pebblestone scars from picking your face when you were younger, it's essential to discuss this with your dermatologist as well. They can assess whether these bumps are related to scarring and provide guidance on potential treatments.

Remember, it's always a good practice to seek professional medical advice for skin issues. Your dermatologist will have the expertise to give you the best guidance and solutions for your specific situation

@xomrchnk yes, please keep me updated! My skin is literally the exact same.

@xomrchnk It is so crazy how similar our skin is. I saw a new dermatologist last week as well and she said closed comedones as well and I also dont think that is the case. How did your laser treatment go?

@cwingate22 I think I see some results if I compare before and after photos, but still not sure. Do you think it worked? These photos are about a month after the procedure, just in different lighting

if youre interested in the procedure itself and healing, I can post photos from first few days after the treatment.

It does look like you have some congestion with those little black dots. Are they squeeze able? Ive been having a lot of success with tretinon and using head and shoulders on my face to remove layers of my skin. Me personally I want to get the congestion cleared before spending any money on laser. Add me on IG! Id love to chat. My user name is corryashley.

Hypertrophied sebaceous glands are painless, yellow papules up to 3 mm in diameter that appear on the forehead and cheeks in middle-aged or older people. It is a benign form of hair follicle tumour that poses no threat to the patient's life or health.

Hypertrophied sebaceous glands are not a disease symptom and no treatment is necessary. However, for aesthetic reasons, it is possible to remove this type of skin lesion using chemical peels, electrocoagulation or a CO2 fractional laser. The use of a modern laser is considered to be the most effective and safest method of removing unsightly papules from delicate areas such as the cheeks and forehead. Hypertrophied sebaceous glands may recur, in which case it is necessary to repeat the removal procedure.