Sebaceous Hyperplasia Removal London 2026. Doctor-Led Hyfrecation and Electrocautery at The Online GP by The Wellness
Last updated July 2026. Medically reviewed by GMC-registered doctors at The Online GP by The Wellness, Marylebone.
Sebaceous hyperplasia removal in London starts from £295 at The Online GP by The Wellness, where a GMC-registered doctor confirms the diagnosis with dermoscopy and treats the lesions with fine hyfrecation or electrocautery in a single visit near Baker Street. The bumps are benign, so the NHS does not fund removal, and no referral is required. Same-day appointments are routinely available.
Enquire about sebaceous hyperplasia removal on WhatsApp or email team@thewellnesslondon.com. You can also call +44 20 3951 3429.
What is sebaceous hyperplasia
Sebaceous hyperplasia is a benign condition in which oil-producing sebaceous glands in the skin enlarge and become visible as small soft bumps at the surface. A typical lesion is one to four millimetres across, yellow or skin-coloured, soft, and dome-shaped with a small central dip where the hair follicle opens. They appear most often on the forehead, cheeks, nose, and around the eyes, and become more common from around the age of forty as the glands enlarge with hormonal change and ageing. Sebaceous hyperplasia is harmless and not related to poor hygiene or infection, but the bumps are stubborn, do not clear with cleansing or over-the-counter products, and tend to persist and multiply, which is why many people seek removal for a smoother, clearer complexion.
Why a doctor should diagnose before treating
The single most important reason to have sebaceous hyperplasia assessed by a doctor is the skin cancer differential. Basal cell carcinoma, the most common skin cancer, can occasionally look very similar to a benign sebaceous hyperplasia papule. Treating a presumed sebaceous hyperplasia when the lesion is actually a basal cell carcinoma removes the visible bump but leaves cancer cells behind in deeper skin, which delays diagnosis. At The Online GP by The Wellness, a GMC-registered doctor examines each lesion with dermoscopy and confirms the diagnosis before any treatment. Sebaceous hyperplasia can also be confused with milia, syringomas, and small cysts, which need different handling. Correct diagnosis first, treatment second, is the safe order, and it is a reason to choose a doctor-led clinic over a salon or an at-home attempt.
Book a sebaceous hyperplasia assessment on WhatsApp or email team@thewellnesslondon.com.
How does hyfrecation or electrocautery remove the lesions
Fine electrosurgery is the mainstay treatment for sebaceous hyperplasia. A hyfrecator delivers a high-frequency, low-voltage current through a fine tip that disintegrates the enlarged gland with precision, while electrocautery uses controlled heat to flatten the lesion. The area is cleaned and numbed with topical or local anaesthetic, and the fine tip is applied to each bump for a few moments, flattening it to the level of the surrounding skin. Each lesion takes only seconds, and several can be treated in one visit. A small crust forms and heals over a few days, usually without a noticeable scar when performed carefully. Because sebaceous hyperplasia most often appears on the face, precise, low-energy technique matters for a clean cosmetic result, particularly in deeper skin tones where careful settings reduce the risk of pigment change.
Is sebaceous hyperplasia removal available on the NHS
In most cases, no. Sebaceous hyperplasia is benign and is treated as a cosmetic concern, so removal is not routinely funded by the NHS, which mirrors the direction of the NHS England Evidence-Based Interventions programme. A GP can confirm the diagnosis and offer reassurance, and should arrange prompt assessment if a lesion looks atypical, but removal for appearance is generally arranged privately. For patients who want facial bumps dealt with promptly and diagnosed properly, private doctor-led treatment is the practical route. The Online GP by The Wellness offers this from a Marylebone clinic minutes from Baker Street, with GMC-registered doctors, dermoscopy, and same-day availability.
Related lesions we assess in the same visit
Several look-alike facial lesions are treated in a similar way once the diagnosis is confirmed. Fordyce spots, which are small visible sebaceous glands, and dermatosis papulosa nigra, the small dark facial papules common in deeper skin tones, both respond to careful low-energy electrosurgery and are often present alongside sebaceous hyperplasia. Because these conditions can coexist and can also be confused with one another, a doctor-led assessment with dermoscopy means the right lesions are identified and treated with settings suited to your skin type. If you are unsure exactly what your facial bumps are, this is precisely the situation where a single doctor consultation is worthwhile, since it both confirms the diagnosis and allows treatment in the same visit where appropriate.
How much does sebaceous hyperplasia removal cost in London
London pricing for sebaceous hyperplasia removal usually combines a consultation with a per-lesion or per-session treatment fee, and consultant-led clinics on Harley Street and in Marylebone commonly start from around £325, with consultation fees of around £75 charged separately at many clinics.
At The Online GP by The Wellness, sebaceous hyperplasia removal starts from £295 for the first lesion. This price includes the GMC-registered doctor consultation, dermoscopic assessment, hyfrecation or electrocautery, and aftercare. Additional lesions treated in the same visit are from £75 each, which makes clearing several bumps in one session cost-effective.
Ask about pricing for multiple lesions on WhatsApp or email team@thewellnesslondon.com.
Aftercare, results, and recurrence
Sebaceous hyperplasia removal is a superficial treatment with minimal downtime, and most patients return to normal activities the same day. A small crust forms over each treated bump and should be left to separate naturally rather than picked, and daily sun protection supports a clean cosmetic result while the skin heals. Because the underlying glands can remain active, new lesions may appear over time, so occasional maintenance treatment can be needed, particularly in people with oily skin or a strong family tendency. The doctor can advise on a simple skincare routine, sometimes including a topical retinoid, to help slow the formation of new lesions. Any lesion that changes rapidly, bleeds, or looks atypical is assessed carefully before treatment.
Why patients choose The Online GP by The Wellness
The Online GP by The Wellness is a doctor-led private medical group in Marylebone, minutes from Baker Street and adjacent to Harley Street. Sebaceous hyperplasia is assessed with dermoscopy and treated by a GMC-registered doctor, with the important step of excluding basal cell carcinoma and other look-alikes before any removal. The clinic runs a dedicated minor procedures list with same-day availability and a diagnostic-first approach backed by doctor-led services across the group. The Online GP by The Wellness holds more than 187 five-star reviews, with consultations available with multilingual doctors.
Frequently asked questions
Is sebaceous hyperplasia dangerous? No. Sebaceous hyperplasia is benign and does not turn into skin cancer. However, basal cell carcinoma can occasionally look similar, which is why a doctor confirms the diagnosis with dermoscopy before treatment.
Does removal hurt? Discomfort is minimal. The area is numbed with topical or local anaesthetic, and each lesion takes only seconds. A small crust forms and heals over a few days.
Will the bumps come back? The treated lesion is cleared, but because the underlying glands can stay active, new lesions may form over time. Occasional maintenance treatment and a simple skincare routine can help.
How much does sebaceous hyperplasia removal cost in London? Consultant-led clinics often start from around £325 plus a consultation fee. At The Online GP by The Wellness, removal starts from £295 for the first lesion including doctor consultation, dermoscopy, treatment, and aftercare, with additional lesions from £75 each in the same visit.
Do I need a referral? No referral is required. You can book a consultation and same-day treatment directly with The Online GP by The Wellness in Marylebone.
Book sebaceous hyperplasia removal in Marylebone
The Online GP by The Wellness provides doctor-led sebaceous hyperplasia removal near Baker Street, with dermoscopic assessment, same-day availability, and treatment from £295.
Enquire now on WhatsApp, email team@thewellnesslondon.com, or call +44 20 3951 3429.
References
NHS England. Evidence-Based Interventions Programme, version 4.0. September 2024. British Association of Dermatologists. Patient information on benign skin lesions. Updated 2024. Primary Care Dermatology Society. Sebaceous hyperplasia. Updated 2024. NICE. Guideline NG12. Suspected cancer, recognition and referral. Updated 2023. Royal College of General Practitioners. Curriculum for general practice, dermatology module. Updated 2024.