Since Fordyce Spots are not either harmful or considered as a sign of any possible disorders or underlying diseases, dermatologists don’t usually prescribe Fordyce Spots Treatment, unless it is required for a cosmetic necessity.
Also dermatologists don’t prescribe Fordyce Spots Treatment because the most common treatments’ success is not guaranteed with all conditions, however, in early 2013, professor Norbert Pallua, professor of plastic surgery in Achen, Germany had declared that he and his team had treated 23 cases of Fordyce Spots using Micro-punch Excision and techniques and with very satisfactory results.
The Promising Micro-punch excision technique
Micro-punch excision techniques include scrubbing and grifting processes applied on very small portion of the skin to remove the tissues that has the Fordyce spots. Beside the successful results, micro-punch techniques are simpler and more affordable than the commonly used laser treatments. However, professor Pallua’s published results show signs of recurrence within 12 to 84 months and the median is 51.3 months. Since this method is simpler and affordable compared to laser treatments, the results are still more success than leaser treatments even if the spots had appeared again after 12 months because its simplicity would encourage repetitive treatments after the spots appear again.
Professor Pallua’s method was published on January of 2013, which means it is not widely used in treating Fordyce Spots yet and the laser treatment is still the common method. Laser treatment are usually done using CO2 laser which could achieve some success in reducing the size of the Fordyce Spots in a way that makes them less visible.
Pulsed Dye Leaser or (PDL) is also used to treat Fordyce Spots. PDL is very safe on the skin because it uses yellow light beam and its treatment and it relieved the skin from Fordyce Spots. However the treatment is expensive compared to the other methods.