121 East 60th Street, Suite 8AB, New York, NY 10022

Ph. (212) 285-1110

Long Island

901 Stewart Ave, Suite 240, Garden City, NY 11530

Ph. (516) 512-7616

Fordyce Spots

Fordyce Spot Removal By New York Dermatologist Dr. Cameron Rokhsar MD

Fordyce spots, scientifically referred to as Fordyce granules or ectopic sebaceous glands, represent a variant of normal sebaceous glands. These non-pathogenic entities can be visually identified as minute, elevated, pale or pigmented papules appearing on the skin’s surface.

Fordyce Spots: A Dermatological Overview

    1. Anatomical Locations:

  • Labial Mucosa – Lips: Predominantly found along the vermilion zone of the lips.
  • Genital Dermis – Genitals: Manifest on the penile shaft, scrotal skin in males, and the labia majora in females.
  • Oral Mucosa: Notably present on the buccal mucosa and occasionally on the oral commissures.
    2. Morphological Variations:

  • These lesions exhibit homogeneity in their presentation, although variations in size and cluster density can be observed.
    3. Clinical Implications – Effects on Patients:

  • Pathophysiology: Fordyce spots result from the ectopic location of sebaceous (oil) glands without associated hair follicles.
  • Symptomatology: Typically asymptomatic, their presence doesn’t signify an underlying systemic or cutaneous disorder.
  • Psychological Impact: Aesthetically, their prominence, especially in the genito-labial region, may lead to psychosocial discomfort or anxiety in some patients.
    4. Therapeutic Interventions – Treatments:

  • Conservative Approach – No Treatment: Given their benign nature, active intervention is often unwarranted, unless solicited for aesthetic considerations.
  • Topical Retinoids: Tretinoin or adapalene, acting as comedolytics, may attenuate their prominence.
  • Laser Ablation: CO2 laser or pulsed dye lasers can offer precise and efficacious lesion removal.
  • Electrocautery and Micro-punch Excision: Employed for lesion removal with minimal scarring potential.

Fordyce Spots FAQ

What are Fordyce Spots?

New York Office Locations

Upper East Side Manhattan Office
121 East 60th Street, Suite 8AB New York, NY 10022
(212) 285-1110

Long Island Office
901 Stewart Ave, Suite 240, Garden City, NY 11530
(516) 512-7616

Request an Appointment