Fordyce spots are small, raised, yellowish or whitish bumps that commonly appear on the genitals, lips, or inside the cheeks. Enlarged sebaceous (oil) glands cause them and are a completely normal, harmless, and non-contagious anatomical variation. While they pose no medical risk, some people find their appearance distressing and seek ways to reduce or remove them, often turning to topical creams.
This guide explains why creams are rarely effective, what treatment options actually work, and when professional support may be appropriate.
Why Creams Don’t Work Well for Fordyce Spots
Many people start with over-the-counter creams in the hope of shrinking or fading Fordyce spots. These options seem convenient and affordable — but they often fall short for one simple reason: topical creams don’t penetrate deeply enough to affect the sebaceous glands beneath the skin.
Fordyce spots aren’t surface blemishes; they are normal oil glands that sit just below the skin and are simply more visible than usual. While some products claim to reduce their appearance, there is no robust clinical evidence supporting the effectiveness of creams in treating Fordyce spots.
When Creams Might Help
Though creams won’t remove Fordyce spots, they may still have a limited role in specific situations:
- For inflammation or irritation: If the skin around the spots becomes red or uncomfortable, a mild topical corticosteroid may be prescribed to reduce inflammation. However, this addresses symptoms — not the spots themselves.
- As part of aftercare: After procedures like hyfrecation (discussed below), a clinician may recommend a topical cream to support healing and reduce infection risk.
Hyfrecation: A Targeted, Effective Treatment
At our clinic, we often recommend hyfrecation as a safe and effective way to remove Fordyce spots for cosmetic reasons. This minimally invasive procedure uses heat from a low-level electric current to carefully destroy the overactive sebaceous glands.
Why Hyfrecation Is a Preferred Option:
- Direct targeting: It treats the gland directly, unlike creams.
- Minimally invasive: Performed under local anaesthetic with little downtime.
- Low risk of scarring: When done by an experienced practitioner.
While hyfrecation is highly effective, outcomes can vary depending on the number and location of the spots, and a few sessions may be needed for full clearance.
What to Expect: Consultation and Procedure
During Your Consultation
A Specialist Healthcare Professional will:
- Examine the affected area
- Confirm the diagnosis (to rule out other conditions)
- Discuss your goals and expectations
- Explain the benefits and risks of treatment
- Anaesthesia: The area is numbed with lidocaine (as cream or injection)
- Treatment: A fine probe delivers heat directly to each Fordyce spot
- Duration: Usually completed in one short session
Aftercare Instructions
Following your procedure, we’ll provide an aftercare pack with guidance. Typical recommendations include:
- Keeping the area clean and dry
- Using saltwater baths to support healing
- Applying a protective ointment (as advised)
- Avoiding friction or sexual activity until healed
- Attending a follow-up review in 3–4 weeks
Some patients may experience mild redness, scabbing, or pigment changes, which usually resolve over time.
Important Considerations
- Correct diagnosis is key: Other conditions (e.g. HPV, genital warts, molluscum contagiosum) can mimic Fordyce spots — so professional evaluation is essential.
- Realistic expectations: While hyfrecation offers excellent results, there is a small risk of scarring or pigment alteration, especially on sensitive areas.
- Results vary: Multiple sessions may be required, depending on the number and distribution of lesions.
You’re Not Alone
Fordyce spots are extremely common, and there’s nothing wrong with seeking help if they’re affecting your confidence. Safe, effective treatment options are available — and we’re here to support you with expertise, discretion, and respect.
