These small papules are most often located on the central face. Usually a central dull and yellowish color in the peripheral thickened area. The large arrows point to sebaceous hyperplasia, the smaller arrow points to an intradermal nevus.
Sebaceous hyperplasia can be difficult to clinically differentiate from basal cell carcinoma.
Often multiple lesions which are similar are present. They do not tend to bleed as easily as do basal cell carcinomas.