Another newbie here
I have sebaceous hyperplasia and i am also in my mid 30's. I too have oily skin and have been taking various antibiotics over six or seven years to help control my acne. It's taken around 12 months to get seen by a dermatologist in the UK and so far it's taken another 12 months to test which treatments he thinks are best for me.
First treatment was electrocautery where a spark generated between two electrodes is used to ZAP the gland leaving a small burnt pit the scabs come off within around 7-10 days leaving a small scar which over a period of months heal quite well. So far the small number of glands treated have not grown back
Second was cryocautery which trys to freeze the gland an causes it to wither. This had no effect on my problem but did help remove some of the skin of glands which had grown out a long way but it did not remove the problem gland.
Third was direct heat cautery where a soldering iron type tip is heated up and used to burn the sweat gland off the face. This removed the sweat gland but is also the one that has taken 6 months to heal. Even now i still have noticable scars on the few the consultatant trialed.
All these were done under local which was very painful and caused tears to my eyes as he had to apply it several times around each gland to be treated.
My next appointment is in September (after my May one was cancelled by the hospital- grumbles about NHS waiting times) when i need to choose which treatment to go for. It's the electrocautery for me
I asked about putting me on Accutane but he said it would clear the problem but once i stopped taking it the sebaceous glands would just start growing again.
One last treatment he did mention was having the glands scouped out under general anesthetic but this would leave bigger scars then the other treatments (although i don't think the scaring could get any worse then the heat iron)
One problem is that because my getting treatment has taken such a long time is that sebaceous hyperplasia has increased a lot in the two years and has really underminded my confidence socially and at work and has also lead me to be treated for depression but now i'm actually receiving some treatment it has given me a bit of the light at the end of the tunnel.
So chin up, go see your doctor, ask to be refered to a dermatologist and sit back and wait if your using the NHS in the UK.