Take dermatologist opinion. If no response to medicines and path he's are stable then Plastic surgery can be done.

Hi, Greetings. Fordyce spots are visible sebaceous glands that are present in most individuals. They appear on the genitals and/or on the face and in the mouth. They appear as small, painless, raised, pale, red or white spots or bumps 1 to 3 mm in diameter that may appear on the genitals,around nipples, as well as the inner surface and vermilion border of the lips of the face. They are not associated with any disease or illness, nor are they infectious but rather they represent a NATURAL occurrence on the body. No treatment is therefore required, unless you have cosmetic concerns. Regards, Dr. Anshul Jain. Nagpur