A sebaceous cyst is a relatively small non-cancerous bump under the skin. It is caused by blocked sebaceous glands usually as a result of trauma. Sebaceous cysts are typically found near the face, neck or back, but can form anywhere on the body. These cysts are removed professionally when they enlarge or cause pain and discomfort.

Radiofrequency

Sebaceous cysts can be removed using a technique called ‘radiofrequency ablation’ or cold cautery. The procedure involves creating a small incision using radiofrequency and removing the contents of the cyst. A follow-up would be required after a month to remove the cyst wall. This method is minimally invasive – resulting in little to no scarring.

Radiofrequency excision may cause redness, irritation, tenderness, bleeding and scarring.  The procedure commonly takes 1 to 2 hr to perform. Antibiotics may be prescribed to avoid infection. There is no downtime, but the wound may take 1 to 2 weeks to heal.

Surgical excision

Sebaceous cysts are most effectively removed using surgical methods due to the low recurrence rate. There are two widely used techniques;

Wide incision removal

This type of surgery involves opening a broad opening and removing the entirety of the cyst and its contents in one go. It is generally used for large cysts or ‘pebble’ cysts. Depending on the size of the entry point, it is closed with sutures.

Wide incision removal may cause redness, irritation, tenderness, bleeding and scarring. The procedure generally takes 1 to 2 hr to perform. Antibiotics may be prescribed to avoid infection. There is no downtime, but the wound may take 1 to 2 weeks to heal depending on its size.

Punch excision

Also known as minimal incision removal, this variety of surgery involves using an instrument known as ‘punch’ to create a small circular incision which is used to empty all the contents of the cyst. A follow-up would be required after a month to remove the cyst wall. This method is minimally invasive – resulting in little to no scarring.

Punch excision may cause redness, irritation, tenderness, bleeding and scarring. The procedure typically takes 1 to 2 hr to perform. Antibiotics may be prescribed to avoid infection. There is no downtime, but the wound may take 1 to 2 weeks to heal.

 

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Tamira Plastic Surgery

No. 18, Gopalapuram 1st St, Gopalapuram, Chennai, Tamil Nadu 600086