Recurring Skin Cysts: Causes, Risks, and Care Tips

The sebaceous cyst has reappeared?

I have sebaceous cysts on both ears, and I have undergone surgery on both sides once.
It seems that the cyst on my left ear has reappeared, and it is larger and harder than before when I had surgery on the right ear.

1.
Does this indicate inflammation again?
2.
Is the cyst on the left ear a recurrence, or was it not completely removed during the initial surgery? Is the chance of recurrence high?
3.
How can I determine if it is malignant?
4.
After the stitches are removed, how many days should I wait before getting it wet?

Tzuchao, 10~19 year old female. Ask Date: 2016/07/07

Dr. Wu Yuxin reply Dermatology

1.
The presence of pain is more likely associated with inflammation.
2.
It could also be related to another condition.
3.
Surgical removal and histopathological examination are necessary.
4.
The healing time depends on the condition of the wound, generally around 2-3 days.

Reply Date: 2016/07/07

More Info

Understanding recurring skin cysts, particularly sebaceous cysts (also known as epidermoid cysts), can be quite complex. These cysts are generally benign and arise from the sebaceous glands or hair follicles. They are filled with keratin and can appear anywhere on the body, including the ears.
1. Inflammation and Recurrence: If you have had surgery to remove cysts and they have returned, it could be due to several factors. It is possible that the cyst was not completely excised during the initial surgery, leading to recurrence. Additionally, if the cyst becomes inflamed or infected, it may appear larger or harder than before. Inflammation can occur due to irritation, blockage of the cyst, or secondary infection. If you notice redness, warmth, or increased tenderness around the cyst, it may indicate inflammation.

2. Recurrence vs. Incomplete Removal: The likelihood of recurrence depends on how thoroughly the cyst was removed. If the cyst wall is left behind during surgery, it can lead to regrowth. This is a common issue with sebaceous cysts. If you have a history of multiple surgeries for the same cyst, it may be worth discussing with your dermatologist or surgeon about the possibility of a more extensive excision to ensure complete removal.

3. Determining Malignancy: Most sebaceous cysts are benign, but there are rare instances where a cyst can be malignant. Signs that may raise suspicion include rapid growth, changes in color, irregular borders, or if the cyst becomes painful. If you have concerns about the nature of your cysts, it is advisable to have them evaluated by a healthcare professional. A biopsy may be necessary to rule out malignancy.

4. Post-Surgical Care: After cyst removal, it is crucial to follow your surgeon's post-operative care instructions. Generally, you should avoid getting the surgical site wet for at least 24 to 48 hours after the stitches are placed. This allows the incision to begin healing and reduces the risk of infection. After the initial healing period, you can typically resume normal activities, including washing the area gently. However, always consult your surgeon for specific guidance tailored to your situation.

Additional Care Tips:
- Moisturization: Keeping the skin moisturized can help prevent the formation of new cysts. Use non-comedogenic moisturizers that do not clog pores.

- Avoiding Irritation: Be cautious with hairstyles or accessories that may irritate the area around your ears. Avoid tight headbands or hats that could cause friction.

- Regular Monitoring: Keep an eye on any changes in your skin or cysts. If you notice any new growths or changes in existing cysts, consult your dermatologist promptly.

- Healthy Lifestyle: Maintaining a balanced diet, staying hydrated, and managing stress can contribute to overall skin health.
In conclusion, while sebaceous cysts are usually harmless, their recurrence can be frustrating. Understanding the underlying causes and following proper care guidelines can help manage and potentially reduce the likelihood of future occurrences. Always consult with a healthcare professional for personalized advice and treatment options.

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