Post-Cyst Removal: Healing and Complications

Condition after cyst removal?

Hello, doctor.
I had a sebaceous cyst excised from my left cheek, and it has been one month since the surgery and suture removal.
I have experienced the following issues: 1.
The opening where the cyst was excised (not the surgical incision) still bleeds slightly when I apply pressure.
Does this mean the cyst was not completely removed? 2.
Since the surgery, the area around the surgical incision and the nearby skin feels hardened.
Is this normal? Please advise, thank you.

Yuxing, 30~39 year old female. Ask Date: 2016/09/15

Dr. Wu Yuxin reply Dermatology

You should consult your attending physician about this issue, as they are the most familiar with your condition.

Reply Date: 2016/09/15

More Info

After the removal of a cyst, such as an epidermoid cyst (commonly referred to as a "wen" or "sebaceous cyst"), it is important to monitor the healing process and be aware of potential complications. Based on your description, you have experienced some concerns regarding the healing of the surgical site. Let’s address your questions one by one.

1. Bleeding from the Cyst Opening: You mentioned that the area where the cyst was removed still has an opening that can bleed when pressed. This could indicate that the cyst was not completely excised, or it may be a normal part of the healing process. If the cyst wall or capsule was left behind, it could lead to recurrence or ongoing drainage. It is essential to consult your surgeon or healthcare provider to assess whether the cyst was fully removed. They may perform a physical examination and, if necessary, imaging studies to ensure that there are no remnants of the cyst.

2. Hardness Around the Surgical Site: The hardness you feel around the incision site is not uncommon after surgery. This can be due to several factors:
- Scar Tissue Formation: After any surgical procedure, the body forms scar tissue as part of the healing process. This tissue can feel firmer than the surrounding skin and may take time to soften.

- Inflammation: Post-operative inflammation can also cause localized swelling and hardness. This is a normal response as your body heals.

- Fluid Accumulation: Sometimes, fluid can accumulate in the area, leading to a firm feeling. This is known as a seroma and may require drainage if it becomes significant.

In general, it is normal for the area to feel different as it heals, but if you notice persistent hardness, increased pain, redness, or any signs of infection (such as pus or fever), you should seek medical attention promptly.

Recommendations for Post-Operative Care:
- Keep the Area Clean: Maintain good hygiene around the surgical site to prevent infection. Follow your surgeon's instructions regarding wound care.

- Monitor for Signs of Infection: Look for increased redness, swelling, warmth, or discharge from the wound. If you experience any of these symptoms, contact your healthcare provider.

- Avoid Strain on the Area: Try to avoid putting pressure on the surgical site, as this can exacerbate bleeding or irritation.

- Follow-Up Appointments: Attend all scheduled follow-up appointments with your surgeon. They will assess the healing process and determine if any further interventions are needed.

Conclusion:
In summary, while some bleeding and hardness around the surgical site can be normal, it is crucial to have these symptoms evaluated by your healthcare provider to ensure proper healing and rule out any complications. If the cyst was not completely removed, further treatment may be necessary. Always prioritize communication with your healthcare team regarding any concerns you have during your recovery.

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