Sebaceous Cysts: Treatment Options and Recovery Time - Dermatology

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Management of sebaceous cysts?


Hello doctor, I have a sebaceous cyst on my right breast that is approximately 0.6 cm in diameter and has a black dot.
Currently, there is no discharge, and it is neither painful nor itchy.
The cyst is located on the front of the breast and does not rub against my bra.
I consulted a dermatologist who informed me that it is a sebaceous cyst and suggested that if it is bothersome, I should consider surgical removal.
Is it necessary to perform surgery to drain or completely remove it? Since it is on my breast, I am really reluctant to undergo surgery.
Is there a possibility to treat it with topical or oral medication to allow it to resolve on its own? Additionally, if surgery is required, what is the typical recovery time? I am planning to travel abroad in February and would prefer not to be affected by this.
Thank you for your response, and I appreciate your help!

rita, 30~39 year old female. Ask Date: 2018/12/14

Dr. Wu Yuxin reply Dermatology


To eradicate it, surgery is the only option; drainage only provides temporary reduction, and medication cannot improve the condition.
If surgery is performed, the sutures are typically removed in 7 to 10 days.

Reply Date: 2018/12/14

More Info


Sebaceous cysts, also known as epidermoid cysts, are common benign growths that can occur anywhere on the body, including the breast. They are typically filled with keratin, a protein found in skin, and can vary in size. In your case, the cyst measures approximately 0.6 cm and is asymptomatic, meaning it does not cause pain or discomfort, which is a positive sign.


Treatment Options
1. Observation: Since your cyst is not causing any symptoms and is relatively small, one option is to simply monitor it. Many sebaceous cysts do not require treatment unless they become bothersome or infected.

2. Medication: There are no specific medications that can make a sebaceous cyst disappear. Topical treatments or oral medications are generally ineffective for this type of cyst. Antibiotics may be prescribed if the cyst becomes infected, but they will not eliminate the cyst itself.

3. Surgical Removal: The most definitive treatment for a sebaceous cyst is surgical excision. This involves removing the cyst and its contents, which can prevent recurrence. If the cyst is located in a sensitive area, such as the breast, a skilled surgeon can minimize scarring and ensure a cosmetic result.
- Incision and Drainage: If the cyst becomes inflamed or infected, a doctor may perform an incision and drainage procedure. However, this does not remove the cyst wall, and the cyst may recur.


Recovery Time
If you opt for surgical removal, the recovery time can vary based on several factors, including the size of the cyst, the surgical technique used, and your overall health. Generally, recovery from a simple excision can take about 1 to 2 weeks. During this time, you may experience some swelling and tenderness at the site, but these symptoms typically resolve quickly.
- Post-operative Care: After surgery, it is important to follow your doctor's instructions regarding wound care. Keeping the area clean and dry will help prevent infection. You may also be advised to avoid strenuous activities, including heavy lifting or vigorous exercise, for a short period.

- Follow-up: A follow-up appointment may be necessary to ensure proper healing and to remove any stitches if non-dissolvable sutures are used.


Considerations Before Surgery
Given your concerns about surgery on your breast, it is understandable to feel apprehensive. Here are some points to consider:
- Cosmetic Concerns: Discuss with your surgeon about the cosmetic implications of the surgery. They can provide insights on how to minimize scarring and ensure the best aesthetic outcome.

- Timing: Since you mentioned traveling in February, if you choose to have the cyst removed, it would be wise to schedule the procedure as soon as possible to allow ample recovery time before your trip.

- Consultation: If you are still uncertain, consider seeking a second opinion from another dermatologist or a plastic surgeon who specializes in cosmetic procedures. They can provide additional perspectives on the necessity of surgery and alternative options.


Conclusion
In summary, while surgical removal is the most effective way to treat a sebaceous cyst, it is not always necessary if the cyst is asymptomatic. Monitoring the cyst is a valid option, especially since it does not currently cause you any discomfort. If you decide to proceed with surgery, the recovery period is generally manageable, and with proper care, you should be able to travel without significant issues. Always consult with your healthcare provider to make an informed decision that aligns with your health needs and personal preferences.

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