Post-Surgery Concerns: Persistent Bump After Cyst Removal

The subcutaneous cyst is still swollen after surgery?

Hello Doctor, I had a subcutaneous cyst removed two weeks ago.
The plastic surgeon mentioned that it developed due to improper squeezing of acne.
However, since the surgery, the area where the incision was made still feels hard and swollen.
Should I go directly to a dermatologist, return to the plastic surgeon who performed the surgery, or seek a second opinion from another plastic surgeon? I appreciate your response.
Thank you!

sisa, 20~29 year old female. Ask Date: 2019/03/23

Dr. Wu Yuxin reply Dermatology

Of course, it should be seen by the original physician.

Reply Date: 2019/03/23

More Info

After undergoing a cyst removal surgery, it is not uncommon to experience some residual swelling or a bump at the surgical site. This can be concerning for many patients, especially if it persists for a couple of weeks post-operation. Here’s a detailed response to your question regarding the persistent bump after cyst removal, along with some additional medical insights.

Understanding Post-Surgical Bumps
1. Normal Healing Process: After any surgical procedure, including cyst removal, the body goes through a healing process that can involve inflammation and the formation of scar tissue. This can lead to a firm or hard area at the incision site. It is essential to understand that this is often part of the normal healing process, and the bump may gradually decrease in size over time.

2. Possible Causes of the Bump:
- Scar Tissue Formation: As the body heals, scar tissue can form, which may feel firmer than the surrounding tissue.

- Fluid Accumulation: Sometimes, fluid can accumulate at the surgical site, leading to a seroma, which can feel like a lump.

- Infection: Although less common, an infection can cause swelling and tenderness at the site. Signs of infection include increased redness, warmth, and discharge from the incision site.

- Residual Cystic Tissue: In some cases, if the cyst was not entirely excised, remnants may lead to a persistent bump.

Next Steps
Given your situation, here are some recommendations on how to proceed:
1. Follow-Up with Your Surgeon: It is advisable to return to the surgeon who performed the cyst removal. They are familiar with your specific case and can provide the best assessment of whether the bump is a normal part of healing or if further intervention is needed. They may perform an examination and possibly imaging studies to evaluate the bump.

2. Consider a Dermatologist: If you feel uncomfortable returning to the original surgeon or if you seek a second opinion, consulting a dermatologist could be beneficial. Dermatologists specialize in skin conditions and can assess whether the bump is related to the cyst removal or if it is a separate issue.

3. Monitor Symptoms: Keep an eye on the bump for any changes. If it becomes larger, more painful, or shows signs of infection (redness, warmth, discharge), seek medical attention promptly.

4. Avoid Self-Diagnosis: While it may be tempting to search for answers online, it is crucial to rely on professional medical advice tailored to your specific situation.

Conclusion
In summary, a persistent bump after cyst removal can be a normal part of the healing process, but it is essential to monitor it closely. Returning to your original surgeon for a follow-up is the best course of action, as they can provide insights based on your surgical history. If you have concerns about the bump or if it changes in any concerning way, do not hesitate to seek further evaluation from a healthcare professional. Remember, effective communication with your healthcare providers is key to ensuring a smooth recovery.

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