Post-Surgery Concerns: Cyst Removal and Scar Healing

Post-operative issues following cyst removal surgery?

On March 18, 2021, I underwent a surgery for a facial lipoma on my cheek at the hospital's plastic surgery department, where the doctor used cosmetic sutures.
During the follow-up appointment for suture removal, the doctor mentioned it was a calcified facial tumor, but the sample was sent for testing without allowing me to see it.
As of May 18, 2021, during the suture removal, the doctor advised me to apply 3M adhesive strips, which I have been changing approximately every 3-4 days.
For the past month, I have been applying a scar treatment cream, Beshuren, on the scar for 2-3 hours to dry it out before applying the adhesive strips.

My questions are: Is it normal to have hard lumps under and around the scar? Additionally, there is a milky white discharge coming from the suture line on the scar.
Could this indicate a recurrence of the lipoma, or is it simply due to applying the Beshuren cream and then immediately covering it with the adhesive strip, preventing the discharge from escaping? I hope to alleviate my concerns about whether I need to seek medical attention during this unusual time.
Thank you.

Xiao Meizi, 20~29 year old female. Ask Date: 2021/05/18

Dr. Lu Daokuan reply Plastic Surgery

Calcified cysts still need to be removed, and there is no issue of recurrence.
It is advisable to alternate the use of silicone gel and artificial skin for better results.
The white discharge you expressed is likely the contents of the pores, indicating that your local care may be a bit excessive, causing discomfort to the pores.

Reply Date: 2021/05/18

More Info

After undergoing surgery for the removal of a facial cyst, it is common to have concerns regarding the healing process, scar formation, and any unusual symptoms that may arise. Your questions about the presence of hard lumps around the scar, as well as the discharge of a milky substance from the incision site, are valid and warrant careful consideration.

Firstly, it is important to understand that after any surgical procedure, including cyst removal, the body goes through a natural healing process. This process can involve inflammation, which may lead to the formation of hard lumps or nodules around the incision site. These lumps are often a result of scar tissue formation, which is a normal part of healing. Scar tissue can feel different from the surrounding skin and may be firmer or more raised initially. Over time, as the healing progresses, these lumps typically soften and flatten.

Regarding the milky discharge you mentioned, it is crucial to differentiate between normal post-operative drainage and signs of potential complications. A small amount of clear or slightly cloudy fluid can be expected as part of the healing process, especially if the area is still inflamed. However, if the discharge is thick, has a foul odor, or is accompanied by increased redness, warmth, or swelling, these could be signs of an infection or other complications. In such cases, it is essential to consult your healthcare provider for a thorough evaluation.

The use of silicone gel sheets, like the 3M adhesive you mentioned, is a common practice in scar management. These products can help flatten and soften scars over time. However, it is important to ensure that the skin is clean and dry before applying these products. If the skin is not adequately dried after applying topical treatments like "倍舒痕" (a scar treatment), it could potentially trap moisture and lead to the formation of discharge. Therefore, it is advisable to allow the area to breathe and dry properly before reapplying any adhesive products.

As for the concern about recurrence of the cyst, it is essential to note that while cysts can recur, the presence of discharge does not necessarily indicate a recurrence. If the cyst was completely excised and the pathology report confirmed it was benign, the likelihood of recurrence is generally low. However, if you have concerns about the possibility of recurrence or if the symptoms persist, it is best to follow up with your surgeon or a dermatologist. They can perform a physical examination and, if necessary, imaging studies to assess the area and provide you with peace of mind.

In summary, while some hardening around the scar and minor discharge can be part of the normal healing process, it is crucial to monitor for any signs of infection or complications. If you have any doubts or if the symptoms worsen, do not hesitate to seek medical advice. Regular follow-ups with your healthcare provider will ensure that your healing process is on track and that any potential issues are addressed promptly.

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