Recovery Concerns After Cyst Drainage Surgery: What to Expect

Recovery issues after incision and drainage of a sebaceous cyst?

Hello Dr.
Chen, I would like to ask you: About two months ago, I underwent a drainage procedure for a cyst located on my lower back.
At that time, the physician assessed that sutures were not necessary and only used adhesive strips for closure.
Although there have been no signs of infection since then, I still have a Y-shaped scar from the incision (approximately 0.8 cm).
I'm unsure if it has developed into a similar type of atrophic scar.
Additionally, when I touch the area near the scar, it feels like the cyst is still present, as it feels hard, but the center is indented.
Will this area return to its original smoothness in the future, or will it remain indented after the cyst is removed? Thank you for your response!

Miss Lin, 20~29 year old female. Ask Date: 2021/07/14

Dr. Chen Jiaming reply Surgery

Due to the lesion behind you, self-assessment through touch may not be accurate.
It is advisable to seek direct consultation with a physician for proper evaluation.
Based on your description of the hard area with a central indentation, it is difficult to assess the current status of the cyst.
Regarding surgery, it can indeed help prevent recurrence, so it is recommended to visit a medical facility for further discussion.

Reply Date: 2021/07/14

More Info

After undergoing cyst drainage surgery, particularly in the lower back area, it is common to have concerns about the healing process and the appearance of the scar. Based on your description, it seems that you are experiencing some typical post-operative symptoms, but let’s break down your concerns for clarity.

1. Scar Formation: The Y-shaped scar you mentioned is a normal part of the healing process after any surgical procedure. Scars can take time to mature, often up to a year or more, and their appearance can change significantly during this time. Initially, scars may appear red, raised, or even indented, but they typically flatten and fade over time. The fact that you are noticing a hard area around the scar could be due to the normal healing process, where the body forms fibrous tissue to repair the incision. If the scar remains prominent or if you notice any changes in color or texture, it might be worth discussing with your physician.

2. Hardness and Indentation: The hardness you feel around the incision site could indicate that there is still some residual tissue or inflammation from the cyst. It is not uncommon for the area to feel firm or even slightly raised as the body continues to heal. The indentation you describe may also be a result of how the tissue healed after the cyst was drained. In many cases, the area can return to a more normal appearance, but this depends on various factors, including the depth of the incision, the amount of tissue removed, and your individual healing process.

3. Future Expectations: As for whether the area will return to its original flatness, this can vary widely among individuals. Some people may experience a complete return to normal, while others may have a slight indentation or change in texture. If the cyst was completely drained and there are no signs of recurrence, the area should gradually improve. However, if you continue to feel a hard lump or if the indentation becomes more pronounced, it may be necessary to consult your doctor for further evaluation.

4. Monitoring for Recurrence: Since you mentioned that you feel the cyst is still present, it’s essential to monitor the area closely. If you notice any changes, such as increased hardness, swelling, or pain, it would be prudent to seek medical advice. Sometimes, cysts can recur or new ones can develop, and your healthcare provider may want to assess the area to ensure that everything is healing as expected.

5. Post-Operative Care: Continue to follow any post-operative care instructions provided by your surgeon. Keeping the area clean and protected is crucial for optimal healing. If you have been advised to avoid certain activities or movements, it’s best to adhere to those recommendations until you receive clearance from your healthcare provider.

In summary, while it’s normal to have concerns about scarring and the healing process after cyst drainage surgery, most issues can resolve over time. If you have persistent concerns or notice any unusual changes, don’t hesitate to reach out to your healthcare provider for reassurance and guidance. They can provide personalized advice based on your specific situation and help ensure that your recovery proceeds smoothly.

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