Post-Treatment Care for Skin Abscess: What to Expect - Dermatology

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After the treatment of a furuncle?


Hello, doctor.
I couldn't find any similar cases online, so I would like to ask you about my situation.
Recently, I had a boil on my buttocks, and after visiting a dermatologist, I was prescribed medication and topical treatment.
The swelling has subsided, there is no inflammation or pain, and it feels like it has healed.
However, when I touch the surface, there is a small, hard, pointed bump.
Aside from that, I have no other discomfort.
I have been applying topical clobetasol (as initially recommended by the dermatologist) for nearly a month, but that small pointed bump is still there.
Will it disappear on its own, or should I continue applying the medication?

Enen, 20~29 year old female. Ask Date: 2023/05/12

Dr. Wu Yuxin reply Dermatology


It could be a scar, or it might be that there is already a cyst inside.
It's necessary to have a face-to-face consultation with a physician for confirmation.

Reply Date: 2023/05/12

More Info


Post-treatment care for a skin abscess, such as the one you described, is crucial for ensuring proper healing and preventing complications. It sounds like you have been following your dermatologist's advice by applying the recommended medication, which is a good start. Here’s a comprehensive overview of what to expect and how to care for your skin post-treatment.


What to Expect After Treatment
1. Healing Process: After the treatment of a skin abscess, the area may still feel slightly raised or firm for some time. This is often due to residual inflammation or scar tissue formation. The hard spot you mentioned could be a small amount of scar tissue or a remnant of the abscess that is still healing.

2. Duration of Symptoms: It is not uncommon for the skin to take several weeks to months to fully heal after an abscess. The firmness may gradually decrease as the tissue continues to heal. However, if the area remains hard or if you notice any changes, such as increased redness, swelling, or pain, it is important to consult your dermatologist.

3. Medication: Continuing to apply the medication prescribed by your dermatologist is advisable. In your case, the use of a topical treatment like purple ointment (紫箘素) is intended to promote healing and reduce any residual inflammation. Follow your doctor's instructions regarding the frequency and duration of application.


Care Recommendations
1. Keep the Area Clean: Maintain good hygiene by gently washing the area with mild soap and water. Avoid scrubbing, as this can irritate the skin further.

2. Moisturize: If the skin feels dry, consider using a gentle, fragrance-free moisturizer to keep the area hydrated. This can help prevent irritation and promote healing.

3. Avoid Irritants: Steer clear of harsh soaps, fragrances, or any products that may irritate the skin. If you have sensitive skin, opt for products specifically designed for sensitive skin or those recommended for post-surgical care.

4. Monitor for Changes: Keep an eye on the area for any signs of infection or complications. If you notice increased redness, swelling, warmth, or discharge, contact your healthcare provider immediately.

5. Follow-Up Appointments: Attend any follow-up appointments with your dermatologist to assess the healing process. They can provide further guidance and adjust your treatment plan if necessary.


When to Seek Further Help
If the hard spot does not diminish over time or if you experience any discomfort, it is advisable to return to your dermatologist. They may perform an examination to determine if further treatment is necessary, such as a different topical medication or, in rare cases, a minor procedure to address any persistent issues.

In conclusion, while it is common for a small hard area to remain after an abscess has healed, diligent care and monitoring are essential. Continue to follow your dermatologist's advice, and do not hesitate to reach out for further evaluation if you have concerns about your healing process. Your skin's health is important, and ensuring proper care will help you achieve the best possible outcome.

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