Should You Worry About a Blackhead After Cyst Removal?

Blackheads after the resolution of a sebaceous cyst?

Hello, doctor.
Over a decade ago, I had a lipoma (or possibly a cyst) on the inner thigh that eventually resolved.
1.
Recently, while showering, I noticed a small blackhead at the site of the previous lipoma.
Should this small blackhead be addressed? (It is currently not painful or swollen.) 2.
Is it possible for a small blackhead to remain after a lipoma has resolved? Thank you.

Xiao Zhi, 30~39 year old female. Ask Date: 2023/08/04

Dr. Wu Yuxin reply Dermatology

If the sebaceous cyst is still present, blackheads will continue to appear.
Surgical removal or continued observation can be chosen.

Reply Date: 2023/08/04

More Info

When it comes to the presence of a blackhead after cyst removal, there are a few important considerations to keep in mind. First and foremost, it’s essential to understand what a blackhead is. A blackhead is a type of acne lesion that forms when a hair follicle becomes clogged with oil, dead skin cells, and bacteria. The dark color of a blackhead is due to the oxidation of the material inside the clogged pore when it is exposed to air.

1. Should You Worry About a Blackhead?
If the blackhead you’ve noticed after cyst removal is not causing any pain, swelling, or other symptoms, it is generally not a cause for concern. Blackheads are common and can occur in various areas of the body, including areas where cysts have been removed. They are typically harmless and can often be managed with proper skincare routines. However, if you notice any changes in the blackhead, such as increased redness, swelling, or pain, it would be wise to consult a healthcare professional.

2. Is it Normal to Have a Blackhead After Cyst Removal?
Yes, it is possible to have a blackhead or a similar lesion appear after the removal of a cyst. When a cyst is removed, the surrounding skin may still produce oil and shed dead skin cells, which can lead to the formation of a blackhead. Additionally, if the cyst was located in an area prone to acne, such as the inner thigh, the likelihood of developing blackheads in that area may increase.
3. What to Do About It?
If you decide that you want to address the blackhead, there are several options available:
- Gentle Cleansing: Use a gentle cleanser to keep the area clean and free from excess oil and dirt. Avoid harsh scrubs that can irritate the skin.

- Topical Treatments: Over-the-counter treatments containing salicylic acid or benzoyl peroxide can help to reduce the appearance of blackheads. These ingredients work by exfoliating the skin and unclogging pores.

- Professional Extraction: If the blackhead persists and you find it bothersome, consider visiting a dermatologist or licensed esthetician for professional extraction. They have the tools and expertise to safely remove blackheads without causing damage to the surrounding skin.

- Avoid Picking: It’s important to resist the urge to pick at or squeeze the blackhead, as this can lead to infection, scarring, or further irritation.

4. When to Seek Medical Advice?
If you experience any of the following symptoms, it is advisable to seek medical attention:
- The blackhead becomes painful, swollen, or red.

- There is an increase in the size of the lesion or the appearance of new lesions.

- You notice any discharge or pus coming from the area.

- You have concerns about the appearance or changes in the skin.

In conclusion, while the presence of a blackhead after cyst removal can be concerning, it is often a normal occurrence and can be managed with appropriate skincare. If you have any doubts or experience any unusual symptoms, do not hesitate to consult a healthcare professional for personalized advice and treatment options.

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