Frustrated with Skin Issues: Seeking Expert Help for Facial Growth - Dermatology

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I have visited many hospitals without any improvement; I don't know what to do?


I have a growth on my right cheek that is about 2 to 3 centimeters in size.
Some doctors say it is a sebaceous cyst, while others say it is a subcutaneous cyst.
This growth has been on my face for two months, and I have seen doctors, taken medication, and applied topical treatments, but nothing has worked.
I am unsure what to do next.
Can you recommend any doctors who specialize in treating conditions like mine? (I am from Taichung) I have seen three doctors already, and none have been effective or clear about my condition!

Shítou Xiǎo Gūniang, 20~29 year old female. Ask Date: 2005/01/11

Dr. Huang Ruiyun reply Dermatology


A sebaceous cyst (commonly known as a pilar cyst) is recommended for evaluation by a plastic surgeon at a hospital to determine if it can be more thoroughly addressed through a minor surgical procedure.

Reply Date: 2005/01/11

More Info


It sounds like you're dealing with a frustrating and concerning skin issue. The growth on your right cheek, which has been present for about two months, could indeed be a sebaceous cyst (often referred to as a "wen") or a pilar cyst, both of which are common types of benign skin growths. These cysts can vary in size and may feel firm or soft to the touch. They are generally harmless, but they can become bothersome, especially if they are inflamed or if they affect your appearance.

Given that you've seen multiple doctors without satisfactory results, it's understandable that you're feeling frustrated. Here are some steps you can take to address your situation:
1. Seek a Dermatologist Specializing in Cysts: Since you are in Taichung, I recommend looking for a dermatologist who specializes in skin surgery or dermatological procedures. These specialists are often more experienced in diagnosing and treating cysts and other skin growths. You might want to check with local hospitals or dermatology clinics for recommendations. For example, Taichung Veterans General Hospital has a reputable dermatology department.

2. Consider a Second Opinion: If you feel that your current doctors are not providing clear explanations or effective treatments, it may be beneficial to seek a second opinion from another dermatologist. Sometimes, a fresh perspective can lead to a better understanding of your condition and more effective treatment options.

3. Diagnostic Imaging: If the growth is not responding to topical treatments or medications, your dermatologist may recommend imaging studies, such as an ultrasound, to better understand the nature of the growth. This can help differentiate between a cyst and other potential issues.

4. Treatment Options: If it is confirmed to be a cyst, treatment options may include:
- Observation: If the cyst is not causing any discomfort or cosmetic concerns, your doctor may suggest simply monitoring it.

- Injection: In some cases, corticosteroid injections can reduce inflammation and size.

- Surgical Removal: If the cyst is bothersome or recurrent, surgical excision may be the best option. This is typically a minor outpatient procedure.

5. Self-Care and Monitoring: In the meantime, avoid picking at or squeezing the growth, as this can lead to infection or scarring. Keep the area clean and monitor for any changes in size, color, or symptoms such as pain or drainage.

6. Emotional Support: Dealing with skin issues can be emotionally taxing. Consider speaking with a counselor or joining a support group for individuals with similar experiences. This can help you cope with the emotional aspects of your skin condition.

In conclusion, while it can be disheartening to deal with persistent skin issues, there are steps you can take to find the right treatment. Seeking a dermatologist with experience in treating cysts, considering a second opinion, and exploring various treatment options can help you find relief. Remember, you are not alone in this, and with the right support and care, you can manage your skin condition effectively.

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