and Treating a Persistent Bump on the Buttocks - Surgery

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I have a lump approximately 1 centimeter in diameter on my buttock?


Hello, I often get pimples on my buttocks, and once I tried to squeeze one, but I don't know if I did it too hard.
As a result, it has been swollen and hasn't gone down for three years.
It doesn't look very good (because of the swelling), so I would like to ask: 1.
What methods are available to reduce it? 2.
If surgery is needed to remove it, how long will it take? 3.
Will I need regional or general anesthesia? 4.
How long will it take to heal after the surgery?

sing, 20~29 year old female. Ask Date: 2006/05/22

Dr. Huang Junxiong reply Surgery


Hello: Generally, the duration of surgery, the type of anesthesia, and the healing time are directly related to the size of the mass.
If the mass is only one centimeter in diameter, local anesthesia should be used, and the surgery will take about half an hour.
The wound healing time is approximately one to two weeks.
It is recommended that you seek treatment at a general surgery outpatient clinic.

Reply Date: 2006/05/22

More Info


When dealing with a persistent bump on the buttocks, it’s essential to understand the underlying causes and the appropriate treatment options available. Based on your description, it sounds like you may be dealing with a sebaceous cyst, an abscess, or possibly a dermatological condition that has become chronic due to irritation or infection. Here’s a comprehensive overview addressing your concerns:

1. Treatment Options for the Bump
To effectively treat the bump, it’s crucial first to determine its nature. If it’s a cyst or an abscess, the following options may be considered:
- Observation: If the bump is not causing pain or discomfort, sometimes the best approach is to monitor it. Many cysts can remain asymptomatic and may not require immediate intervention.


- Medication: If there is any sign of infection (redness, warmth, pus), antibiotics may be prescribed. For inflammatory conditions, corticosteroid injections can help reduce swelling.

- Surgical Removal: If the bump is persistent, painful, or cosmetically concerning, surgical excision may be the best option. This procedure involves removing the entire cyst or abscess, which can prevent recurrence.


2. Surgical Procedure Duration
The duration of the surgical procedure can vary based on the complexity of the bump. Generally, a simple excision can take anywhere from 15 to 30 minutes. However, if the bump is larger or if there are complications, it may take longer. Your healthcare provider will give you a more accurate estimate based on their assessment.


3. Anesthesia Options
Regarding anesthesia, the choice between local, regional (half-body), or general anesthesia depends on several factors, including the size and location of the bump, your medical history, and the complexity of the procedure.
- Local Anesthesia: This is commonly used for small, straightforward procedures. You will be awake but won’t feel pain in the area being treated.

- Regional Anesthesia: This may be used if the procedure is more extensive or if you prefer not to be aware of the surgery.

- General Anesthesia: This is less common for minor procedures on the buttocks but may be considered if the surgery is extensive or if you have anxiety about the procedure.


4. Healing Time
The healing time after surgery can vary based on the individual and the extent of the procedure. Generally, you can expect:
- Initial Healing: The incision site may take about 1 to 2 weeks to heal, during which you should avoid strenuous activities that could stress the area.

- Complete Recovery: Full recovery, where any swelling or tenderness subsides, may take several weeks to a few months, depending on your body’s healing response and the size of the excised tissue.


Additional Considerations
- Follow-Up Care: After surgery, follow your doctor’s instructions regarding wound care to prevent infection and promote healing.
- Potential Complications: As with any surgical procedure, there are risks involved, such as infection, scarring, or recurrence of the bump. Discuss these with your healthcare provider.

- Lifestyle Adjustments: If the bump is related to skin irritation (e.g., from friction or sweat), consider wearing breathable fabrics and maintaining good hygiene in the area.

In conclusion, while it can be concerning to have a persistent bump on the buttocks, there are effective treatment options available. Consulting with a dermatologist or a surgeon will provide you with the best course of action tailored to your specific situation. Don’t hesitate to seek medical advice to ensure proper diagnosis and treatment.

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