Swelling on Left Cheek: Possible Sebaceous Cyst Concerns - Dermatology

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There is swelling on the left cheek and chin, resembling a sebaceous cyst?


There is swelling on the left cheek and jawline, resembling a sebaceous cyst, with redness and hardness.
It was previously a small, soft lump, but in the past few days, possibly due to changes in the weather, it has become red, swollen, and painful.
I have been applying moisturizer to my cheeks, but I did not apply it to that area.

A-Ding, 30~39 year old female. Ask Date: 2008/11/18

Dr. Zhang Zhibo reply Dermatology


Hello, A-Ding: What you are describing is likely an epidermoid cyst.
Initially, it may become inflamed and painful, resembling acne, and can enlarge to form a tumor filled with secretions.
In milder cases, topical antiseptic solutions can be used for treatment.
In more severe cases, it is necessary to culture the bacteria to determine the specific infection and provide effective medication.
It is recommended to consult a dermatologist for detailed treatment!

Reply Date: 2008/11/18

More Info


Swelling on the left cheek, particularly when described as resembling a sebaceous cyst, can be concerning and warrants careful evaluation. A sebaceous cyst, also known as an epidermoid cyst, is a common benign growth that occurs when a hair follicle or skin pore becomes blocked. These cysts are typically filled with a thick, yellowish substance called keratin and can vary in size. They often present as soft, movable lumps under the skin, but can become inflamed or infected, leading to redness, swelling, and tenderness.

In your case, the transition from a small, soft lump to a hard, swollen area with redness and pain suggests that the cyst may have become inflamed or infected. This can happen due to various factors, including irritation, trauma, or changes in the skin's environment, such as weather changes or the application of skin products. While moisturizing lotions are generally beneficial for the skin, they can sometimes contribute to irritation if they contain certain ingredients that may not be suitable for all skin types, especially in sensitive areas.

It is important to monitor the symptoms closely. If the swelling continues to increase, becomes more painful, or if you notice any discharge from the cyst, it is advisable to seek medical attention. A healthcare professional can perform a physical examination and may recommend imaging studies, such as an ultrasound, to assess the cyst's characteristics and determine if it requires drainage or surgical removal.

In some cases, sebaceous cysts can resolve on their own, but if they become infected, treatment may involve antibiotics to address the infection and possibly a procedure to drain the cyst. It is also essential to avoid squeezing or attempting to pop the cyst, as this can exacerbate inflammation and lead to further complications.

Additionally, while sebaceous cysts are common, other conditions can present similarly, such as abscesses, lipomas, or even dermatological conditions like acne or folliculitis. Therefore, a proper diagnosis is crucial for effective treatment.

In summary, the swelling on your left cheek could indeed be related to a sebaceous cyst that has become inflamed. However, due to the potential for other underlying conditions, it is essential to consult a healthcare provider for an accurate diagnosis and appropriate management. Early intervention can help prevent complications and ensure a smoother recovery.

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