Can I Get a Sebaceous Cyst Removed Immediately? - Dermatology

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Sebaceous cysts on the face?


Hello, doctor! I have a sebaceous cyst on my face.
Can I have it surgically removed during my appointment?

Cheng, 20~29 year old female. Ask Date: 2014/02/28

Dr. Wu Yuxin reply Dermatology


Surgery cannot be performed immediately; a separate appointment for the procedure needs to be scheduled.

Reply Date: 2014/02/28

More Info


When it comes to sebaceous cysts, also known as epidermoid cysts, the decision to remove them immediately depends on several factors, including the cyst's size, location, symptoms, and whether there is any sign of infection or inflammation.
Sebaceous cysts are generally benign, fluid-filled sacs that can develop in the skin, often resulting from blocked sebaceous glands. They can appear anywhere on the body, but they are most commonly found on the face, neck, and trunk. While these cysts are usually painless and do not require treatment, many individuals choose to have them removed for cosmetic reasons or if they become bothersome.

In your case, if you have a cyst on your face and are considering immediate removal, the following points should be taken into account:
1. Assessment by a Physician: Before any surgical procedure, a thorough examination by a healthcare provider is essential. The physician will assess the cyst to determine its characteristics, such as size, tenderness, and whether it shows signs of infection (redness, swelling, or discharge). If the cyst is inflamed or infected, immediate removal may not be advisable, as surgery in such conditions can lead to complications.

2. Timing of Surgery: If the cyst is not inflamed and the physician deems it safe, they may proceed with the removal during your visit. However, in some cases, the doctor may prefer to schedule the surgery for another day to allow any inflammation to subside or to prepare for the procedure adequately.

3. Surgical Procedure: The removal of a sebaceous cyst is typically a minor outpatient procedure. It can be performed under local anesthesia, meaning you will be awake but the area will be numb. The doctor will make a small incision over the cyst, remove it, and then close the incision with stitches. The procedure usually takes less than an hour.

4. Post-Operative Care: After the cyst is removed, you will receive instructions on how to care for the surgical site. This may include keeping the area clean, applying antibiotic ointment, and monitoring for any signs of infection. Stitches may need to be removed after a week or so, depending on the technique used.

5. Potential for Recurrence: While surgical removal is generally effective, there is a possibility that the cyst could recur, especially if the entire cyst wall is not removed during the procedure. This is why it is crucial for the surgeon to ensure complete excision.

6. Consultation with a Specialist: If your primary care physician is not able to perform the procedure immediately, they may refer you to a dermatologist or a surgeon who specializes in skin procedures. These specialists have the expertise to handle such cases effectively.

In summary, whether you can have your sebaceous cyst removed immediately depends on its condition and the physician's assessment. If the cyst is not inflamed and the doctor feels it is appropriate, you may be able to undergo the procedure during your visit. However, if there are any concerns regarding infection or other complications, it may be best to schedule the removal for a later date. Always consult with a qualified healthcare provider to discuss your specific situation and receive personalized medical advice.

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