Surgical Removal Of Sebaceous Cyst

Narrow hole technique is a surgical procedure in which the surgeon removes the cyst with a very small incision.

It generally helps treatment for Cyst removal.

However, this procedure may not be recommended in case:

Keloid scars
Active bacterial or fungal infection
History of herpes simplex virus infection
Pregnant women
History of eczema, psoriasis and other chronic skin conditions
History of actinic (solar) keratosis
Medical disorders such as scleroderma, collagen vascular diseases, bleeding disorders, heart disease
Patients with diabetes and those on immunosuppressive therapy, who are therefore more likely to have decreased wound healing
Patients with moles or warts in the treatment area

BENEFITS:

Firstly, narrow hole technique is quick, minimally invasive and so causes no to very little pain.
Secondly, because it destroys tissue by excision instead of volatilization, there is no scar formation. Thereby it improves the cosmetic results of removing epidermal cysts.
Thirdly, it greatly reduces the chances of the unfavourable sequelae of pain, swelling, infection, rigidity, and shock due to excessive bleeding after major surgery.
Above all, the procedure has a low recurrence rate and is without complications.

How does the procedure work?

Your dermatologist will explain the procedure to you step-by-step and address all your concerns.
After that, you will be asked for your consent for the procedure. In fact, only then will they proceed further.
Once you’re comfortably settled, your dermatologist will clean the treatment area properly and then give local anaesthesia.
He will make a narrow hole incision over the cyst with a needle.
With the help of the scraping method, he will scrap the cyst gently towards the hole and remove the cyst entirely with the help of the extractor and forceps.
Lastly, to control bleeding, he will apply a compression dressing for five days with ointment and gauze.

Furthermore, the procedure lasts for about an hour to an hour and a half.

Moreover, in some cases, you may need to repeat the procedure after an interval of 1-2 months to reduce the risk of recurrence.

Immediately after the procedure, you may experience a burning sensation that can be relieved by a cooling pad, cooling roller, or fan.
Try to avoid any direct exposure to dust.
You can wash the treated area with plain water after 24 hours or the next morning after treatment.
After the first day, wash and dry the treated area by patting the skin gently for 2 days.
During that period, do not rub the treated area.
After the 3rd day, you may wash or take a shower regularly.
Meanwhile, apply lotion at least twice a day. It will help hydrate and moisturise the skin, which will, in turn, help the area heal and reduce the risk of an allergic reaction.
Your doctor may prescribe painkillers and antibiotics to decrease pain and prevent infection.
After 3-7 days, a scab will form on the treated area and fall off soon.
New skin will start forming after 10-14 days.
For a week, avoid any vigorous activities like swimming, weight lifting, etc. Likewise, avoid smoking and alcohol consumption.
Average downtime is about five days.