Treatment

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

 

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• 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? 

Pre-Procedure

• 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.

POST-PROCEDURE CARE:

• 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.

SIDE EFFECTS:

• Hypopigmentation or hyperpigmentation
• Mild erythema
• Mild depression
• A pinpoint scar

However, the risk of these side effects is reduced when the procedure is performed correctly by an experienced surgeon.