Sebaceous cysts arise from oil producing gland that cover your hair and skin. The cysts develop when the gland or its duct becomes damaged or blocked. Traumas such as a scratch, a surgical wound, certain skin conditions or genetic conditions can lead to blockages of the sebaceous gland or duct and spur their growth.
The cysts are usually painless but can be uncomfortable depending on their size. They often become symptomatic upon being infected. In that setting they are initially treated with surgical drainage and antibiotics. Attempts at definitively excising the cyst in the setting of an acute infection leads to poor wound healing, unsatisfactory cosmetic outcomes, and a higher risk of recurrence. As such, we offer surgical excision for symptomatic cysts that are not acutely infected. This is performed in our office with local anesthesia and minimal discomfort. Recovery is usually within a week but complete healing can often take 2 to 3 weeks.