Surgical dermatology
Cyst Removal (Epidermoid & Pilar)
Safe, scar-minimizing removal of epidermoid and pilar cysts — in-office procedure with same-day treatment and minimal downtime.
Epidermoid Cysts
Smooth, round, movable bumps under the skin, usually with a central punctum (pore opening). Common on face, neck, trunk, and back. Filled with white, cheese-like keratin material.
Pilar Cysts
Firm, smooth cysts on the scalp, often multiple. Arise from the outer root sheath of hair follicles. Run in families (autosomal dominant). Rarely, can undergo malignant transformation (proliferating pilar tumor).
When to Seek Removal
- Cyst is enlarging
- Recurrent infections or rupture
- Cosmetically bothersome
- Tender, red, or draining
The Removal Procedure
Under local anesthesia, the dermatologist makes a small incision and removes the entire cyst wall. For infected cysts, drainage and a course of antibiotics may precede elective excision. Specimens are sent to pathology for confirmation.
Downtime: Minimal — most patients return to normal activities the same day with a bandage and sutures removed in 7–14 days.
Frequently asked questions
Will the cyst come back after removal?
Most insurance plans cover medical dermatology procedures. Contact us to verify your benefits.
Trusted sources
This page is educational. Specific treatment decisions are made during your visit with Dr. Puyana.
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