A lump under your skin deserves an accurate diagnosis. At Westford Dermatology & Cosmetic Center, we evaluate skin cysts and discuss whether removal is appropriate. Our Westford, MA practice provides care for pilar and epidermoid cysts, often called sebaceous cysts. Your treatment plan depends on the cyst’s location, symptoms and examination findings.
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What Are Pilar, Epidermoid, and Sebaceous Cysts?

Cysts are round or oval-shaped lumps that can develop under the surface of the patient’s skin. They can become infected and inflamed, resulting in pain and discharge.

Pilar cysts, also known as trichilemmal cysts, typically form in the scalp. They are filled with keratin protein, which is the substance that hairs are made of.

Epidermoid cysts commonly form on the face, trunk, and neck. They grow from the cells of the epidermis.

Sebaceous cysts is commonly used to describe an epidermoid cyst, although these cysts are not the same as growths arising from sebaceous glands. An examination helps identify the type of lump and the appropriate next step.

When Should a Cyst Be Evaluated?

An evaluation may be helpful if a lump grows, becomes painful, repeatedly drains or interferes with daily activities. Some small, uncomplicated cysts can be monitored. Your clinician can discuss observation or treatment after examining the area.

What Is Excision of Pilar, Epidermoid, and Sebaceous Cysts?

Excision is the technical term for tissue removal using a scalpel. Excision of pilar, epidermoid, and sebaceous cysts is a minor surgical procedure. After the area is numbed, the targeted cyst is removed using this minimally invasive method.

Your Consultation

During a consultation regarding excision of pilar, epidermoid, and sebaceous cysts, the patient’s cyst will be examined. The type of cyst will be diagnosed, and patients will be asked questions about their cyst to determine their cause and how best to proceed. Questions will be asked about the patient’s medical history, including whether or not they are currently taking any medications.

The consultation is the perfect time for patients to bring up any questions or concerns about the procedure. Our skilled medical professionals will be happy to address all questions.

Your Cyst Excision Session

After local anesthesia numbs the area, your clinician makes an incision and removes the cyst. The approach depends on its size, location and condition.

Recovery and Aftercare After Cyst Removal

Your clinician will explain wound care, activity restrictions and any follow-up needed after removal. Recovery depends on the cyst’s location and the procedure. A scar may remain, and its appearance changes as the skin heals. Follow your individualized aftercare instructions and contact the practice if you have concerns about the wound.

Risks and Treatment Considerations

Possible risks include bleeding, infection, scarring and recurrence. If a cyst is inflamed, removal may be postponed while the inflammation is addressed. Your clinician will explain the risks and alternatives relevant to your treatment.

How Much Does Excision of Pilar, Epidermoid, and Sebaceous Cysts Cost?

The cost depends on the evaluation and treatment required. Ask our team about the expected charges and any insurance questions before scheduling treatment. Coverage and out-of-pocket costs vary; the practice can explain the information needed for your estimate.

Why Choose Westford Dermatology & Cosmetic Center?

Our Westford team provides medical and surgical dermatology care at 506 Groton Rd., Westford, MA 01886. Meet Dr. Steven Franks and our providers to learn about their backgrounds. At your visit, your clinician will review the findings and explain the proposed treatment.

Cyst Removal FAQs

No. Some uncomplicated cysts can be monitored. An examination helps determine whether observation or treatment is appropriate for your symptoms and concerns.
Drainage releases the contents, while excision removes the cyst itself. The appropriate approach depends on the findings at your visit.
A scar can remain after excision. Its size and appearance depend on the procedure, location and healing. Discuss your concerns during the consultation.
Not always. Your clinician may address inflammation first and discuss the timing of removal after an examination.

Read more about cyst excision.

Request a Cyst Evaluation in Westford

Contact Westford Dermatology & Cosmetic Center to request an appointment for a skin lump or cyst. Call 978.399.0061 or use our contact form to ask about scheduling at our Westford, MA office.

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