Same-day surgical excision of sebaceous cysts, epidermoid cysts and pilar cysts. Complete removal including the cyst wall to prevent recurrence. By Dr. Reena Sharma, MD Dermatology.
Sebaceous cysts (epidermoid cysts) are common, benign growths that often appear on face, scalp, neck, back. Most are harmless but cosmetically bothersome or prone to repeated infection. Surgical excision with complete removal of the cyst wall is the only definitive treatment.
Why drainage alone fails
Squeezing or incising-and-draining a cyst removes the contents but leaves the wall behind — the wall continues to produce sebum and the cyst recurs almost universally. Surgical excision removes both contents and wall.
Procedure
Local anaesthesia, small elliptical incision, careful dissection to remove the cyst intact, sutures. 20 to 40 minutes. Patient leaves same-day with care instructions. Suture removal at 7 to 10 days.
If the entire cyst wall is removed, recurrence is uncommon (~5 percent). Squeezing or incomplete drainage almost always causes recurrence — that is why we recommend full surgical excision rather than drainage.
Are cysts dangerous?
Most are benign. We remove for cosmetic reasons, recurrent infection, or growing size. Any rapidly growing or atypical lesion is sent for histopathology.
Will there be a scar?
Yes, a small linear scar — typically fades to nearly invisible over 6 to 12 months. We use careful subcuticular suturing and recommend silicone gel/sheet for scar maturation.
How is the procedure done?
Local anaesthesia, small incision over the cyst, careful dissection to remove cyst wall intact, sutures. 20 to 40 minutes depending on size. Same-day discharge.
When should a cyst be removed urgently?
If infected (red, painful, swollen) — we drain and treat infection first, then remove the cyst once inflammation settles. Do not attempt to squeeze infected cysts at home.
How much does it cost?
₹4,500 to ₹10,000 per cyst depending on size and location. Histopathology adds ₹1,500 to ₹2,500 if sent.
