Cyst Removal |
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What causes cysts?
The protective surface layer of the skin, the epidermis, is formed from a specialized cell type known as keratinocytes that are constantly renewed and shed. Occasionally - for reasons that are poorly understood - part of this surface layer can become implanted deeper within the skin where the cells can no longer be released and instead collect under the surface forming a cyst.
How are cysts removed?
Under local anaesthetic. I will make a cut over the surface of the cyst, gently separate the cyst from surrounding tissues and then extract it taking care that the entire lining of the cyst is removed to minimize the risk of the cyst regrowing. After removing the cyst I will use stiches close the wound in the skin surface to minimize scarring. These will need be removed 7-10 days after the procedure.
What are the risks of treatment?
The site will generally heal well to leave a linear scar, however risks include bleeding, haematoma formation, infection, pain (which rarely may be persistent), unsightly or keloid scar, numbness or burning, damage to nerves or blood vessels, pigmentary change (scar may be lighter or darker than the adjacent skin), wound dehiscence (the wound may separate requiring a longer period of healing and leaving a larger scar), prolonged discharge, recurrence and the need for further treatment according to the results of pathology. There is also a risk of bleeding after the procedure and it is advised not to travel home on public transportation alone. Please read the consent form (link below) for a full list of risks.
Important information about skin surgery
- In most cases, a dressing will be in place after the surgery for 48 hours. You should buy a new tub of Vaseline which you will apply after the dressing has been removed.
- If non-dissolvable stitches are used then you will need to attend 7-14 days after surgery for stitch removal. Stitch removal will usually be performed by a nurse.
- You should avoid scheduling surgery within 2 weeks of travel or important events.
- You should avoid vigorous exercise and swimming or hot tubs for at least one week or until the wound is fully closed.
- Depending upon the site you may need to be careful with heavy exercise or lifting for a number of weeks/months to prevent stretching of the scar.
- Avoid exposing the wound to direct sunlight. Once the wound is healed, use sunscreen with an SPF of 30 or higher to protect the area for at least six months.
- You will always be informed of the results of the biopsy even if it is benign. If you have not received results within 2 weeks of the date of surgery you should contact the practice management team.
- When you attend for surgery you will be asked to sign a consent form (see link below). All surgery carries risks and it important that you read this carefully before the procedure so that you can weigh the risks versus benefits of the procedure.
- You should also carefully read the following postoperative instructions (see link below).
- You will be provided with procedures codes for all planned procedures. To book the procedure please contact my practice management team (contact details below). If you are using medical insurance you should first get authorization for these procedure codes.
- In addition to the fee charged by Dr Lynch there will be a separate fee (usually substantially more) that is charged by the clinic/hospital for use of the theatres +/- pathology.
- If you are paying for treatment yourself, it is important to be sure that you understand the fees due to Dr Lynch and for theatre usage +/- pathology prior to the procedure. If you are using medical insurance it is essential that you have confirmation before the procedure that they have agreed to fund all procedures and fees otherwise you will be liable for these fees.
- All surgery can have complications that may require additional treatments. The costs of any additional treatments are not covered by the fees for this procedure. They will often be covered by medical insurance providers, however you should check this in advance.
