Removal of Epidermal Cyst on the Neck (Video)

This patient had a growing epidermal cyst along the left side of his neck for the last number of months. It was now quite obvious and he wanted it removed. Although the capsule ruptures in this case, you can appreciate that the entire capsule is removed which should always be the goal when removing uninfected epidermal cysts. This healed nicely and without incident.

Cysts are fluid-filled pockets that form on the skin. While not usually dangerous, they can be painful and annoying. Depending on the type of cyst, you can usually have a cyst medically removed with the assistance of a doctor.

Dealing with Facial Cysts


Decide if medical intervention is necessary. Facial cysts, medically referred to as sebaceous cysts, can be annoying and unsightly but they don’t necessarily require medical intervention. If the cyst is not painful, it might be best to leave it alone to avoid complications having it removed. However, you should see a doctor if any of the following develop:

-Facial cysts are usually small, round lumps just underneath the skin. They may be black, reddish or yellowish, and occasionally release foul-smelling discharge. Cysts are generally more painful than other skin conditions, such as pimples.

-If the cyst ruptures, this can lead to a potentially dangerous boil-like infection. Prompt treatment and removal is required.

-If the cyst suddenly becomes painful and swollen, it may be infected. See a doctor to get the cyst removed and get the proper antibiotics.

-In very rare cases, a cyst can lead to skin cancer. During your regular annual doctor’s exam, ask your doctor to look at the cyst and determine if it poses a risk for cancer.

Dealing with Facial Cysts


Ask your doctor for an injection. If the cyst is infected or painful, your doctor can inject the cyst with a medication. While this will not fully remove the cyst, it will reduce redness and swelling. This can make the cyst less noticeable.


Have the cyst drained. If the cyst grows significantly or becomes painful and uncomfortable, you can have it medically removed. The cyst can be cut open and drained by your doctor.

– The doctor will make a small cut in the cyst and gently drains out the built up fluid. The procedure is fairly quick and usually not painful.[6]

– The major downside to this method is that cysts often reoccur after being lanced and drained.


Ask about surgery. The only way to fully remove a cyst is through surgery. Talk to your doctor about undergoing surgery if you want a cyst removed.

– Cyst removal surgery is minor. It does not take very long and recovery time is relatively brief. However, you may have to return to your doctor’s office after the surgery to remove any stitches.

– Surgery is very safe and usually prevents cysts from occurring. However, cysts do not usually pose a medical threat. Therefore it may be difficult to get surgery covered by insurance.

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