Disclaimer: Results are not guaranteed*** and may vary from person to person***.
Our skin is an interesting feature of the human body. The protective barrier comes in different shades and textures, and it can be dramatically transformed with things like tattoos and other topical modifications. It’s strong enough to hold all of our internal parts, yet it’s fragile enough that the slightest point can penetrate it. The skin can also play host for a number of different conditions, some of which can be deadly, others just mildly annoying. Take sebaceous cysts, for example. They can come out of nowhere, they are uncomfortable, and they can be a little messy. But where do they originate? What causes a sebaceous cyst? Is there a difference between a sebaceous cyst on the back and a cyst behind the ear?
If you’ve ever wondered about these things, don’t worry, because we’ve got you covered. Here, you will find out all about sebaceous cyst causes, sebaceous cyst symptoms, sebaceous cyst treatment, sebaceous cyst prevention, and maybe even a few home remedies for sebaceous cysts that may work for you.
What Causes Sebaceous Cysts?
What is a sebaceous cyst? Essentially, it’s a bump somewhere around 1/4 to 2 inches in diameter. It forms in areas of the skin where sebum (an oil the body produces to waterproof hair) is produced. The cysts themselves develop from the sebaceous glands when they become blocked. A sack of cells filled with an oily, usually bad-smelling discharge forms underneath the skin. The cysts can start off small and may never grow very big, or they can grow rather large. They usually aren’t too painful, but they can become uncomfortable, irritated, and sometimes infected and inflamed.
What Are the Symptoms of Sebaceous Cysts?
The symptoms of a sebaceous cyst are pretty easy to spot. What you are looking for is a bump that forms under your skin. Depending on your skin color, it will probably appear a little reddish, but it may also have a little bit of a yellow tinge due to the oily liquid underneath. It will form in a spot where sebum is produced, commonly in areas around your neck, face, chest, or shoulders. If it’s leaking liquid, the smell may not be too pleasant, something akin to smelly cheese. The skin around the cyst will probably be sore and tender to the touch. The cyst itself can range in sizes.
Medical Treatment for Sebaceous Cysts
Generally, the cysts aren’t dangerous unless they become infected, but there are a few medical options that can be used to eliminate the cyst.
1. Medication
If the cyst has become infected, medications may be prescribed in order to clear up the infection, which may, in turn, help the cyst die down. Medications could include antibiotics. A steroid may also be prescribed as either a pill or a topical cream in order to shrink the infection and or the cyst.
2. Draining
The cyst may be drained in order to reduce the swelling. Do not attempt this yourself, and only allow a medical professional to perform the technique. Draining could reduce the size of the cyst and help relieve discomfort.
3. Surgery
In rare cases, surgery may be necessary to remove the cyst.
These are only but the medical options for treating the cyst. If you want to attempt to treat it yourself, there are a number of home remedies that might be able to help you before you go to the doctor.
Sebaceous Cysts Prevention and Home Remedies
As the cysts tend to be more annoying than dangerous, you may choose to treat it with a home remedy instead or at least until you are able to make it to the doctor. These treatments are easily done within the comfort of your home.
1. Tea Tree Oil
Tea tree oil is widely praised for its antiseptic and anti-inflammatory properties, so it’s no surprise that many use it for battling sebaceous cysts. Try adding a few drops to a bit of water, and then clean the area. Leave it to sit for a few minutes before cleaning off the solution. If the cyst is rather large, you may choose to use undiluted tea tree oil directly on the cyst.
2. Clay Tablets
Clay tablets have been known to work for some sebaceous cyst sufferers. These reportedly help clear up the skin and the cyst by detoxifying the digestive system.
3. Tea Bags
Tea has anti-inflammatory properties that could help reduce the swelling of a cyst. Moisten the tea bag (or even make a cup of tea) and place the tea bags in the fridge. Take them out and place them on the cyst overnight. Alternatively, you can soak the tea bags in milk and do the same thing.
4. Warm Compress
A warm compress could help get the blood circulating to the area as well as help open pores, allowing for some natural drainage of the cyst.
5. Apple Cider Vinegar
Applying apple cider vinegar directly to the cyst may help shrink it. Apply a few drops of apple cider vinegar to the cyst and cover with a bandage overnight. This should allow for the removal of dead skin and allow the cyst to drain naturally. Repeat this over a few days.
6. Baking Soda
A paste of baking soda and water may also help reduce the size of a cyst. Mix baking soda with some water to form a paste. Spread the paste smoothly over the cyst. Repeat this for a few treatments and you may find that the cyst has shrunk.
7. Epsom Salts
Epsom salts are often used for muscle aches and pains, but they could also help relieve the swelling and inflammation of a sebaceous cyst.
8. Aloe Vera
A natural remedy for a number of skin ailments, aloe vera might also help clear up a cyst. Take a fresh aloe vera leaf and cut it. Apply the juice several times a day, and you may be able to see a difference quickly.
Of course, one of the best ways to stop a sebaceous cyst is to stop it from popping up in the first place. The best way to prevent a sebaceous cyst from forming is to take care of your skin. Keep yourself hydrated and wash regularly, but not so much that you damage your skin. Take care when shaving. Following these steps may make it harder for a cyst to form.
Don’t Worry, but Do Take Care
Whether it’s a cyst on the back of the neck, a cyst on the scalp, or a cyst on the forehead, most sebaceous cysts are not dangerous. However, they can be very annoying and uncomfortable. They may also be tender, but rarely are they horribly dangerous to your health. The key is to spot the cyst quickly and begin treatment before it becomes infected or inflamed. Once you’ve done that, it’s smooth sailing ahead.
Even if you discover a sebaceous cyst a later on, it isn’t a huge deal. Try the home remedies that we’ve listed above. But, if you are unsure of allergies or how any natural ingredients may react with your body, speak to your doctor or pharmacist. You will get the cyst treated quickly. A bonus is that once the cyst is treated, they rarely come back in the same spot. Just take care of your skin afterwards, and your future cyst problems should be very limited.
Table of Contents
If you have already consulted a doctor, then you know that cysts are nothing to worry about. In fact there are few wonderful home remedies for treating cysts. Home remedies have been proved very effective as it can totally cure the cyst formation. So here is a list of home remedies for you.
Tips To Cure Cyst With Natural Remedies
The Magic Of Lime Powder
If you can prepare the formation of chalk by mixing equal proportion of water and lime powder, it helps in treating cysts. Lime powder is a powerful citric acid and is available in any grocery store.
The strong lime powder actually breaks up the cyst formation naturally. It might just sting you a little bit so in that case you can apply rose water to alleviate the burn.
Garlic Powder
Garlic is used as a home remedy for cysts and it is also an antiseptic offered by nature. Make a thick garlic paste and apply it on the cyst and immediately wrap it with gauze.
Keep it for atleast 10-15 minutes and wash off. When you are affected by cyst, you must increase the intake of garlic. It has the power to arrest bacteria thus preventing from skin diseases or inflammation.
Turmeric Is Very Useful
Turmeric, an Indian spice is the best natural antibiotic used in curing cysts sitting at home. Turmeric has the super power to do away with any skin problem.
You need to make a dense turmeric paste and apply over the cyst and coat the affected area with gauze. You can notice a miraculous diminish in size and there are chances that your cyst shall be totally removed in some days. You can also take turmeric capsules to fasten the healing process.
Usage Of Aloe Vera
Aloe Vera has its own healing power so applying Aloe 4-5 times a day on the cyst helps a lot. Aloe Vera is a natural antibiotic used to treat infections, cuts and wounds. Even if your cyst is causing pain, applying Aloe Vera brings a lot of relief. But Aloe Vera alone cannot heal a cyst totally.
Try Out Fish Oil
Cyst may be formed due to deficiency of ‘Omega-6’ and ‘Omega-3’ fatty acids. Fish oil supplements are very effective in healing cysts as they can provide you with a specific dose of essential skin nutrients.
Apply Milk
Milk can arrest infection. Soak a teabag into milk and if you leave the teabag overnight on the cyst, next morning you get up and can see the cyst shrink. Isn’t great? So start applying milk.
Balance PH Level By Apple Cider Vinegar
Improper PH level of your skin might result in cyst formation. Use Apple Cider Vinegar as it balances the PH level of your skin. You will be healed rapidly and it ensures that you shall not be affected by cyst ever in future.
Potato Slices
Leaving potato slices on the cyst overnight is also a home remedy to cure cysts. Applying it will help your cyst to shrink bringing some relief.
Have You Tried Soap And Water?
Yes, this simple remedy works as a natural home remedy for cysts. Gently rub the area so that you do not redistribute the contents of the cyst. Then carefully wash the affected area with soap and the cyst will gradually break up naturally.
You also need to maintain a healthy diet and drink lot of water to prevent cysts and other infections. You must always apply any antibiotic cream like Neosporin if your cyst is painful. So, use home remedies and get rid of cysts.
What is a sebaceous cyst?
A cyst usually is a slow-growing lump that can move easily under the skin. The term “sebaceous cyst” refers to either an epidermoid cyst, which originates from the skin, or a pilar cyst, which comes from hair follicles.
These cysts are closed sacs that can be found under the skin of the entire body (except the palms of the hands and soles of the feet). A foul odor may be noticed from the overlying skin.
What causes sebaceous cysts?
Sebaceous cysts may be caused by blocked glands or swollen hair follicles in the skin. Trauma to skin has been reported, as well. Cysts sometimes are inherited.
What are the symptoms of sebaceous cysts?
The main symptom of a sebaceous cyst is a small lump under the skin. The lump is usually not painful. In some cases, however, cysts can get inflamed and become tender to the touch. The skin on the area of the cyst may be red and/or warm. Drainage from the cyst will appear grayish-white and cheese-like, and will have a foul smell.
Last reviewed by a Cleveland Clinic medical professional on 12/05/2016.
References
- American Academy of Family Physicians. Minimal Excision Technique for Removal of an Epidermoid Cyst. Accessed 12/5/2016.
- British Association of Dermatologists. Epidermoid and Pilar Cysts (Previously Known as Sebaceous Cysts) Accessed 12/5/2016.
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Sebaceous cysts are non-cancerous but give a weird look, cause pain and discomfort. Here’s how you can treat them naturally at home.
A sebaceous cyst totally noncancerous, but sometimes people consider it as a serious disease. It’s really common to get this kind of cyst, however, it is quite discomforting and a little painful. It can be infectious if it contains ‘pus’ also known as semi-liquid material. This liquid cyst is generally found around the neck or face. It grows slowly and hence can be treated easily.
What causes sebaceous cysts?
Here’s an explanation to it. Sebaceous cysts build up in the sebaceous gland, which generates ‘sebum oil’ which gives nourishment to your hair and skin. However, if the sebaceous gland gets blocked then the oil is unable to reach the skin and hair, therefore it gradually grows as a sebaceous cyst.
Treatments
Common sebaceous cysts treatment includes draining out the liquid or surgically removing the cyst. However, there are also some amazing natural remedies to cure sebaceous costs available that can help you treat cysts easily. Here are some of the most effective home remedies for cysts that you can try.
Witch hazel for sebaceous cysts
Witch hazel offers some amazing astringent properties that can help in curing sebaceous cyst easily. To treat sebaceous cysts at home, apply some witch hazel extracts or cream over the cyst and let it soak for 10-15 mins. Tannins present in witch hazel will remove the excess oils and tighten the pores. Although, the size of the cyst will begin to reduce within the next couple of days, try this effective home remedy for at least a week for best results.
Aloe vera for sebaceous cysts
Aloe vera is an all-around home remedy for skin problems with some amazing pain-relieving and healing properties. Apply aloe vera gel directly over the cyst. The gel will provide instant relief from the discomfort caused by the cyst. Within a couple of days, the cysts will start to shrink. For even better results you can also drink aloe vera juice.
Tea tree oil for sebaceous cysts
Tea tree oil offers anti-inflammatory and anti-bacterial properties, which can be very helpful in healing various health problems, such as acne, headache, cough, warts, as well as sebaceous cysts. Apply some tea tree oil directly on the cyst to treat it. It will not only treat the cyst but also prevent the risk of infection.
Castor oil for sebaceous cysts
Castor oil also works wonders with cysts. It helps reduce the size of the cyst as well as provide quick relief form itching . Soak a cotton swab in castor oil and gently apply the oil directly on the infected cyst.
Turmeric for sebaceous cysts
Turmeric can be very useful against cysts. You can drink turmeric milk to help your body cure cysts on its own. If in case the cysts bursts anyhow, let all the fluid drain out and apply turmeric paste over the area and cover with a clean cloth. It will prevent the risk of infection.
Health Tips
- Sebaceous cysts pose no risk to life.
- It can cause discomforting symptoms if left untreated.
- Doctors usually treat them surgically.
- Home remedies can help treat cysts easily.
Read more articles on Home Remedies
Why do sebaceous cysts come back?
To answer this question, let’s discuss what a cyst actually is. Generally speaking, a cyst is a sac lined with cells. Cysts can occur within organs such as the ovaries, kidneys and liver, or can occur on the skin. Cysts of the skin are commonly called sebaceous cysts, but there are actually several different types of skin cysts, depending on the cell type of origin:
- A sebaceous cyst arises from the oil glands
- An epidermal inclusion cyst arises from the epidermal skin cells
- A pilar cyst arises from the hair follicles
What do sebaceous cysts look like?
Pilar, epidermal inclusion, and sebaceous cysts all look pretty much the same. They appear as a large lump just under the skin. Squeezing this lump may produce a thick, white, cheesy substance (you may have seen videos of this uploaded to You Tube, or posted on Facebook, or even on primetime tv now that Dr. Pimple Popper has her own show!) This thick white substance is oil and dead skin cells produced by the cells lining the cyst. The cyst grows larger as the lining cells make more oil and skin cells.
Should you have a cyst removed?
I see a lot of patients for cyst removal simply because they don’t like having a lump, and they want to get rid of it before it gets bigger. But cysts can also become infected. In this instance, the cyst becomes red, hot to the touch, swollen, and painful as in the photo below.
To treat an inflamed or infected cyst your doctor may drain the infection and place you on antibiotics. But draining the contents of the cyst does not remove the cyst cavity itself. So the cyst “comes back” when it fills back up with oil and dead skin cells. Actually removing a cyst involves making an incision in the skin. The cyst is removed, and the incision is sutured closed.
Why did my sebaceous cyst come back?
Although cysts can come back after they are removed, this isn’t very common. If you’ve had a cyst treated only to return, you most likely had the cyst drained, rather than completely excised. I would recommend seeing either a general surgeon or plastic surgeon for removal. Most cysts can be removed in the office in less than an hour.
Brian R. Moore, MD
Blake E. Fagan, MD
Stephen Hulkower, MD
Deborah C. Skolnik, MLS
Mountain Area Health Education Center, Asheville, NC
References
1. GP Notebook [online database]. Stratford-on-Avon, Warwickshire, UK: Oxbridge Solutions Limited; 2003. Sebaceous Cyst. Available at: www.gpnotebook.co.uk. Accessed on March 7, 2007.
2. Mehrabi D, Leonhardt JM, Brodell RT. Removal of keratinous and pilar cysts with the punch incision technique: analysis of surgical outcomes. Dermatol Surg 2002;28:673-677.
3. Zuber TJ. Minimal excision technique for epidermoid (sebaceous) cysts. Am Fam Physician 2002;65:1409-1412, 14171418, 1420.
4. Kitamura K, Takahashi T, Yamaguchi T, Shimotsuma M, Majima T. Primary resection of infectious epidermal cyst. J Am Coll Surg 1994;179:607.-
5. Diven DG, Dozier SE, Meyer DJ, Smith EB. Bacteriology of inflamed and uninflamed epidermal inclusion cysts. Arch Dermatol 1998;134:49-51.
6. Lee HE, Yang CH, Chen CH, Hong HS, Kuan YZ. Comparison of the surgical outcomes of punch incision and elliptical excision in treating epidermal inclusion cysts: a prospective, randomized study. Dermatol Surg 2006;32:520-525.
7. Goldstein BG, Goldstein AO. Benign neoplasms of the skin. UpToDate [online database]. Updated November 21, 2005. Waltham, Mass: UpToDate.
8. Lookingbill DP, Marks JG. Principles of Dermatology. 3rd ed. Philadelphia, Pa: WB saunders Company; 2000.
Punch biopsy excision appears to be superior to traditional wide elliptical excision for the treatment of sebaceous cysts when intervention is necessary (strength of recommendation [SOR]: B, based on 1 small randomized study). No rigorous methodological studies have compared punch biopsy excision of sebaceous cysts with the minimal excision technique.
Cyst qualities dictate technique
Gabrielle O’Sullivan, MD
University of Washington, Seattle
There are 3 main techniques for the removal of sebaceous cysts: traditional wide excision, minimal excision, and punch biopsy excision. For large cysts that have never become inflamed or ruptured, I favor the minimal excision technique because it’s likely that I’ll be able to remove the entire capsule with minimal scarring and faster healing times. Also, for cysts on the face, this method produces a better cosmetic result because of the significantly smaller scar.
However, for a cyst that has ruptured internally, has been expressed manually in the past, or recurs following minimal excision, I find traditional wide excision to be best. In these scenarios, it is extremely time-consuming and often impossible to remove the entire capsule using the minimal excision technique.
Punch and minimal excision biopsy may have faster healing times and produce less scarring
Sebaceous cysts—more correctly referred to as epidermal inclusion cysts—are benign lesions of the skin. They rarely require intervention out of medical necessity, but are removed for cosmetic reasons. If the cysts become inflamed, secondary to internal discharge of the cysts’ contents, or grow so large that they interfere with the patient’s functioning, they may need to be removed. 1
Traditional wide excision—involving dissection and removal of the cyst completely from the surrounding tissue through an elliptical incision—is considered the gold standard of treatment. This time-consuming endeavor frequently leads to significant scarring in comparison with minimal excision or punch biopsy, but has almost no recurrence when the cyst wall is entirely removed. 2
Minimal excision and punch biopsy techniques are purported to produce minimal bleeding, have faster healing times, and produce less scarring. 2 Though both techniques offer a shorter procedural time, they appear to have a slightly higher rates of recurrence.
The minimal incision technique involves kneading the lesion following injection of anesthetic and expressing the cyst contents through a 2- to 3-mm incision. Following expulsion of the cyst contents, the loosened capsule is delivered through the small opening. Closure with suture is optional. 3
Punch biopsy excision is similar to the minimal excision technique except that the incision is made using a single-use disposable dermal punch following injection of lidocaine. Expulsion of the cyst contents, with cyst wall, via lateral pressure is performed and occasionally followed by closure with one suture. 2
The majority of authors agree that inflamed cysts should be allowed to convalesce prior to attempted removal, though one group (Kitamura et al 4 ) suggests primary resection, wound lavage, and primary suture without drainage for infected epidermal cysts. Rarely are these cysts truly infected. The inflammation is secondary to sebaceous cyst wall rupture with leakage of cyst contents, which elicits the inflammatory response. 5
A small study points to cosmetic benefits of punch biopsy
A small study found punch biopsy to have better cosmetic results and to take less time than the traditional wide excision
To date, no randomized controlled trials have been published that compare the 3 most common techniques for treatment of sebaceous cysts. Only 1 small (n=60) randomized study compared traditional wide excision with punch biopsy. 6 They found punch biopsy to be less time-consuming and to offer superior cosmetic results. However, cysts larger than 2 cm took longer with the punch biopsy technique.
Only a single dermatologist performed all of the surgeries, which could introduce bias. There was no mention of blinding of the researcher that subsequently measured the wounds. Of the 31 patients randomized to the punch biopsy technique, there was 1 recurrence in the 16 months of follow-up compared with none in the wide excision arm. This study excluded patients with infected, inflamed, or recurrent cysts.
Recommendations from others
UpToDate does not recommend excision of an inflamed cyst, suggesting that the inflamed cyst wall is more friable and, therefore, more difficult to remove completely. 7 This may lead to a higher rate of recurrence.
Lookingbill and Marks in Principles of Dermatology 8 suggest that, frequently, no therapy is indicated for these lesions. If removal is desired or indicated, every effort should be made to remove the entire cyst lining in order to prevent recurrence of the cyst. They recommend removal of the cyst via the traditional wide excision technique. If the cyst ruptures accidentally during the procedure they suggest removing the remaining contents and wall with a curette.
Evidence-based answers from the Family Physicians Inquiries Network
Your sebaceous gland can get blocked when cheese-like substances accumulate under the skin’s outermost layer. This condition is also referred to as keratin and epidermoid cysts. The sebaceous gland is responsible for secreting oily substances that help to lubricate our skin and hairs, and when this gland is blocked, a cyst will form. Below are some symptoms of this condition:
- Swelling and tenderness in the infected area
- A yellowish material which is thick and has a foul smell that sometimes comes out of the cyst
- A bump, usually small and round beneath the skin. This could be seen around the face, neck or trunk.
- A small blackhead that plugs the opening at the center of the cyst
Home Remedies for Blocked Sebaceous Gland
1. Warm Compress
Applying moist heat to sebaceous cyst can help speed up the healing process. Heat expands the blood vessels, making it easier for the nutrient to be transported to the affected areas. Besides, heat can improve blood circulations, which help wash off toxins that cause this condition.
You need:
- Warm water
- Clean towel
How to do this:
- Put towel in the warm water.
- Remove it from water and squeeze out the water.
- Apply the towel on the spot for about fifteen minutes.
- Repeat two to four times daily.
2. Tea Tree Oil
Blocked sebaceous gland can lead to cystic acne which can get infected. Thanks to its anti-bacterial and anti-inflammatory properties, tea tree oil can help in this condition.
You need:
- One to two drops of tea tree oil
- Adhesive tape
How to do this:
- Apply one to two drops of tea tree oil to the affected area.
- Use an adhesive tape to cover the cyst.
- After about 10 minutes, take the tape off.
- Avoid sleeping with it.
- Apply only the oil on the next morning.
3. Castor Oil
This oil contains a chemical known as ricin which gives the oil anti-bacterial properties. It can be used to help reduce itching and inflammation.
You need:
- Clean cloth
- Castor oil
- Hot compress
How to do this:
- Soak a clean cloth in castor oil.
- Place the soaked cloth on the cyst.
- Put a hot press on top of the cloth.
- Hold it and leave for several minutes, but do not apply for more than 30 minutes.
You can also apply the oil directly on the affected area 3-4 times daily.
4. Aloe Vera
Aloe vera is a skin-friendly herb and it is also good for your overall health. It has pain relieving and anti-bacterial properties, which helps shorten the healing process of the wound. Applying aloe vera on the affected area can relieve the discomfort caused by cysts in no time.
You need:
- Aloe Vera gel
How to do this:
- Apply some gel directly on the cyst.
- Gently rub the gel on the area until it penetrates into the cyst.
- Repeat this twice daily.
5. Witch Hazel
Witch hazel extract is efficient in treating blocked sebaceous gland. Both the leaves and barks of witch hazel are rich in tannin which is a known remedy for glands that produce too much oil. Tannins help tighten pores of the skin and control oil secretion, thus preventing cysts and acne from forming.
You need:
How to do this:
- Apply one to two drops of witch hazel extract on the cyst.
- Rub gently till it penetrates into the cyst.
- Repeat the process daily.
5. Apple Cider Vinegar
This material contains strong anti-fungal, antiseptic, anti-bacterial and antimicrobial properties. It works perfectly well for cleansing infected cysts.
You need:
- Cotton ball
- Apple cider vinegar
How to do this:
- Dip the cotton ball into the apple cider vinegar.
- Place the cotton ball on the cyst and hold for few minutes, and then remove it.
- If you have a very sensitive skin or you feel a stinging sensation, use water to dilute the vinegar before using it.
- Repeat three times daily.
7. Grapefruit Seed Extract
Grapefruit seed extract is effective in decreasing the size of cysts. As a natural germicide, it can also treat infected cysts. You need to use just little quantity of grapefruit because it has great strength.
You need:
- A drop of grapefruit seed extract
- Bandage
- Tissue
How to do this:
- Apply a drop on the cyst.
- Wait for some seconds till it is absorbed.
- Dab with the tissue.
- Use a bandage to cover.
Note: Most cysts don’t pose any threat to your health. But you’d better visit your doctor if you have a cyst which:
- Grows very fast
- Is very painful
- Occurs frequently
Medical Treatment for Blocked Sebaceous Gland
Although these epidermoid cysts are generally not harmful to your health, if you feel uncomfortable with them, you can visit your doctor and consider treatment options as follows:
- Injection: Injecting a kind of medication into the cyst will help reduce inflammation and swelling.
- Drainage: Your doctor may cut a small incision on the cyst, and then he or she will squeeze the pus out. Although this treatment is easy and quick, your cyst may reoccur.
- Minor surgical procedure: During this procedure, the doctor will remove the whole cyst, which can prevent it from reoccurring.
- Lasers: It involves using a carbon dioxide laser to make the cyst vaporize.
Medically reviewed by Drugs.com. Last updated on May 4, 2020.
What are Sebaceous Cysts?
Sebaceous cysts are small lumps that arise within the skin on the face, upper back and upper chest. A sebaceous cyst can form when the opening to a sebaceous gland becomes blocked. The oily substance called sebum continues to be produced but cannot escape to the outer skin surface.
The cyst may remain small for years, or it may continue to get larger. These cysts are rare in children but common in adults. Sebaceous cysts are not cancerous.
Symptoms
A cyst is a movable, dome-shaped, smooth-surfaced mass that varies in size from a few millimeters to several centimeters (from less than a quarter of an inch to more than 2 inches). Sebaceous cysts appear primarily on the face, upper back and upper chest.
Diagnosis
Your doctor can examine the swelling and tell you if you have a cyst.
Expected Duration
A cyst may disappear on its own or remain indefinitely.
Prevention
Sebaceous cysts that occur in people with acne can be prevented by keeping acne under control with medication.
Treatment
A sebaceous cyst usually does not need to be treated unless it is inflamed (red) or is causing a cosmetic problem. Inflamed cysts usually are treated by draining the fluid and removing the shell that make up the cyst wall. You also may be treated with antibiotics if the skin around the cyst is also inflamed. If a cyst is causing irritation or cosmetic difficulty, your physician can remove it by making a small incision in the skin and emptying the contents of the cyst and its wall.
When To Call a Professional
If you have a new swelling on your skin that lasts for more than two weeks, contact your doctor, especially if it is painful.
Prognosis
The outlook for sebaceous cysts is excellent. Many cysts have no symptoms and some will go away on their own. Cysts can return. If your cyst is problematic, your doctor may decide to drain it or remove it surgically. This does not usually lead to any complications or side effects.
External resources
American Academy of Dermatology
http://www.aad.org/
Further information
Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.
At the risk of ruining your day/appetite/sanity, I feel that we must discuss what our dear Redditors are referring to as “the never-ending cyst.” (Yes, yes it is just as bad as it sounds — maybe worse.)
The video featuring said cyst was first posted on YouTube by dermatologist Vikram Singh Yadav who you may be familiar with, as he makes gory popping content akin to Dr. Pimple Popper — though this one might possibly be worse than any I’ve witnessed on her channel. As the title suggests, the video showcases a patient with a gnarly sebaceous cyst (that’s a slow-growing benign growth under the skin, for those unaware) and oodles and oodles of what looks like brain matter (but is actually keratin) erupting from the site.
For the entirety of the nearly two-minute clip, the keratin oozes out in a way that oddly reminds me of the way frosting looks when coming out of an icing dispenser (sorry, sorry). And the chances of me having nightmares over this are aggressively high. (All in the name of the job, y’all!)
What’s even worse is the fact that it smells, too, which I only know (and wish I didn’t) because it says “it has a particular smell due to presence of some sulpher content. ” in the description section. “Can you imagine the smell of that sludge?” wrote one Reddit user. I don’t want to.
If you can stomach it — and in that case, props to you — tune in to the full video below. And please don’t @ me if you’re scarred for life because look, you can lead a horse to a cyst — but I did not make you click!
More stomach-turning videos:
Now, see clips from some of Dr. Pimple Popper’s videos in one place:
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They usually disappear without treatment but can get infected
Brian Levine, MD, MS, FACOG, is board-certified in obstetrics and gynecology, as well as in reproductive endocrinology and infertility.
Sebaceous cysts are common skin cysts that can pop up really anywhere on the body but are more frequently seen on the head, back of the ears, neck, and trunk. They are believed to result from a clogged hair follicle or skin trauma. In addition, some genetic disorders like Gardner’s syndrome may predispose a person to develop sebaceous cysts.
Some confusion arises around sebaceous cysts as these cysts contain keratin, and not sebum (oil) because they originate from the outer layer of the skin (the epidermis) and not the sebaceous glands.
In fact, the true name for sebaceous cyst is an epidermoid cyst, although many people, even healthcare professionals, still erroneously use the term sebaceous cyst. Given that the term sebaceous cyst is still often used in the medical community, this article will refer to the cyst as such.
This photo contains content that some people may find graphic or disturbing.
Sebaceous Cyst Symptoms
Sebaceous cysts are painless, soft lumps or bumps that grow slowly just under your skin. They usually have a visible hole in the middle (called a central punctum) and can move freely when touched.
You can see the keratin if the cyst becomes inflamed and breaks open. Keratin is a “pasty” or “cheesy” looking substance that may have a foul odor.
Some sebaceous cysts remain stable in size with time whereas others grow larger which may be uncomfortable and painful, especially if the cyst becomes inflamed. To prevent infection, it’s important not to touch or try to remove the substance inside a sebaceous cyst, although this can occur simply on its own.
Signs that may indicate an infection of a sebaceous cyst include:
- Redness
- Tenderness
- Increased temperature of the skin over the cyst (it feels warm)
Diagnosis
Sebaceous cysts, to the trained eye, are usually easily diagnosed by their appearance. In some cases, a biopsy or skin culture may be necessary to rule out other conditions with a similar appearance.
For instance, an abscess (a collection of pus underneath the skin) or a lipoma (a non-cancerous mass of fatty tissue) can resemble a sebaceous cyst. To ensure a correct diagnosis, you should see your doctor for a formal evaluation.
Treatment
Sebaceous cysts most often disappear on their own and are not dangerous. As stated, however, they may become inflamed, tender, and even infected.
Sometimes sebaceous cysts grow large enough that they may interfere with your everyday life. When this happens, surgical removal may be necessary, and this procedure can be done at your doctor’s office.
Inflamed cysts can often be treated by your doctor who will inject a steroid into the cyst to calm and shrink it. But if your doctor suspects the cyst is infected, it needs to be incised and drained to remove the infected material.
Due to the fact that an infected cyst can be painful, your doctor will likely inject an anesthetic (for example, 1% lidocaine) around the cyst to numb the area first before draining it.
If an infected sebaceous cyst is not promptly treated, the infection can spread into the surrounding skin. This is called cellulitis, which is a more serious condition, often requiring an oral antibiotic in addition to incision and drainage.
For complete surgical removal of the cyst, including the cyst wall, a doctor will usually wait until the cyst is not inflamed or infected before excising it, as recurrence of the cyst is then much less common.
Besides excision (cutting out the cyst surgically), a study published in the Archives of Plastic Surgery reports on a CO2 laser treatment to remove sebaceous cysts with minimal scarring and low recurrence rates. This may be a good option for people with a cyst on their face or other visible areas.
A Word From Verywell
The big picture here is that it’s important to consult your healthcare provider any time you notice any type of growth, bump, or lump on your body. Although sebaceous cysts are benign, your doctor should examine you to ensure that another more worrisome concern is not present.
Oh gosh. I just made a revelation while researching on the topic of sebaceous cysts treatment. The small yellowish dome-shaped lump or bump that grew on my vagina area when I was a teen was actually a sebaceous cyst! I never got to find out what it was though I’ve long gotten rid of it. I only found out because I wanted to write about this as my husband just had a 1 cm sebaceous cyst removed from the left side of his face near his ear via excision biopsis.
What are sebaceous cysts?
According to the medical encyclopedia, a sebaceous cyst, also known as epidermal cyst is a closed sac of cells created under the skin into which a protein called keratin is secreted. These cysts are often the result of swollen hair follicles or skin trauma and are formed when the release of sebum, a medium-thick fluid produced by sebaceous glands in the skin, is blocked. They are harmless, painless, slow-growing small bumps or lumps that move freely under the skin. And sebaceous cysts are usually found on the face, neck and trunk, but can occur anywhere on the body and even in the vaginal area or other parts of the genitalia of both women and men. In addition, acne could be a precursor to the growth of these sebaceous cysts.
Diagnose your sebaceous cyst as early as possible
Actually, the sebaceous cyst on my husband’s face must have been growing for about ten years because I remember squeezing at it like a pimple and being intrigued that there is always a supply of the stringy, cheesy, foul-smelling material oozing from it. Over the years, it grew to a sizeable lump and he was so irritated by the look of it that he decided to have it surgically removed earlier this week. I’m writing this because even though it’s benign, I realized that it is important to diagnose a sebaceous cyst in the early stage so that you can at least try to prevent it from permanently blocking the sebaceous gland and subsequently growing larger and then having to remove it surgically, which would inevitably mean leaving a scar!
Ways to possibly prevent sebaceous cysts
According to info from the University of Iillinois Medical Center, besides hormones, sebaceous cysts could be caused by increased production of sebum and even bacteria. Hence, it is important to wash your face at least twice daily, avoid greasy makeup products and opt for cosmetics which will not clog pores. Also avoid unnecessary exposure to the sun, excessive heat or greasy surroundings. In addition, I believe a diet that doesn’t encourage the excessive production of sebum may help too.
Ways to treat and remove sebaceous cysts
While these cysts may occasionally become infected and form painful abscesses, sebaceous cysts usually don’t require medical attention as they can either disappear on their own or stay the same size without causing any problems. Those who are keen to prevent it from getting worst or possibly get rid of it may wish to try some of these home remedies which I’ve come across.
One is essential oils which have been said to be able to help detoxify the skin and possibly help with the sebum secretion because of its antibacterial and anti-inflammatory properties (source). Another home treatment recommended is to press a hot, damp wash cloth against the cyst over a period of time to try to liquify and drain the waxy sebum. You’ll also find that there are some products claiming to help with the cure of these sebaceous cysts though I have no idea how well they work.
However, if the cysts become infected or grow to a bothersome size, health care providers can remove them or prescribe treatment with steroids or antibiotics.
How I removed my sebaceous cysts on my vaginal area
Oh, and how did I remove that sebaceous cyst on my vaginal area many years ago? Nope, I didn’t see any doctor because I was too shy about it. I remember applying some oilment on it for some weeks and I kept trying to squeeze it out everyday for a very long while. Then one day, I must have used enough might and it just popped out! It was painful alright but I was so glad I got rid of it. In fact, I have forgotten all about it until now.
* Okay, I know I’m using a rather irrelevant picture here but no way am I’m going to put up a picture of sebaceous cysts. You can do a search on it online but let me warn you, some of those pictures are awfully gruesome!