Sebaceous Cyst Treatment: Diagnosis, Removal, & Recovery

Sebaceous Cyst Treatment Options

There are numerous options for sebaceous cyst treatment. The decision is made based on the severity of the condition, existing symptoms, and the patient’s choice of treatment. The common sebaceous cyst treatment options include the following:

• Observation: If the sebaceous cyst is small, asymptomatic, and not causing any complications, the doctor may recommend simply monitoring the cyst without any active treatment. Keeping an eye on the cyst will help the individual to identify if it’s growing slowly or rapidly. If it continues to grow, the patient needs to seek treatment to get the cyst removed. 
• Drainage: If the cyst becomes infected or inflamed, the doctor may perform a drainage procedure. This involves making a small incision in the cyst to drain the accumulated fluid or pus. After drainage, the cyst is covered with sterile gauze to promote healing.
• Surgical Excision: Excision is the most effective treatment for sebaceous cysts. It involves the removal of the cyst and its surrounding capsule, also called the cyst wall. Surgical excision is often recommended for large cysts, cysts that are causing symptoms or discomfort, or cysts that have a risk of infection or recurrence.
• Laser Treatment: Laser treatment may be used for sebaceous cysts in certain situations. The laser is used to vaporize the cyst and its wall to eliminate it completely. This method is less invasive and may result in minimal scarring compared to traditional surgical excision.

Besides the medically recommended methods, there are several home remedies, ayurvedic medicine, homeopathic medicines, etc., that are also available in the market for sebaceous cyst removal. However, the effectiveness of these methods is not proven. 

Types of Sebaceous Cyst Surgery

When the cyst or cysts continue growing, cause pain, and become bothersome, the doctor will first suggest drainage of the cyst. But only drainage of the cyst content is not an effective treatment. Thus, sebaceous cyst excision is preferred over drainage. 

The different methods used to remove the cyst entirely are given below:

• Lancing– This technique involves using a sharp knife to create a hole in the cyst. Then it is squeezed, and the contents of the cyst are drained. However, the cyst wall is not removed in the procedure, which is why it is not considered a permanent solution. 
• Conventional Wide Excision- It is the traditional method to remove sebaceous cysts through a wide excision. This technique is highly invasive but also has minimal chances of cyst recurrence. 
• Minimal Excision- As the name suggests, the minimal excision technique involves using tiny incisions in the skin overlying the cyst. This minimizes the scarring and removes the cyst entirely. 
• Punch Excision- With punch excision, the doctor removes the cyst and the normal skin around it altogether using a scalpel that looks like a cookie-cutter. 

Laser-Aided Excision- In this type of excision, a laser probe is used to make a hole in the cyst. Once the cyst is drained completely, the outer wall of the cyst is also removed after a few weeks.

Benefits of Sebaceous Cyst Treatment

There are several benefits to seeking treatment for sebaceous cysts. 

• Relief from Discomfort: Sebaceous cysts can cause discomfort, pain, and irritation, especially when they become inflamed or infected. Treatment can help alleviate these symptoms and provide relief from discomfort.
• Prevention of Complications: If left untreated, sebaceous cysts can potentially lead to complications. They can become infected, causing pain, redness, and swelling. In some cases, an untreated cyst can rupture, leading to further infection and potential scarring. Timely treatment can help prevent such complications.
• Aesthetics Benefits: Sebaceous cysts can be unsightly, especially if they occur on visible areas of the body, such as the face, neck, or scalp. Treatment can remove the cyst and improve the appearance of the affected area, enhancing overall aesthetics. 
• Elimination of Recurrent Cysts: Some individuals may experience recurrent sebaceous cysts. Treatment options such as surgical excision or drainage can help remove the cyst and its contents entirely, which reduces the likelihood of recurrence.
• Peace of Mind: Dealing with a sebaceous cyst can cause anxiety and concern. People also feel worried that the cyst may be cancerous. Seeking treatment can provide peace of mind, knowing that the cyst has been addressed and any potential risks or complications, including malignancy, have been minimized.

Preparation Before Sebaceous Cyst Removal

To prepare the patient for the treatment procedure, the doctor will provide detailed instructions. The common instructions will include the following:

• Get the recommended diagnostic tests done and keep the reports in hand. 
• The doctor will recommend that the patient not press or try to pop the cyst at home. This can cause complications. 
• Stop drinking alcohol and smoking a week before the surgery, as they affect the body’s healing abilities. 
• Avoid eating or drinking anything at least 8 hours prior to the surgery as they can react with anesthesia and increase the risk of aspiration. 
• Avoid wearing any kind of makeup, accessories, or jewelry, and using skincare products, as they can increase the risk of infection. 

When the patient arrives at the hospital, he/she is admitted, and the nurses will run some basic tests, such as blood tests, liver function tests, etc., to ensure the patient is in optimal health. The anesthetist will discuss the allergies or previous reactions to anesthesia to determine which type of anesthesia will be suitable. After discussing everything, the patient is asked to sign a consent form before proceeding.

Sebaceous Cyst Removal Procedure

Before the surgery begins, local or general anesthesia will be used to numb the specific body part or entire body. Once the anesthesia takes effect, the surgeon proceeds to remove the cyst. 

• An incision is made around the cyst (or a laser is used to create a hole) depending on the technique that is being used for the removal. 
• The cyst contents are drained completely. After drainage, the surgeon removes the cyst wall or sac. If the cyst wall or sac is not removed, it will increase the chances of cyst recurrence. Sometimes, the cyst wall becomes fragmented and needs to be scraped out. If necessary, the surgeon may use an electro-cauterization tool to destroy the cyst wall completely. 
• Then the incision is closed through stitches, glue, or bandage, whichever is suitable, and left to heal. 

The entire procedure takes around 30 minutes, and the patient gets discharged on the same day. 

What to Expect After Sebaceous Cyst Treatment?

Immediately after the surgery, the patient will be under observation for a few hours, during which his/her vitals will be monitored. Once the anesthesia wears out, the patient will be transferred to the recovery room. 

The doctor will suggest that the patient rest properly on the first day. There may be some bruising or swelling around the surgical site, which will disappear within a few days. 

Before discharging the patient, the doctor

Recovery After Sebaceous Cyst Surgery

The results of sebaceous cyst surgery will be clearly visible after the procedure. As the cyst grows outside the skin, after the removal, the skin will be flat again. 

As the minimally invasive technique is used for removal, the recovery will also be quick. It will take around 1 week to heal after the surgery. You should pay attention to the doctor’s advice and follow the tips below to recover quickly:

• There is no need to take special precautions with diet unless advised by the doctor.
• Avoid driving on the day of surgery, as you will be given anesthesia on the day, and the after-effects will still linger after you are discharged.
• Don’t engage in strenuous physical activities until approved by your doctor.
• Keep the bandage dry and clean the surrounding area. If you are guided to change the bandages yourself, make sure that you follow the instructions carefully and clean the wound.
• Take the pain medications as directed by the doctor.
• Talk to the doctor if you wish to take other over-the-counter [OTC] pain medications.
• Visit the doctor for follow-ups as instructed without any delay. 

Risks & Complications Associated With Sebaceous Cyst Surgery

During the Surgery 

Regardless of the technique used for the treatment of sebaceous cysts, there are the same levels of risks and complications. These potential risks associated with surgery are:

• Anesthesia reactions such as malignant hyperthermia
• Bleeding during surgery 
• Blood clots formation 
• Injury during the surgery 
• Numbness or tingling sensation in the region 

To ensure that such complications don’t arise, the anesthetist first asks the patient for potential allergies. Besides that, the doctor uses modern surgical instruments approved by USFDA to carry out the procedure safely. 

After the Surgery 

Post-surgery, some complications that may arise include:

• Infection, 
• Swelling and bruising, 
• Scarring, 
• Delayed healing, 
• Cyst recurrence 

Normally, these complications can be avoided successfully if you pay attention to the doctor’s advice and take the prescribed medications. 

How to Prevent Sebaceous Cyst Recurrence?

Sebaceous cysts are primarily caused due to trauma or injury to the sebaceous glands. Therefore, the individual should always be cautious and take the necessary steps to prevent new cysts from forming. While it may not be entirely possible to prevent them, take the following measures to reduce the risk of recurrence after surgical or non-surgical treatment:

• Maintain good personal hygiene by regularly washing the affected area with mild soap and warm water. Keeping the skin clean can help prevent infections that can lead to cyst formation.
• Avoid squeezing or picking at sebaceous cysts. Manipulating or trying to remove the cyst yourself can cause it to rupture, increasing the risk of infection and potential recurrence.
• Try to avoid any unnecessary trauma or injury to the skin. Trauma can trigger the development of sebaceous cysts. Protect the skin from cuts, scratches, and other forms of physical damage.
• Minimize exposure to excessive oil and dirt, as they can contribute to clogged pores and the formation of sebaceous cysts. Use oil-free or non-comedogenic skin care products and regularly cleanse the skin to remove dirt and excess oil.
• Eating a balanced diet and staying hydrated can promote overall skin health. Include plenty of fruits, vegetables, and whole grains in the diet to support healthy skin.
• Wearing tight clothing can increase friction and pressure on the skin, potentially leading to the development of cysts. Opt for loose-fitting, breathable clothing to minimize this risk. 

Sebaceous cysts may still develop despite preventative measures. If they do, it’ll be best to talk to a doctor and seek proper treatment. 

Sebaceous Cyst Removal Cost in India

On average, sebaceous cyst removal cost in India ranges from Rs. 5,000 to Rs. 50,000. This is an estimated price range, and the actual cost of sebaceous cyst removal varies for each patient due to various factors. The key factors that influence the cost are listed below:

• The city or region where the patient is getting treatment. 
• The choice of hospital or clinic. 
• The surgeon’s expertise and experience. 
• The method of treatment chosen based on the size and complexity of the condition. 
• Pre and post-surgery diagnostic tests and evaluations. 
• The type of anesthesia and anesthetist’s fee. 
• Prescribed medications and post-operative care and follow-ups. 

It should also be noted that sebaceous cyst treatment can also be covered under health insurance if the condition is symptomatic. It’s advised to talk to the insurance provider to understand the terms and conditions regarding the coverage for sebaceous cyst treatment. 

Non-Surgical Methods of Sebaceous Cyst Treatment 

There are several non-surgical methods available for the treatment of sebaceous cysts. While these methods may not be suitable for all cases, they can be helpful in certain situations to manage the symptoms and get temporary relief. Here are some non-surgical methods of sebaceous cyst treatment:

• Topical Treatments: In some cases, a healthcare professional may prescribe topical treatments such as antibiotics or corticosteroids to help reduce inflammation and infection associated with sebaceous cysts. These medications are applied directly to the cyst and can help alleviate symptoms and promote healing.
• Injection of Medications: Another non-surgical approach is the injection of medications directly into the cyst. This method, known as intralesional injection, involves using corticosteroids or other medications to reduce inflammation and shrink the cyst. Multiple injections may be needed over a period of time to achieve the desired results.
• Cyst Drainage: In certain cases, the doctor may perform a procedure to drain the cyst. This method involves draining the cyst contents through a small incision around the cyst. However, this method is partially effective as the cyst wall or capsule stays intact. Due to this, the sebum produced by the sebaceous glands may get filled into the capsule again. 

While these non-surgical methods can be effective in some cases, they may not fully remove the cyst or prevent recurrence. Sebaceous cyst surgery is often considered the most definitive treatment for these cysts.

While these non-surgical methods can be effective in some cases, they may not fully remove the cyst or prevent recurrence. Sebaceous cyst surgery is often considered the most definitive treatment for these cysts.

Sebaceous Cyst Home Remedies 

Common home remedies may not provide a definitive cure for sebaceous cysts, but they can sometimes help alleviate symptoms or promote the healing process. Here are a few home remedies that are worth trying:

• Warm Compress: Applying a warm compress to the cyst can help reduce inflammation, promote drainage, and relieve discomfort. Soak a clean cloth in warm water, wring out the excess moisture, and gently place it over the cyst for about 10-15 minutes. Repeat this several times a day.
• Tea Tree Oil: Tea tree oil has antimicrobial properties that may help prevent infection and reduce inflammation. Dilute a few drops of tea tree oil with carrier oil (such as coconut oil or olive oil) and apply it directly to the cyst. Repeat this a few times a day.
• Apple Cider Vinegar: It is commonly used as a natural disinfectant. Mix equal parts of apple cider vinegar and water, soak a cotton ball in the mixture, and apply it to the cyst. Cover it with a clean bandage or cloth and leave it on for a few hours or overnight. Rinse the area with water afterward. This remedy may cause a stinging sensation for some individuals. Therefore, it’s advised to monitor the skin’s reaction.
• Aloe Vera Gel: Aloe vera has soothing and anti-inflammatory properties that may help reduce irritation and inflammation. Apply fresh aloe vera gel directly to the cyst and leave it on for 20-30 minutes. Rinse the area with water afterward. Repeat this a few times a day.
• Epsom Salt Soak: Epsom salt can help draw out the contents of the cyst and promote healing. Dissolve Epsom salt in warm water as per the package instructions and soak the affected area for 15-20 minutes. Repeat this once or twice a day.

These home remedies may not work for everyone. It’ll be best to talk to a doctor before trying them to ensure they don’t worsen the condition. 

Sebaceous Cyst Medicine 

There is no prescribed or over-the-counter sebaceous cyst medicine available that can specifically resolve the condition. The medicines that are generally prescribed by the doctor help in managing the symptoms, such as infection and inflammation. They cannot eliminate the cyst itself. 

Besides these, some people consider trying out homeopathic and ayurvedic medicines to get long-lasting relief. 

Homeopathic Medicine for Sebaceous Cyst 

Homeopathy is a form of alternative medicine that uses highly diluted substances to stimulate the body’s natural healing response. Commonly used sebaceous cyst homeopathic medicine in India includes the following:

• Silicea is a commonly prescribed homeopathic remedy for sebaceous cysts. It is believed to help promote the expulsion of cystic material and support healing.
• Calcarea sulphurica is used in homeopathy for treating sebaceous cysts that are prone to infection or discharge. It is believed to help in the absorption of pus and promote healing.
• Hepar sulphuris calcareum is used when the cyst is painful, inflamed, or infected. It may help reduce inflammation and promote drainage.
• Myristica sebifera is suggested when the sebaceous cyst becomes infected and forms an abscess. It may help promote the suppuration and discharge of the abscess.
• Graphites is prescribed when the sebaceous cyst is hard and there is a tendency to develop multiple cysts. It may help in reducing the size of the cyst and preventing recurrence.

These medications should be prescribed by a certified homeopathic doctor. 

Ayurvedic Medicine for Sebaceous Cyst 

In Ayurveda, the traditional system of medicine from India, the treatment of sebaceous cysts typically focuses on balancing the doshas (energies) in the body and promoting overall well-being. Some common ayurvedic medicine for sebaceous cysts includes the following:

• Triphala Powder: Triphala is a blend of three fruits: Amalaki (Emblica officinalis), Bibhitaki (Terminalia bellirica), and Haritaki (Terminalia chebula). It is known for its detoxifying and rejuvenating properties and may help in reducing cyst size and promoting healing.
• Neem (Azadirachta indica): Neem is a versatile herb with antibacterial and anti-inflammatory properties. It may be used topically or internally to support the healing process and prevent infection in sebaceous cysts.
• Turmeric (Curcuma longa): Turmeric is a well-known Ayurvedic herb with powerful anti-inflammatory and antimicrobial properties. It may be used topically or consumed orally to reduce inflammation and promote healing.
• Guggul (Commiphora mukul): Guggul is a resin obtained from the Mukul myrrh tree. It is known for its anti-inflammatory and purifying properties and may be used to support the healing of sebaceous cysts.
• Manjistha (Rubia cordifolia): Manjistha is a herb used in Ayurveda for its detoxifying and blood-purifying properties. It may be used to promote the resolution of sebaceous cysts and prevent recurrence.

It’s important for people to understand that these Ayurvedic medicines should not be taken without consulting an Ayurvedic doctor. 

Sebaceous Cyst Removal Cream 

Similar to medications, the topical creams available to treat sebaceous cysts don’t remove the cyst itself but only address the symptoms. Certain medicines that are prescribed by doctors are salicylic acid with benzoyl peroxide and 1% hydrocortisone cream. The benzoyl peroxide kills the bacteria in and around the cyst, while the salicylic acids target the dead cells and reduce the production of sebum. The hydrocortisone cream helps to reduce the inflammation in the cyst.  

Using creams or ointments without proper medical guidance may not be effective in treating sebaceous cysts and may even cause further complications. Therefore, it’s always best to seek help from a professional before trying out these non-surgical methods of sebaceous cyst treatment.