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A nice epidermoid cyst on the neck that needed a little squeeze!
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This video may contain dermatologic surgical and/or procedural content. The content seen in this video is provided only for medical education purposes and is not intended to be a substitute for professional medical advice, diagnosis, or treatment.
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This patient had a recently inflamed, infected cyst on the back of the neck. He was placed on oral antibiotics the week prior, and scheduled today for excision.
When I saw him and felt the bump, it was boggy and fluctuant, meaning that it felt soft and filled with fluid within, so I suspected there was still some inflammation in the area, and that I probably shouldn't excise the lesion at this time.
If I were to attempt excision at the time of this visit, I would have had to remove the entire bump there, which is just a little smaller than a golf ball, so the resultant excision line and scar would have been very long, potentially the entire width of the back of his neck!
Here, I do an I & D (an incision and drainage) or a cyst that has already drained to a great degree a few days prior. As you can see, there are fragments of the cyst wall and inflammation within this bump.
He will continue on his antibiotics, and in the future, if the cyst recurs, we can schedule an excision when it is not irritated and inflamed. In doing so, the scar line will be shorter, and there is less risk of spread of bacterial infection.
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Christmas doesn't come every day!!This gentleman came to see me just a couple weeks ago, referred by a internist because he has a skin cancer, a basal cell carcinoma, on his chest that he needs to have removed completely. He is quite a character, and I couldn't help but notice that he has a lot of sun damage, and many comedones (blackheads and whiteheads). He used to be a fireman (I think in Indiana), one of his many jobs in his life, and he was raised on a farm. The years of sun exposure and also exposure to soot from fires, have likely caused him to develop quite a few blackheads and whiteheads. He doesn't like them, and has tried to squeeze them out, but hasn't even very successful.As we were finishing up our visit, I decided I would ask him whether he knew he had a lot of blackheads on his face, and whether he would like me to remove them? His response was great: "I would walk through a wall of fire if you could do that for me!" Always amazes me how interested my patients are in me getting rid of such things. Makes it all worthwhile! I realize I didn't extract all of his blackheads, but he is a work in progress! We will be seeing him at least two more times and will do further blackhead extractions. I hope you all have a wonderful holiday season, spending it with people you love. And I hope some of them are popaholics like you! I bet some of them don't even know they are popaholics and this may be their first video to convert them! Thank you so much for watching! Merry Christmas!! For more content, exclusive content, and of course to get your Dr. Pimple Popper schwag, visit us at www.drpimplepopper.com!Instagram: @DrPimplePopper for 24/7 pops @DrSandraLee for my work, my life, my popsFacebook: facebook.com/DrSandraLeeDermatologyTwitter: @SandraLeeMDSnapchat: drpimplepopperPeriscope: Dr. Sandra LeeThis video may contain dermatologic surgical and/or procedural content. The content seen in this video is provided only for medical education purposes and is not intended to be a substitute for professional medical advice, diagnosis, or treatment.
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