Dr. Hedayati performing Mohs surgery for precise skin cancer removal

Excisions of Benign Growths

Cysts and lipomas are types of benign growths that can be uncomfortable, unsightly, and sometimes even painful, but safe and effective removal is possible with expert care.

Microscopic examination during Mohs surgery procedure

Understanding Cysts

Cysts are common, fluid-filled, or semi-solid lumps that can develop under the skin due to some blockage of a duct. While many cysts are harmless, they can become painful, inflamed, or cosmetically bothersome. In some cases, they may rupture or grow larger over time. A cyst excision is a simple and effective procedure that removes the cyst and its sac, reducing the likelihood of recurrence. It’s important not to attempt to pop or extract a cyst yourself, as this can lead to inflammation, make professional excision more difficult, and increase the risk of recurrence.

What Techniques Are Used in Cyst Excisions?

Cyst excision techniques vary based on the cyst’s size, location, and type. The goal is to fully remove the cyst while preserving healthy surrounding tissue. Common techniques include:

  • Standard Excision: This traditional method involves making an incision over the cyst, carefully removing the entire sac and its contents, and suturing the area for optimal healing.
  • Punch Biopsy: A punch biopsy uses a small, circular blade to remove the entire cyst in one piece, particularly when the cyst is very small. This technique allows for both complete removal and histologic evaluation, often eliminating the need for additional excision methods.

What Techniques Are Used in Lipoma Excisions?

Lipoma removal is a straightforward procedure typically performed under local anesthesia. The technique used depends on the lipoma’s size, depth, and location.

  • Standard Surgical Excision: An incision is made over the lipoma, allowing for complete removal of the fatty growth. The wound is then sutured to promote healing with minimal scarring.
  • “Squeeze” Technique: The incision is made, and gentle pressure is applied to ease the fatty tissue out through the opening. This technique reduces trauma to the surrounding tissue, leads to faster healing, and minimizes scarring.

Understanding Lipomas

A lipoma is a benign, slow-growing lump made of fat cells that develops under the skin. While generally harmless, lipomas can become uncomfortable or noticeable depending on their size and location.

Feel Like Your Best Self

Dr. Hedayati combines advanced surgical skills with a patient-focused approach to ensure thorough removal and minimal scarring. As a fellowship-trained, board-certified dermatologic surgeon, Dr. Hedayati is committed to delivering innovative, precise, and effective care for your skin. Whether your growth is causing discomfort or you simply want it removed for cosmetic reasons, Dr. Hedayati provides expert treatment tailored to your needs. Schedule a consultation with Dr. Hedayati at New Wave Dermatology and Laser today!

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Frequently Asked Questions

You Have Questions, We Have Answers.

A benign growth should be removed if it's growing, painful, irritated, bleeding, cosmetically bothersome, or if there's any uncertainty about the diagnosis.

An excision is a quick in-office procedure where the area is numbed, the growth is carefully removed, and the skin is closed with fine sutures for the best cosmetic result.

Most excision sites heal within one to two weeks, though complete scar maturation can take a few months.

If a benign mole or growth isn't completely removed, it can grow back over time. That's why it's best to have these procedures done by a dermatologic surgeon who can ensure precise and complete removal.