Pilar Cyst Removal

A problem that I see frequently in my dermatology office is a cyst on the scalp.  These are called pilar cysts, and they can be removed easily in the office under local anesthesia.

Pilar Cyst

A pilar cyst appears as a movable nodule under the skin and is often found on the scalp.  However, they can appear in other locations.  They are derived from hair follicles and are encapsulated in a sac.  The sac must be removed; otherwise, they will recur.

Removing Pilar Cysts

Patients often dislike pilar cysts either for cosmetic reasons or because they are uncomfortable.  They can be removed as a simple outpatient procedure.  In the video, the area is cleaned and numbed.  A small incision is made over the surface of the cyst, and the contents including the sac are removed.  A small, dissolving stitch is used to close the wound.  The whole procedure took less than 5 minutes.

Pilar Cysts Dangerous?

Pilar cysts are not dangerous.  However, they can be uncomfortable especially if they rupture and become inflamed.  Most pilar cysts grow to be a certain size and stay there.  Some can become quite large.  The tendency to get them can run in families.


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Meet the Doctor

Lawrence Osman, MD

Lawrence Osman, M.D. is a board-certified dermatologist and liposuction surgeon in Los Angeles specializing in minimally invasive techniques such as liposuction using local anesthesia. He has offices in the Los Angeles area in both Northridge and Calabasas. Visit www.drosman.com to learn more.

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