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Surgical excision is required to treat a trichilemmal cyst. The method of treatment varies depending on the physician’s training. Most physicians perform the procedure under local anesthetic. Others prefer a more conservative approach. This involves the use of a small punch biopsy about 1/4 the diameter of the cyst. The punch biopsy is used to enter the cyst cavity. The content of the cyst is emptied, leaving an empty sac. As the pilar cyst wall is the thickest and most durable of the many varieties of cysts, it can be grabbed with forceps and pulled out of the small incision. This method is best performed on cysts larger than a pea which have formed a thick enough wall to be easily identified after the sac is emptied. Small cysts have walls that are thin, and easily fragmented on traction. This increases the likelihood of cyst recurrence. This method often results in only a small scar, and very little if any bleeding.
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In this video you are watching documentary (reality) footage of Dr. G working in his clinic in the Houston area. This content is provided to help encourage medical discussion and education.
The information on this web site is not intended to take the place of medical advice from a trained medical professional who knows your detailed medical history. Every person has unique medical issues that should be known to your medical provider. Readers are advised to consult a physician or other qualified health professional regarding treatment of any medical conditions.