Removal of a decent sized pilar cyst on the scalp

Removal of a Decent-Sized Pilar Cyst on the Scalp

A pilar cyst, also known as a trichilemmal cyst, is a benign, fluid-filled lump that develops from a hair follicle. These cysts commonly appear on the scalp, where hair follicles are abundant, and tend to be smooth, round, and firm. While typically painless, a decent-sized pilar cyst can become uncomfortable, infected, or cosmetically bothersome, making removal necessary.

Diagnosis and Preparation

A healthcare provider will typically diagnose a pilar cyst through visual inspection and palpation. In some cases, an ultrasound or biopsy may be required to confirm the diagnosis. If removal is needed, the procedure is usually performed in a doctor’s office or minor surgery clinic under local anesthesia.

The Removal Procedure

The surgical excision of a decent-sized pilar cyst is a relatively quick and straightforward process. The area is numbed with a local anesthetic, and a small incision is made over the cyst. The surgeon carefully dissects the cyst, ensuring the entire sac is removed to prevent recurrence. Since pilar cysts have a thick outer wall, they often come out in one piece, making removal easier. The wound is then sutured closed, and a bandage is applied.

Recovery and Aftercare

Most patients experience minimal discomfort after the procedure, with mild swelling and tenderness. Pain relievers and proper wound care help ensure a smooth recovery. Stitches are usually removed after 7–14 days, and scarring is minimal.

Conclusion

Removing a decent-sized pilar cyst on the scalp is a safe and effective procedure. Seeking medical attention ensures proper removal and reduces the risk of infection or recurrence, restoring both comfort and confidence.