Cysts Dermatologist2025-01-10T22:10:51+00:00

Feel in charge of your skin

PERSONALISED DERMATOLOGY TREATMENT PLANS

Cysts are round lumps arising under the skin. They can be anywhere between pea-sized to several centimetres in diameter.

IN THESE VIDEOS, I EXPLAIN THE SYMPTOMS AND CAUSES OF CYSTS – AND HOW TO TREAT THEM

In the videos above, I explain things in a simple way that applies to most people who have cysts. Of course, no video or website can replace the value of a personalised consultation. At your consultation, you can have your skin carefully examined and get an expert recommendation to help you resolve your condition.

Treatment helps people of all ages take control of their skin condition and get their life back.

How do cysts impact people on a day-by-day basis?

CYSTS CAN BE UNSIGHTLY AND EVEN PAINFUL AT TIMES

cyst dermatologist berkshire

Cysts are round lumps arising under the skin

They are common and can be anywhere between pea-sized to several centimetres in diameter. I typically find epidermoid cysts on the face, torso and limbs, and pilar cysts on the scalp.

Cysts can be unpleasant in more ways than one

Both epidermoid and pilar cysts contain keratin, a semi-fluid white-cheesy substance that is formed by the lining of the cyst. Epidermoid cysts have a small central opening, or punctum, and can sometimes discharge fluid, which can be malodorous.

cyst dermatologist berkshire

Cysts can cause discomfort

Pilar cysts, mostly found on the scalp, do not have a central punctum. Therefore, they will not discharge material but often get caught on combs and brushes and can be uncomfortable or a source of concern.

Some cysts can be more troublesome than others

They usually grow slowly if at all, but sometimes can get inflamed, red and painful, and can rupture.

If necessary, I can remove your cyst

The vast majority of cysts are benign and therefore can be left alone if they are not causing any symptoms or cosmetic concern. If cysts get repeatedly inflamed, painful, or symptomatic, the best option is excision (removal), in a way that minimises scarring.

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The first step to feeling in charge of your skin is to book an initial consultation

FIND OUT HOW TO GET THE SKIN YOU WANT

How it works

FEEL IN CHARGE OF YOUR SKIN IN 3 EASY STEPS

STEP 1 – CALL US
STEP 2 – LET’S MEET
STEP 3 – RESOLUTION
CONTACT MY STAFF

Give us a call on 01183151178 and we’ll help guide you towards a first appointment.

MEET WITH ME

I’ll see you and examine your skin before I recommend treatment. In some cases, I can begin treating your condition on the same day.

FEEL IN CHARGE OF YOUR SKIN

I’ll guide you down the road towards a resolution of your skin condition so that you can get back to normal life.

More information about cysts

FOR THOSE WHO WANT THE DETAILS

There are different kinds of cysts, categorised into different types according to where they originate from.

The two most common types of cysts I see are epidermoid (otherwise known as sebaceous) cysts and pilar cysts.

These cysts may cause no symptoms or can become inflamed and painful.

Cysts are round lumps arising under the skin. They can be anywhere between pea-sized to several centimetres in diameter.

We typically find epidermoid cysts on the face, torso and limbs. They can affect up to 20% of people.

Both epidermoid and pilar cysts contain keratin, a semi-fluid white-cheesy substance that is formed by the lining of the cyst.

Epidermoid cysts have a small central opening, or punctum, and can sometimes discharge fluid, which can be malodorous.

They usually grow slowly if at all, but sometimes can get inflamed, red and painful, and can rupture.

Pilar cysts, mostly found on the scalp, do not have a central punctum. Therefore, they will not discharge material but often get caught on combs and brushes and can be uncomfortable or a source of concern.

Epidermal cells are in the top layer of the skin, the epidermis. In the case of epidermoid cysts, these cells migrate deeper into the skin, in the dermis. They then proliferate and create the cyst lining. The cyst lining secretes keratin, which forms the contents of the cyst.

In rare cases, they run in families and accompany other health problems.

In pilar cysts, the lining is made up of cells like those found in the roots of hairs. These are common in middle age. They can run in families.

I carry out a consultation where we discuss the duration of the cyst, and whether it is enlarging or causing any symptoms.

I follow this with an examination with a dermatoscope to make a definitive diagnosis and advise on possible treatment options.

Often cysts cause no symptoms, and you can leave them alone once I make a diagnosis.

If cysts get repeatedly inflamed, painful, or symptomatic, the best option is excision (removal), in a way to minimise scarring. I will effectively “shell out” the cyst to ensure it does not recur.

Incision and drainage carry a high risk of recurrence as that will leave behind the lining of the cyst. Therefore I do not routinely recommend it.

Sometimes, you may need a course of antibiotics before undertaking the procedure if the cyst is inflamed.

“Can you remove my cyst without leaving a scar?”

The most effective way of treating a cyst is to remove it surgically. This approach inevitably results in a linear scar.

However, we can use specific surgical methods to keep the length of the scar to a minimum, thereby resulting in good cosmetic appearance.

“Is it best to leave my cyst alone or to remove it?”

During your initial consultation, I will assess your cyst including any symptoms, its size and its site.

I will then proceed to outline the pros and cons of removing your cyst. I would not advise that we move to remove it if there is a risk of poor cosmetic outcome or if it is unlikely to benefit you.

“Will my cyst turn cancerous if I don’t remove it?”

The vast majority of cysts are benign and therefore can be left alone if they are not causing any symptoms or cosmetic concern. A specialist should assess any changing lesion.

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Questions and answers

RELEVANT AND INFORMATIVE VIDEOS AND ARTICLES

About the author

Dr Penelope Pratsou | Consultant Dermatologist

MBChB, MRCP (UK) (Dermatology)

I’m Dr Penelope Pratsou, a skilled independent Consultant Dermatologist based in Berkshire. I have specialist expertise in the diagnosis and management of all skin cancers, and in performing mole checks. I’m a trained skin surgeon and remove skin cancers, moles, skin tags, cysts and warts.

I also have invaluable experience in dealing with all skin conditions, from the common skin complaints of acne, rosacea, eczema and psoriasis, to the rarer and more complex skin problems, having seen it all through years of NHS work.

After I obtained my Membership to the Royal College of Physicians, I undertook rigorous specialist training in dermatology, before being appointed as a Consultant Dermatologist at the Royal Berkshire Hospital, Reading. There, I helped set up and lead a busy clinic for the diagnosis and treatment of suspected skin cancer. I was also actively involved in supervising and training both dermatology and GP trainees.

Alongside my increasingly busy private practice, I have maintained an NHS practice in Oxford in order to continue to engage with challenging cases and to develop my specialist interest in skin allergy.

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