Dr Pimple Popper Pilar Cyst Spurt

A mother and daughter travelled a distance to see me. Daughter is a popaholic and brought her Spanish-speaking mother to see me because of this bump on her scalp. It was a pilar cyst and I was happy to remove it for her. Her daughter watched and filmed the procedure as well.
I always warn my girls that work with me to wear splash screens, but sometimes they think they will be ok. It’s when you think that you’ll be OK that you sometimes get into trouble.. hehe

Thank you for watching!!

A Pilar Cyst, aka a trichilemmal cyst, an isthmus-catagen cyst, or a “wen”, looks identical on examination to the more common epidermoid cyst, except that 90% of them occur on the scalp. They tend to be more mobile and firmer than epidermoid cysts, and are derived from a different part of the hair follicle/skin. The internal content tend to be more “homogenous”/ smooth (looks different under the microscope), but it is also a benign growth. It is not uncommon to have multiple pilar cysts on the scalp and to have other family members to have these cysts (tend to run in families). Treatment is for cosmetic reasons usually (people don’t like the appearance of them), and excision with removal of the cyst and it’s contents is curative.

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Periscope: Dr. Sandra Lee

This video may contain dermatologic surgical and/or procedural content. The content seen in this video is provided only for medical education purposes and is not intended to be a substitute for professional medical advice, diagnosis, or treatment.

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