Re-Excision of a Cyst on the Lower Back

This patient I saw almost a year ago, and removed a cyst on his lower mid back. Well, it came back! I was lucky enough to videotape the first procedure, and when I review the videotape, it really does look like I got the entire cyst removed. As you know, epidermoid cysts can recur, if any remnant of the sac wall remains. So, something must have been left behind.. Grrr. Thank goodness this doesn’t happen that often.
Since the cyst has come back, this means that I have to make a wider excision to remove the entire area around the cyst. And with an excision like this we usually follow the Rule of 3s, meaning that the length of the excision is approximately 3 times the width of the excision/diameter of the cyst. As you can see here, this creates a pretty long excision.
This is not a particularly large excision for us to do in the office (although it may be a larger one that you see on my youtube channel). In fact, we do more complicated and larger surgical excisions and closures, all under local anesthesia, alone. This patient can drive himself home, may be a little sore, but will likely not need any pain medication other than acetaminophen after the procedure. Most people don’t take any pain medication at all.
This excision was a little more on the bloody side, and this may disturb some viewers. Some people just bleed more than others, and sometimes this has to do with the location of the excision on the body, or this depends on the fact that the patient may be taking blood thinners. However, overall, blood loss is very minimal, and patient tolerated this procedure very well as you can see.

Welcome to my world of dermatology. Thank you for watching!!

For more dermatology educational content in general, visit my other youtube channel: Dr Pimple Popper University

For more content, exclusive content, and of course to get your Dr. Pimple Popper schwag, visit us at www.drpimplepopper.com!

Instagram:
@DrPimplePopper for 24/7 pops
@DrSandraLee for my work, my life, my pops

Facebook: facebook.com/DrSandraLeeDermatology

Twitter: @SandraLeeMD

Snapchat: drpimplepopper

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.

source