Here I explain the difference between blackheads and milia, which are both common benign growths that occur in all ages but are particularly prevalent in teenagers (those under 18 years old), as well as the elderly (6th and 7th decade). source

This is an excision of a small cyst on the back. This cyst has been inflamed in the past, so there is some scar tissue present. It is smaller than it usually is on the day of this excision which is good, since, this will lead to a smaller incision and a smaller scar. It’s […]

For medical education- NSFE. Removing via snip excision, seborrheic keratoses and verrucous keratoses, aka “wisdom spots” and skin tags, that commonly occur around the neck. It’s not “medically necessary” to remove these, but as you can see, many people want them off, particularly because they are tough to disguise and they can get caught on […]

For medical education- NSFE. Favre-Racouchot is a skin condition that causes comedones (blackheads) especially around the eyes. In this case the comedones are due to extensive sun exposure and sun damage. Here we are extracting them using a comedone extractor source

For medical education- NSFE. This patient had a fleshy, grape-sized growth right in the crease of her inner thigh (this is called the inguinal area). Since it is sessile, almost pedunculated (terms we use to describe its shape) it can easily be removed by numbing the base and using sharp serrated scissors, much like I […]

For medical education- NSFE. There is a glitch in the previously uploaded video, so this one should be better to view. Also, some questions have been asked about the amount of bleeding during this procedure. This patient has more sebaceous/thicker skin than the average person, and her milia are pretty deep under her thicker skin. […]

For medical education- NSFE. An example that not all cysts are easy to remove. When a cyst has been partially excised in the past (as in this case) or has been inflamed or infected previously, there is much fibrosis and scarring making it very difficult to remove a cyst whole and almost impossible to squeeze […]

This is a great example of why I love my job… I’m lucky to have these wonderful patients that I get to develop a relationship with, who make you laugh, who you look forward to seeing. And the bonus is, I get to extract their blackheads. Hopefully, someday he will appreciate that I did so… […]

For medical education- NSFE. Milia, spider vein, skin tags.. Oh my.. source

For medical education- NSFE. Some lucky days I find patients with comedones that are extremely impressive (I love those days!). Other days, I just get mediocre comedones. Today was one of those latter days. Do you want me to post everything I record, like today? I feel like you do. It’s like gambling or fishing, […]