Here are three patients I saw today, all with comedones to extract. In patient 2 I use very sharp serrated scissors. I use this instrument commonly on the eyelid or within the orbital rim of the eye. This is because in this area, there is no bone under the skin to press a comedone extractor […]

For medical education- NSFE. 1. Small and numerous milia on younger patients are best treated with electrocautery at a very low setting.. this cauterizes the superficial surface of the skin, so that the milia is exposed and will pop out over the next couple of days. Can also be used to “pop” pustules, and shrink […]

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. 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 […]

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

For medical education- NSFE. This is my lovely patient who had the big blackheads on her back that we extracted a month ago. As you can see she is such a sweet woman, who loves to tell stories. And she has allowed us to film her amazing blackheads and cysts! She returns today so that […]

For medical education- NSFE. She let me extract her blackheads in exchange for firing as many questions at me that she could. Haha. Sometimes patients just want to talk, and she’s a sweetie, but she’s a talker! 😉 source

For medical education- NSFE. Simple removal of a milia on the upper eyelid with serrated scissors source

For medical education- NSFE. Here is a recap, one month later, of my patient who had big blackheads on the back. The blackheads had been there for quite some time, so you can see they cause pretty enlarged, dissented pores which will shrink slightly, but probably not completely. “Mother” which was the unending blackhead/cyst still […]