Simple blackheads extractions on the face. I often use a little numbing (lidocaine plus bicarbonate and epinephrine) to anesthetize the area a little before extractions because this is much more comfortable for the patient. Also many of you notice that as I numb the skin, I shake my left hand, and this is on purpose. […]

Do you know the difference between a blackhead and a milia? Blackheads and whiteheads are also known as open and closed comedones. They are dilated pores that are plugged with keratin. Whiteheads are closed, meaning there is skin covering the comedone. Blackheads are open, exposed to air. Air oxidizes the keratin, causing it to turn […]

For medical education- NSFE. This patient came to see me because she has “red dots on her hands” that she doesn’t like the appearance of. She is getting married soon, and wants her hands to look beautiful, of course! She has two nevus araneus, also called spider angiomas. These are just small broken capillaries, maybe […]

For medical education- NSFE. This man had a cyst on his left cheek, a firm bump under the skin. A small punch can be used to remove it. Since he has squeezed the area multiple times, emptying its contents, there is not much to extract, but as long as I get the entire cyst sac, […]

This patient I saw yesterday for an overall body exam/ mole check. She has great skin in general, but has multiple seborrheic keratoses on her back which irritate her and are itchy. I explained to her that there are benign growths, that seem to sit a top the skin.. they are not moles, will not […]

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 […]

This sweet gentleman came in for his biannual skin exam, and as we were finishing, he mentioned that he had a white bump on his right cheek that his wife wondered if we could evaluate and possibly treat. How could I resist? Have a great weekend everyone! source

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For medical education- NSFE. This patient has an epidermoid cyst on the back, which has bothered her for many years, mainly because of the appearance. She was very self conscious and didn’t like people to touch her on her upper back. Here, I remove the cyst completely, attempting to remove it out a relatively small […]

Here’s my patients two months after her surgery! She had a bump on her upper back that she hated. It was an epidermoid cyst, which is a benign growth that can grow to a large size, just under the skin surface. Cysts like this don’t need to be removed, but they can get inflamed and […]