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. […]

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. 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. 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 […]

For medical education- NSFE. This young beautiful woman has a probable lipoma on her forehead, which creates a noticeable bump. She is getting married soon, and would like to have it removed before her wedding. A lipoma is a benign collection of clonal fat cells (adipose cells), that can occur anywhere on the body, where […]

For medical education- NSFE. Cyst excision on the back today. This is a common epidermoid cyst, what many people call a “sebaceous cyst”. Many people with oily completions, and a history of acne are prone to them, but they are fairly common and can occur in anyone. It’s not medically necessary to remove these bumps […]

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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, […]

For medical education- NSFE. Now that I have extracted more blackheads and whiteheads in the last few months than I have in my entire career as a dermatologist (!), I have noticed a pattern. Women tend to present more with whiteheads, aka as closed comedones, rather than blackheads. Maybe this is because we, as women, […]

This is an epidermoid cyst that was removed on the left earlobe under local anesthesia alone. The area can be removed out of a small incision, but the entire cyst sac must be removed in order to prevent recurrence. Cysts are common growths that can occur and are not life-threatening. source