Surgical Dermatology

Cyst Removal Singapore

Dr. Liew Hui Min

accredited consultant dermatologist

Cyst removal is a procedure that involves extracting an abnormal sac-like growth filled with fluid or semi-solid material from the skin. The procedure aims to eliminate the cyst, including its capsule, to prevent recurrence. Cysts can develop on various body parts and may cause discomfort, pain, or cosmetic concerns, depending on their location and size.

Indications Benefits Techniques Preparation Procedure Recovery Risks FAQ

Indications for Cyst Removal

The following conditions may suggest that cyst removal may be appropriate for addressing specific health concerns.

Painful cysts: Cysts that cause pain or discomfort, particularly when they press against nerves or surrounding tissues. Pain may increase over time as the cyst grows larger.
Infected cysts: Cysts that become infected, showing signs such as redness, warmth, tenderness, and possible drainage. Infected cysts require treatment with oral or intravenous antibiotics to prevent the spread of infection.
Large or growing cysts: Cysts that continue to increase in size, potentially affecting function or appearance. As cysts grow, they may interfere with daily activities depending on their location.
Cosmetic concerns: Cysts located in visible areas can cause emotional distress due to their noticeable impact on appearance, especially if they are on the face or other prominent body parts.
Recurring cysts: Cysts that have returned after previous drainage attempts. Complete surgical removal offers a more permanent solution than simple drainage.

Benefits of Cyst Removal In Singapore

Cyst removal offers several advantages that address both physical symptoms and quality of life considerations.

Prevention of infection

Removing the cyst eliminates the risk of future infections that could lead to more extensive medical intervention. Infections can cause significant pain and potentially spread to surrounding tissues.
Pain relief

Removal of cysts alleviates pressure on surrounding tissues and nerves, reducing associated pain and discomfort.
Improved appearance

Elimination of visible cysts can restore normal appearance and contour to affected areas. This can help restore confidence in patients concerned about their appearance.
Definitive diagnosis

Removed cyst tissue can be examined microscopically to confirm the diagnosis and rule out other conditions. Laboratory analysis provides certainty about the nature of the growth.
Prevention of recurrence

Complete removal of the cyst wall helps prevent the cyst from returning in the same location. Simple drainage without removing the capsule often leads to recurrence.

Treatment Methods

Conventional excision

The entire cyst, including its capsule, is surgically removed through an incision made directly over or near the cyst. The procedure involves cutting around the cyst to preserve the capsule intact, reducing the risk of recurrence.

Minimal incision technique

A small puncture or incision is made in the cyst, allowing the contents to be expressed. The empty cyst wall is then extracted through the small opening using specialised instruments. This technique results in a smaller scar compared to conventional excision but may not be suitable for all cyst types.

Punch excision

A cylindrical cutting tool removes a small section of skin containing the cyst. This method is effective for smaller cysts near the skin surface. The punch tool creates a circular wound that is then closed with sutures, leaving a minimal scar after healing.

Preparing for the Procedure

Initial consultation: A thorough examination of the cyst by a dermatologist and review of medical history occurs before scheduling the procedure. The cyst’s characteristics, location, and any symptoms you may be experiencing are assessed, and the most appropriate removal technique will be discussed.

Medication review: Current medications, including prescription drugs, over-the-counter medications, vitamins, and supplements, are reviewed. Some medications, particularly blood thinners like aspirin or warfarin, may need to be temporarily stopped before the procedure to reduce bleeding risk.

Pre-procedure instructions: Specific guidelines regarding eating, drinking, and medication use are provided prior to the appointment. Depending on the procedure type and location, you may be advised to avoid food and drink for a certain period beforehand. Smoking cessation is recommended as it can impair healing.

Step-by-Step Procedure

Administration of anaesthesia

A local anaesthetic is injected around the cyst to numb the area before the procedure begins. Additional anaesthetic may be added during the procedure if needed.

Sterilisation and preparation

The skin around the cyst is cleansed with an antiseptic solution to reduce the risk of infection. Sterile drapes are placed around the site, creating a clean field for the procedure.

Incision and access

An incision is made over or near the cyst, the size and shape depending on the chosen technique and cyst characteristics. For conventional excision, the incision is typically slightly larger than the cyst diameter to allow complete removal. Care is taken to create the incision along natural skin lines when possible to promote less noticeable scarring.

Cyst removal

Using surgical instruments, the cyst is carefully separated from surrounding tissues, keeping the cyst wall intact whenever possible. Dissection proceeds slowly and methodically around the cyst to free it from attachment to adjacent structures. Special attention is paid to removing the entire cyst wall to prevent recurrence.

Closure and dressing

After removal, the wound is cleaned, and bleeding is controlled before closure. Depending on the size and depth of the wound, stitches may be placed internally, externally, or both. A sterile dressing is applied over the wound to protect it during initial healing.

Post-Surgical Care and Recovery

Immediate aftercare

The surgical site remains bandaged for 24-48 hours, and patients should follow specific cleansing instructions after bandage removal. Keep the dressing dry and intact during this period. Some mild bleeding or seepage may occur and can be managed by applying gentle pressure with a clean gauze pad.
Pain management

Mild discomfort can typically be managed with over-the-counter pain relievers, though stronger medications may be prescribed for larger or deeper cyst removals.
Activity restrictions

Depending on the cyst location and size, certain activities may need to be limited temporarily while healing occurs. Avoid strenuous exercise, heavy lifting, or activities that could stretch or put pressure on the surgical site for at least 1-2 weeks.
Follow-up appointment

A return visit is scheduled to remove stitches (if non-dissolving types were used) and evaluate the healing process. This typically occurs 7-14 days after the procedure, depending on the location and extent of the procedure.

Potential Risks and Complications

While cyst removal is generally a straightforward procedure, potential risks include infection at the incision site, bleeding, scarring, and incomplete removal leading to cyst recurrence. Rarely, nerve damage may occur, resulting in numbness or altered sensation near the surgical site. Some patients may experience allergic reactions to anaesthetics or adhesives used in dressings. Keloid formation can occur in predisposed individuals, creating raised, thickened scars. The risk of complications increases with larger cysts or those in complicated anatomical locations. Most complications can be managed effectively when identified early.

Frequently Asked Questions

Will the cyst removal leave a scar?

Some degree of scarring is expected after cyst removal in Singapore, though the extent varies based on factors including the size and location of the cyst, the technique used, and individual healing characteristics. The incision is typically placed to minimise visible scarring, and proper wound care helps promote optimal healing.

How long does the cyst removal procedure in Singapore take?

Most cyst removal procedures take between 15 and 60 minutes, depending on the cyst’s size, location, and complexity. Larger cysts or those in sensitive areas may require more time, while small, superficial cysts can often be removed more quickly.

Can a cyst come back after removal?

Complete surgical removal of a cyst, including its entire wall or capsule, significantly reduces the risk of recurrence. However, if any portion of the cyst wall remains, there is a possibility of recurrence. Additionally, new cysts can develop in the same general area, which may appear to be a recurrence but is a new formation.

Dr Liew Hui Min

Dually Accredited Dermatologist In Singapore and the UK

Dr. Liew Hui Min is an accredited consultant dermatologist from the Ministry of Health and the General Medical Council UK.

Her clinical interest includes:

Paediatric Dermatology,
Women’s Dermatology,
General Adult Dermatology.

Having trained in major London Hospitals, Dr Liew returned to Singapore in 2014 as a Consultant at KK Women’s and Children’s Hospital (KKH) where she specialised in paediatric, women, obstetric and vulva dermatology. Currently, Dr Liew practices at The Skin Drs. clinic located at Gleneagles Hospital.

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