Mimi: Your boyfriend probably has a Sebaceous Cyst. The old name was a Wen. Each hair follicle has a sebaceous (oil) gland attached to it. The oil should pour into the hair follicle and wick up the hair shaft to keep the hair shiny and lubricate the skin. If the follicle or pore gets clogged, several things can happen. If the skin grows over the follicle and the oil just sits there, the oil can congeal and turn into a hard little “seed” called Epstein Pearls. These whiteheads are not infected. They just sit there and will not go away by themselves. Do NOT pick at them. They must be removed by a professional Esthetician or a Dermatologist.
The follicle can get infected with Staph and turn into a boil. It can get infected with P. acnes and turn into an Acne pimple https://rgelogin.com/bupa-pet-login.
Or the oil can just keep collecting and collecting and build into a sebaceous cyst. These are benign. They don’t hurt, and can just be ignored.
Doctors usually excise cysts. They cut two lines in an ellipse around the cyst. They remove the affected hair follicle and sebaceous gland. Then the two incision lines are brought together and sutured. The result is a scar that dips below the surface of the skin. The indentation is caused by the tissue that was removed. Most doctors prefer to excise the cyst rather than draining it. By totally removing it, it is permanently gone. With draining there is a chance that it will return. Also, draining the cyst is a messy, tedious job.
If you are up to draining a cyst, here are your directions. DO NOT CUT THE SKIN. The collected oil in the cyst will have probably become rancid and will stink. It is not an infection, so you don’t need to wear gloves. However, because it stinks, I recommend wearing disposable gloves. Have a plastic bag handy to throw away paper. Use paper towels, toilet paper, cotton or gauze. You will need more than you think, if the cyst does drain. Cysts are usually on the back, so have the “victim” lie down. Massage the cyst to soften the hardened oil. The oil will have turned to a liquid with lumps in it. It resembles cottage cheese. With paper covered fingers, bend your index fingers so the side of each finger is along side the cyst. Don’t use the tips of your fingers because they aren’t strong enough and will tire.
Press in toward the center of the cyst. Move your fingers to another position and press deeply and firmly. You are trying to find the clogged pore that the oil will escape from. Once a bit of white or yellow “thread” comes out, you know what pore to work on. Continue pressing and changing the position. As the ribbon of yellow or white old oil comes out, continue pressing and cleaning it up. You can also support your thumbs with the sides of your hands and press with your thumbs. You need to be firm. You can push with your knuckles. Feel the cyst and get to the outside edge of it. Don’t press right where the clogged pore is or you won’t be successful.
Between pressings and cleanings, massage the cyst. When nothing comes out, you probably have a lump of congealed oil. Continue pressing firmly. Watch out, when the lump comes out under pressure from your pressing, it may “explode” like Vesuvius. The stinky goop can shoot 2 feet or even more. Continue pressing and cleaning until the bump feels flat. The pressure is uncomfortable for the “victim” but not painful. Wipe the area clean. Since the cyst is not an infection, no special clean up is needed other than getting rid of the stinky paper towels in the trash.
After the cyst is drained, it may never return. Or it may come back repeatedly. So drain it again, whenever it becomes troublesome. If this seems too icky, ask your skin care specialist if she drains sebaceous cysts. Some facialists are not trained in paramedical esthetics. Some don’t like or don’t know how to do it. Call around until you find someone who has done this work and isn’t grossed out by it. The fee will probably be nothing to $1.25 a minute. A flat rate may be impossible to figure because nobody knows how long it will take until the work is actually done.