Yes — a small linear scar following the elliptical incision. With good closure and post-op scar care (silicone gels, sun protection), the scar typically fades to a fine pale line over 6–12 months.

✦ Cyst Excision

Cyst Excision

Q: Why does the whole cyst wall need to be removed?

Cysts grow from the cells lining their wall (capsule). If any capsule is left behind, those cells will reform the cyst over months or years. Complete capsule removal is the only way to ensure no recurrence.

Q: What if the cyst is currently infected?

Infected cysts are usually drained first (incision and drainage) and treated with antibiotics. Definitive excision is performed 6–8 weeks later when inflammation has settled — this gives the best cosmetic and recurrence outcomes.

Q: Are all skin cysts the same?

No — sebaceous (epidermoid), pilar (trichilemmal), dermoid, and ganglion cysts each have characteristic features. The technique varies slightly for each, but the principle of complete capsule removal applies to all of them.

Complete surgical removal of the cyst with its entire wall (capsule) — the definitive treatment that prevents recurrence in over 98% of cases.

20–45 min PROCEDURE

Day-Care HOSPITAL STAY

>98% SUCCESS RATE

1–2 Weeks RECOVERY

What is Cyst Excision?

Cyst excision is the definitive surgical removal of a cyst along with its entire wall (capsule) — typically for sebaceous (epidermoid), pilar, dermoid, ganglion, or other benign cysts. Removing the wall entirely is essential because any retained capsule cells will reform the cyst. Dr. Abhishek performs cyst excision at Lux Hospitals as a day-care procedure under local anaesthesia, with careful technique to minimise scarring and ensure complete removal — preventing recurrence in over 98% of cases.

How the Procedure Works

Local Anaesthesia

Local anaesthetic is infiltrated around the cyst to ensure a painless procedure.

Elliptical Incision

An elliptical skin incision is made over the cyst, including the central punctum if present.

Cyst Dissection

The cyst is carefully dissected from surrounding tissue while keeping the capsule intact.

Complete Removal

The entire cyst with its capsule is removed in one piece (en bloc) — the key to preventing recurrence.

Layered Closure

Dead space is closed with absorbable sutures; skin is closed with fine sutures for cosmesis.

Outcomes

20–45 minDURATION

Day-CareHOSPITAL STAY

>98%SUCCESS RATE

Who Needs This Treatment?

→Complete removal with capsule — recurrence under 2%
→Histopathology confirms benign diagnosis
→Day-care procedure under local anaesthesia
→Quick recovery with return to work in 2–3 days
→Suitable for cysts on any body location
→Cosmetic closure technique minimises visible scarring

Cyst excision sounds straightforward, but the difference between a permanent fix and a recurring problem is whether the entire wall comes out cleanly. Patient with infected or ruptured cysts often need staged treatment for the best result.

— Dr. Abhishek Katha, Consultant General & Advanced Laparoscopic Surgeon, Lux Hospitals, Hyderabad

Common Questions

Frequently Asked Questions

Why does the whole cyst wall need to be removed?+

What if the cyst is currently infected?+

Will I have a scar?+

Are all skin cysts the same?+

Not sure which treatment is right for you?

Book a consultation with Dr. Abhishek Katha and get a personalised treatment plan.

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