Small cysts generally do not need treatment, unless they bother you. However larger cysts are usually removed because of their size. Insurance covers the cost of these procedures.
If a sebaceous cyst becomes infected, an antibiotic taken by mouth and minor surgery done in the office may be needed to relieve the pressure and discomfort. This is done by making a small opening into the skin and draining the cyst. Sebaceous cysts often recur after this type of surgery because the sac or wall is left behind.
To remove a sebaceous cyst completely, it has to be excised (cut out) in order to remove the sac or cyst wall. A local anesthetic is used to numb the skin. Stitches are used to close the skin opening and are removed 3-4 days after the surgery.
Excision will usually cure a cyst, however, sometimes a cyst will come back and require a second surgery.
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