表皮嚢胞（粉瘤）が炎症を起こして赤く腫れていますが、手術はできますか？

劉医師は状況に応じた判断をお勧めしています。軽度の炎症であれば特殊な技術で対応可能です。重度の炎症で膿がある場合は、まず排膿や薬物で炎症をコントロールし、赤みと腫れが引いてから低侵襲切除を行うことで、より小さく美しい傷口に仕上がります。

この低侵襲手術は再発しやすいですか？

いいえ。再発の主な原因は「嚢壁の残存」です。麗式クリニックの技術の核心は「嚢壁の完全剥離」であり、傷口が小さくても嚢袋を完全に取り出すことを確認いたしますので、再発率は極めて低くなります。

術後、顔に大きなガーゼを貼る必要がありますか？仕事を休む必要はありますか？

必要ありません。傷口が極めて小さい（通常わずか数ミリ）ため、術後は人工皮膚や小さな防水テープを貼るだけで十分です。外見上目立たず、洗顔（傷口を避けて）や日常の仕事にも支障はありません。

表皮嚢胞（粉瘤）と脂肪腫の違いは何ですか？

表皮嚢胞（粉瘤）は皮膚の浅い層にあり、中央に黒い点状の開口部があることが多く、角質代謝物を含み、圧迫すると異臭がすることがあります。脂肪腫は皮下の深い層にあり、触感が柔らかく可動性があり、開口部はありません。両者の手術方法は異なりますので、専門医の診断が必要です。

表皮嚢胞（粉瘤）を自分で絞り出してもいいですか？なぜダメなのですか？

絶対にお勧めしません。強く圧迫すると嚢壁が破裂し、重度の炎症、感染、癒着を引き起こすことがあります。痛みが増すだけでなく、その後の手術がより困難になり、大きな瘢痕が残ります。嚢壁を完全に手術で取り出すことでのみ、根治が可能です。

顔の表皮嚢胞（粉瘤）の手術後、瘢痕は残りますか？

麗式クリニックの1:1低侵襲技術では、傷口が極めて小さく、皮膚の紋理（ランゲル線）に沿って設計されています。術後の適切なケアにより、瘢痕はほとんど見えなくなります。ケロイド体質の方には、専門的な瘢痕修復プランもご提供しています。

Authoritative Guide

Epidermal CystRemoval Guide

1:1 Precision Excision & Complete Capsule Dissection

Traditional cyst surgery often leaves wounds 2-3 times the cyst diameter, causing visible scars. Liusmed Clinic uses 1:1 precision micro-technique, making incisions equal to or smaller than cyst size, with complete capsule wall dissection ensuring zero residue, extremely low recurrence, and scars hidden in skin lines.

15+

Years Experience

10,000+

Successful Cases

1:1

Incision Ratio

<1%

Recurrence Rate

What is Epidermal Cyst (Sebaceous Cyst)?

Epidermal cyst (also called sebaceous cyst) is one of the most common benign skin tumors. It's a sac formed by skin keratin cells, containing keratin debris, commonly found on face, neck, behind ears, and other sebaceous gland-rich areas.

粉瘤は皮膚の浅層に位置し、角質細胞で囊壁が形成され、角質代謝物を含んでいます

Causes & Risk Factors

Causes include follicle blockage, trauma, excessive sebum production, or genetic factors. Common in young adults with similar male-to-female ratio. Face, neck, behind ears, and back are the most common locations. Some patients may have multiple cysts.

Cyst vs Lipoma: Key Differences

Epidermal cyst is in the superficial skin layer, often with a central black dot (punctum), may have odorous discharge when squeezed and prone to inflammation. Lipoma is in deep subcutaneous layer, feels soft and movable, with no opening and rarely inflames. Different surgical approaches are required.

When to Remove?

Recurrent inflammation, redness, swelling, and pain
Cyst continues to grow, affecting appearance
Located in visible areas (face, neck) affecting aesthetics
Noticeable odor when squeezed, affecting social confidence
Suspected other tumor, requiring pathological examination

Surgical Technique Comparison

Why Choose Liusmed 1:1 Precision Micro-Surgery?

Surgical Technique	Incision Ratio	Scar Visibility	Recurrence	Notes
Traditional Excision	2-3x	High	5-10%	Large wound, more sutures
Squeezing/Drainage	Small	Low	Very High	Capsule remains, recurs
General Micro-Surgery	1.5-2x	Medium	2-5%	Variable technique
Liusmed 1:1 Precision	1:1 or smaller	Very Low	<1%	Complete capsule dissection

Note: Incision ratio refers to incision length vs cyst diameter. Main cause of recurrence is residual capsule wall - complete dissection is key.

The Best Solution for Facial Cysts

Liusmed 1:1 Precision Micro-Technique

Traditional cyst surgery often requires incisions 2-3 times the cyst diameter to ensure complete removal. Liusmed takes the opposite approach - using 1:1 precision technique to control incisions to equal or smaller than cyst diameter, while using special instruments to completely dissect the capsule wall, achieving "small wound AND complete removal".

1:1 Precision Ratio

Incision equals or smaller than cyst diameter

Complete Capsule Dissection

Zero residue, <1% recurrence rate

Hidden Scar Design

Incision along skin lines (Langer's lines)

Ultimate Aesthetics

Nearly invisible post-operative scars

Facial Cyst: The Art of Small Incisions

The face is where aesthetics matter most. Our 1:1 technique allows a 1cm cyst to be removed through a 1cm or smaller incision, designed along skin texture lines. With proper post-operative care, scars become nearly invisible.

Why is "Complete Capsule Dissection" the Key?

The only cause of cyst recurrence is "residual capsule wall." Many patients have had cysts squeezed or drained, but since the capsule wall remains, they keep coming back. Dr. Liu insists on using special dissection techniques to completely remove the capsule through small incisions, solving the problem at its root. Even for difficult cases with previous inflammation and adhesion, we patiently handle them.

1:1精密低侵襲技術、完全な嚢壁剥離で残留ゼロ・再発ゼロを実現

Surgical Process

Professional, Safe, and Fast Micro-Surgery Experience

Professional Consultation

Physician palpation to confirm cyst depth, inflammation status, and adhesion, evaluating optimal surgical timing

Pre-op Preparation

Precise surgical marking, incision designed along skin lines, local anesthesia, virtually painless procedure

Micro-Excision & Capsule Dissection

Using 1:1 micro-technique, complete dissection of capsule wall and contents, ensuring zero residue

Cosmetic Suturing & Post-op Care

Multi-layer closure with ultra-fine cosmetic sutures, detailed care instructions, suture removal in 7 days

Post-Operative Recovery Guide

Most patients resume normal life immediately after surgery, scars gradually fade after suture removal in 7 days

•Keep wound dry for first 3 days, avoid water contact
•After 3 days, can shower with hydrocolloid or waterproof dressing (avoid direct water on wound)
•Avoid strenuous exercise or wound tension for 1 week
•Use antibiotic ointment as prescribed to prevent infection
•After suture removal, can start using scar products (like silicone sheets)
•For keloid-prone patients, consult our professional scar treatment options

About the Author

Dr. Ta-Ju Liu

Director, Liusmed Clinic

Over 15 years of clinical micro-surgery experience
Over 10,000 successful micro-surgery cases
Board-certified Dermatologist
Expert in 1:1 precision technique and complete capsule dissection

"Though cysts are small, when on the face, they're a big deal. We use the most precise technique to ensure every scar is perfectly hidden."

Frequently Asked Questions

Can surgery be performed if the cyst is inflamed and swollen?

Dr. Liu recommends case-by-case evaluation. Mild inflammation can be handled with special techniques. For severe inflammation with pus, we usually recommend drainage or medication control first, then micro-excision after swelling subsides for better aesthetic results.

Will this micro-surgery have a high recurrence rate?

No. Recurrence is mainly caused by incomplete capsule wall removal. Our core technique is "complete capsule wall dissection." Even with a tiny incision, we ensure the entire cyst sac is removed, resulting in extremely low recurrence rates.

Will I need large bandages on my face? Do I need time off work?

No. Due to the tiny incision (usually just a few millimeters), only a small hydrocolloid or waterproof bandage is needed. It's not noticeable and doesn't affect face washing (avoiding the wound) or daily work.

What's the difference between a cyst and a lipoma?

Epidermal cysts are in the superficial skin layer, often with a central black dot opening, containing keratin debris with possible odor when squeezed. Lipomas are in the deep subcutaneous layer, feel soft and movable, with no opening. Different surgical approaches are required.

Can I squeeze out the cyst myself? Why not?

Absolutely not recommended. Squeezing often ruptures the capsule wall, causing severe inflammation, infection, and adhesion. This not only increases pain but also makes future surgery more difficult and leaves larger scars. Only complete surgical removal of the capsule wall can provide a cure.

Will facial cyst surgery leave scars?

Liusmed's 1:1 micro-technique creates tiny incisions along skin texture lines (Langer's lines). With proper post-operative care, scars are nearly invisible. For keloid-prone patients, we offer professional scar treatment options.