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.
Table of Contents
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.
표피낭종은 피부 표층에 위치하며, 각질 세포로 낭벽이 형성되고 각질 대사물을 포함합니다
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.
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 정밀 최소절개 기술, 완전한 낭벽 박리로 잔류 제로·재발 제로 보장
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.
표피낭종에 대해 자세히 보기
피지낭종은 저절로 없어질까? 물어보기 두려운 10가지 질문
피지낭종은 저절로 사라지지 않으며, 유일한 완치법은 낭벽의 수술적 제거입니다. 이 글에서는 피지낭종에 대한 10가지 흔한 질문에 답합니다: 짜도 되는지, 암이 될 수 있는지, 수술이 아픈지, 비용은 얼마인지 등.
감염된 피지낭종: 배농 vs 완전 제거 - 치료 시기 결정
감염된 피지낭종은 배농해야 할까요, 완전 제거해야 할까요? 핵심은 염증의 심각도입니다. 류달유 원장이 설명합니다: 경미한 염증이면 바로 제거 가능하고, 심한 감염이면 먼저 배농 후 4-6주 뒤 완전 절제합니다.
지방종 수술 후 회복 가이드: 7일간 상처 관리 타임라인
지방종 수술 후 첫 7일은 최적의 치유를 위한 골든타임입니다. 이 가이드에서는 일별 상처 관리 타임라인, 목욕 안내, 활동 지침, 주의해야 할 경고 징후를 제공합니다.
성공 사례
모든 증례 보기
Related Services
Book Professional Consultation
Let us evaluate the best treatment plan for you. Precision micro-surgery for your cyst concerns.
지금 상담하기