Abscess & Cyst

It is important to not try and drain or excise abscesses and/or cysts on your own, as it can lead to infection or it could be the wrong course of action. 

What are Abscesses?

Abscesses are painful, swollen, and pus-filled infections that occur underneath the skin's surface. These infections typically result from the body's immune response to bacteria, fungi, or foreign substances. When the skin is punctured, whether through a cut, wound, or even a hair follicle, it creates an entry point for microbes. The immune system responds by sending white blood cells to fight off the infection, leading to the accumulation of dead cells, tissue debris, and bacteria at the site. Slowly, a pocket of pus forms, causing redness, tenderness, and a throbbing sensation. Abscesses can arise anywhere on the body, ranging from small to large in size, and may require proper medical intervention to promote healing and prevent complications.

What are Cysts?

Cysts are common skin lesions that can occur anywhere on the body, caused by the abnormal growth of cells. These are fluid-filled sacs that can vary in size, ranging from as small as a pea to as large as a golf ball. While cysts can develop in any age group, they are more commonly seen in adults. The most common causes of cysts include blocked oil glands, infections, genetic disorders, chronic inflammation, or even hormonal imbalances. Additionally, injuries to the skin and traumatic events such as acne or cystic acne can contribute to the formation of cysts. Though most cysts are harmless and tend to resolve on their own, they can sometimes cause discomfort or become infected, requiring medical intervention.

What to Expect in the Clinic?

When you come into the clinic, we will ask you to describe how long you’ve had this condition and elaborate on more details, such as if you’ve ever seen another dermatologist, tried any treatments or medications in the past, and where it is located. Please come prepared with a list of any over-the-counter treatments and prescriptions you have tried in the past or are currently using. We will take pictures to track your progress.  

What Can We Do?

Dr. Kartono may prescribe oral antibiotics to reduce inflammation, but further courses of treatment, such as surgical removal or drainage, may be necessary. Dr. Kartono will assess the situation to determine the best course of action. 
Image sourced from DermNet

Types of Abscesses

Boils

Boils are painful and often a result of bacteria entering a hair follicle or oil gland. At first, these may appear as red, tender lumps, then they may gradually progress into a firm, pus-filled abscess. Boils can be due to poor hygiene, weakened immune system, or close contact with infected individuals. Warm compresses on the affected area for about 10-15 minutes several times a day may help to drain the boil naturally. We recommend keeping the area clean and avoiding squeezing or popping the boil, to prevent the infection from spreading. If you do not see any improvement or notice it getting worse, we recommend coming into the clinic. 

Furuncles

Furuncles are similar, but caused by bacterial infections in hair follicles when they become damaged or blocked.Typically, they will be red, swollen, and tender lumps filled with pus. Luckily, there are various simple treatment methods available. Warm compresses may help, but furuncle may need to be drained by a healthcare professional to ensure complete recovery.

Carbuncles

Carbuncles are clusters of furuncles, and may also need the treatment of a healthcare professional for a full recovery.

Epidermoid Cyst

Epidermoid cysts typically manifest as small, round bumps just beneath the skin's surface. They are non-cancerous growths filled with a thick, yellowish substance known as keratin. The main cause of epidermoid cysts is the obstruction or damage to a hair follicle or a sebaceous gland, usually due to trauma, genetic predisposition, or hormonal imbalances. When the hair follicle or gland becomes blocked, it fills with sebum and dead skin cells, forming a cyst. In some cases, epidermoid cysts may also occur spontaneously and without any apparent cause. While most epidermoid cysts are harmless, they can sometimes become inflamed or infected, necessitating medical intervention.

Ganglion Cyst

A ganglion cyst is a noncancerous lump that develops along the joints or tendons, typically in the wrist or hand, but can also occur in other areas of the body. These cysts are filled with a jelly-like fluid and can vary in size, ranging from pea-sized to an inch or more in diameter. Ganglion cysts are believed to be caused by the leakage of fluid from nearby joints or tendon sheaths into surrounding tissue.

Pilar Cyst

Pilar cysts are non-cancerous growths that commonly occur on the scalp. These cysts develop from hair follicles and are typically filled with thick, yellowish fluid. They are believed to be genetically inherited, as they tend to run in families. Pilar cysts are most frequently found in middle-aged adults, but can develop at any age. Medical intervention may be necessary to remove them.

Types of Cysts