AMG

This patient has an epidermoid cyst which has recently become inflamed and “infected”. I put “infected” in quotes, because technically this is not an infection: When an epidermoid cyst ruptures, it creates a vigorous foreign body inflammatory response - this skin becomes warm, tender, painful, and swells, simulating an abscess. Incision and Drainage (I & D), will confirm the diagnosis of inflamed cyst, when the cheesy, sometimes odiferous material is evacuated, and this process often leads to rapid resolution of symptoms. These episodes are often misdiagnosed as “infection” of the cyst, but cultures are usually negative and antibiotic treatments is not required. Intralesional steroids can hasten the resolution of symptoms as well.

A blackhead is also called an open comedo (single for comedone), and it is a clogged pore in the skin that is open to the air. Keratin (skin protein) and sebum (oil) combine to block the pore. They are often found on the face and trunk. but they can be found anywhere on the body. Blackheads are not clogged with dirt, but it is the exposure to air that causes oxidation turning the internal contents black. They can be extracted using a comedone extractor. I usually use an 11 blade (a blade that comes to a sharp point) and a Shaumberg type comedone extractor. Subscribe to my Dermatology educational channel, Dr Pimple Popper University! Link is here: https://www.youtube.com/channel/UCvaD01Jb_ruxsAcVqVmTHzQ To buy your own Official Dr. Pimple Popper Comedone Extractor, click here: https://www.drpimplepopper.com/shop For more content, exclusive content, and of course to get more Dr. Pimple Popper schwag, visit us at www.drpimplepopper.com! Instagram: @DrPimplePopper for 24/7 pops @DrSandraLee for my work, my life, my pops Facebook: facebook.com/DrSandraLeeDermatology Twitter: @SandraLeeMD Snapchat: drpimplepopper Periscope: Dr. Sandra Lee You can watch my TV appearances here: https://www.youtube.com/channel/UCOixDRVQAsKe4STSuWU8U0Q This video may contain dermatologic surgical and/or procedural content. The content seen in this video is provided only for medical education purposes and is not intended to be a substitute for professional medical advice, diagnosis, or treatment.

Dr. Pimple Popper: Acne & Whitehead Extractions - Session 2

They Grow Cysts BIG in Texas...

Dr. Pimple Popper: Steatocystoma City

Flip It And Reverse It Dilated Pore of Winer, Revisited!

Dr. Pimple Popper: Two Women with Blackheads and Sebaceous Filaments

Dr. Sandra Lee, aka Dr. Pimple Popper, extracts a tick from the side of a woman's body.

Do you know if you have dry skin or dehydrated skin? Here are some clues!

A Pilar Cyst, aka a trichilemmal cyst, an isthmus-catagen cyst, or a “wen”, looks identical on examination to the more common epidermoid cyst, except that 90% of them occur on the scalp. They tend to be more mobile and firmer than epidermoid cysts, and are derived from a different part of the hair follicle/skin. The internal content tend to be more “homogenous”/ smooth (looks different under the microscope), but it is also a benign growth. It is not uncommon to have multiple pilar cysts on the scalp and to have other family members to have these cysts (tend to run in families). Treatment is for cosmetic reasons usually (people don’t like the appearance of them), and excision with removal of the cyst and it’s contents is curative. Subscribe to my Dermatology educational channel, Dr Pimple Popper University! Link is here: https://www.youtube.com/channel/UCvaD01Jb_ruxsAcVqVmTHzQ To buy your own Official Dr. Pimple Popper Comedone Extractor, click here: https://www.drpimplepopper.com/shop For more content, exclusive content, and of course to get more Dr. Pimple Popper schwag, visit us at www.drpimplepopper.com! Instagram: @DrPimplePopper for 24/7 pops @DrSandraLee for my work, my life, my pops Facebook: facebook.com/DrSandraLeeDermatology Twitter: @SandraLeeMD Snapchat: drpimplepopper Periscope: Dr. Sandra Lee You can watch my TV appearances here: https://www.youtube.com/channel/UCOixDRVQAsKe4STSuWU8U0Q This video may contain dermatologic surgical and/or procedural content. The content seen in this video is provided only for medical education purposes and is not intended to be a substitute for professional medical advice, diagnosis, or treatment.

A Healthy Mozza Ball! An epidermoid cyst (Epidermal Inclusion cyst, Infundibular cyst), is a benign growth commonly found in the skin and typically appears on the face, neck or trunk, but can occur anywhere on the body. Another name used is “sebacous cyst” but this is actually an antiquated misnomer, and is not a term used by dermatologists. They are also the most common type of cutaneous cysts. Epidermoid cysts result from the reproduction of epidermal cells within a confined space of the dermis. The pasty contents are mostly composed of macerated keratin (wet skin cells), which creates this “cheesy” consistency, and there can be a pungent odor. An epidermoid cyst may have no symptoms and are typically harmless. Usually people seek removal because they don’t like the appearance of these bumps, or the cyst has ruptured or been inflamed or “infected” in the past. Rupture is associated with sudden redness, pain, swelling, and local heat, and can lead to abscess formation. Also, a history of inflammation, often increases scar tissue in the area, makes the cyst more firmly adherent to surrounding skin, and makes it more difficult to remove. Surgical excision is curative, but the complete cyst removal including the entire cyst sac and contents need to be removed to ensure that the cyst won’t reoccur. To buy your own Official Dr. Pimple Popper Comedone Extractor, click here: http://www.drpimplepopper.com/shop To learn more about my skincare line - SLMD Skincare - click here: www.sldmskincare.com Subscribe to my Dermatology educational channel, Dr Pimple Popper University! Link is here: https://www.youtube.com/channel/UCvaD... For more content, exclusive content, and of course to get more Dr. Pimple Popper schwag, visit us at www.drpimplepopper.com! Instagram: @DrPimplePopper for 24/7 pops @DrSandraLee for my work, my life, my pops Facebook: facebook.com/DrPimplePopper Twitter: @SandraLeeMD Snapchat: drpimplepopper Periscope: Dr. Sandra Lee You can watch my TV appearances here: https://www.youtube.com/channel/UCOix... This video may contain dermatologic surgical and/or procedural content. The content seen in this video is provided only for medical education purposes and is not intended to be a substitute for professional medical advice, diagnosis, or treatment.

This patient has an epidermoid cyst which has recently become inflamed and “infected”. I put “infected” in quotes, because technically this is not an infection: When an epidermoid cyst ruptures, it creates a vigorous foreign body inflammatory response - this skin becomes warm, tender, painful, and swells, simulating an abscess. Incision and Drainage (I & D), will confirm the diagnosis of inflamed cyst, when the cheesy, sometimes odiferous material is evacuated, and this process often leads to rapid resolution of symptoms. These episodes are often misdiagnosed as “infection” of the cyst, but cultures are usually negative and antibiotic treatments is not required. Intralesional steroids can hasten the resolution of symptoms as well. A blackhead is also called an open comedo (single for comedone), and it is a clogged pore in the skin that is open to the air. Keratin (skin protein) and sebum (oil) combine to block the pore. They are often found on the face and trunk. but they can be found anywhere on the body. Blackheads are not clogged with dirt, but it is the exposure to air that causes oxidation turning the internal contents black. They can be extracted using a comedone extractor. I usually use an 11 blade (a blade that comes to a sharp point) and a Shaumberg type comedone extractor. Comedones can also occur due to excessive and cumulative sun exposure to the skin, which is why you can see them on the face of older people who don’t have active acne. When the comedones are distributed around the eyes and the upper cheekbone area, it’s called Favre-Racouchot syndrome. Subscribe to my Dermatology educational channel, Dr Pimple Popper University! Link is here: https://www.youtube.com/channel/UCvaD01Jb_ruxsAcVqVmTHzQ To buy your own Official Dr. Pimple Popper Comedone Extractor, click here: http://www.drpimplepopper.com/shop For more content, exclusive content, and of course to get more Dr. Pimple Popper schwag, visit us at www.drpimplepopper.com! Instagram: @DrPimplePopper for 24/7 pops @DrSandraLee for my work, my life, my pops Facebook: facebook.com/DrPimplePopper Twitter: @SandraLeeMD Snapchat: drpimplepopper Periscope: Dr. Sandra Lee You can watch my TV appearances here: https://www.youtube.com/channel/UCOixDRVQAsKe4STSuWU8U0Q This video may contain dermatologic surgical and/or procedural content. The content seen in this video is provided only for medical education purposes and is not intended to be a substitute for professional medical advice, diagnosis, or treatment.

An epidermoid cyst (Epidermal Inclusion cyst, Infundibular cyst), is a benign growth commonly found in the skin and typically appears on the face, neck or trunk, but can occur anywhere on the body. They are also the most common type of cutaneous cysts. Epidermoid cysts result from the reproduction of epidermal cells within a confined space of the dermis. The pasty contents are mostly composed of macerated keratin (wet skin cells), which creates this “cheesy” consistency, and there can be a pungent odor. An epidermoid cyst may have no symptoms and are typically harmless. Usually people seek removal because they don’t like the appearance of these bumps, or the cyst has ruptured or been inflamed or “infected” in the past. Rupture is associated with sudden redness, pain, swelling, and local heat, and can lead to abscess formation. Surgical excision is curative, but the complete cyst removal including the entire cyst sac and contents need to be removed to ensure that the cyst won’t reoccur. To buy your own Official Dr. Pimple Popper Comedone Extractor, click here: http://www.drpimplepopper.com/shop To learn more about my skincare line - SLMD Skincare - click here: www.slmdskincare.com Subscribe to my Dermatology educational channel, Dr Pimple Popper University! Link is here: https://www.youtube.com/channel/UCvaD... For more content, exclusive content, and of course to get more Dr. Pimple Popper schwag, visit us at www.drpimplepopper.com! Instagram: @DrPimplePopper for 24/7 pops @DrSandraLee for my work, my life, my pops Facebook: facebook.com/DrPimplePopper Twitter: @SandraLeeMD Snapchat: drpimplepopper Periscope: Dr. Sandra Lee You can watch my TV appearances here: https://www.youtube.com/channel/UCOix... This video may contain dermatologic surgical and/or procedural content. The content seen in this video is provided only for medical education purposes and is not intended to be a substitute for professional medical advice, diagnosis, or treatment.

A Pilar Cyst, aka a trichilemmal cyst, an isthmus-catagen cyst, or a “wen”, looks identical on examination to the more common epidermoid cyst, except that 90% of them occur on the scalp. They tend to be more mobile and firmer than epidermoid cysts, and are derived from a different part of the hair follicle/skin. The internal content tend to be more “homogenous”/ smooth (looks different under the microscope), but it is also a benign growth. It is not uncommon to have multiple pilar cysts on the scalp and to have other family members to have these cysts (tend to run in families). Treatment is for cosmetic reasons usually (people don’t like the appearance of them), and excision with removal of the cyst and it’s contents is curative. To buy your own Official Dr. Pimple Popper Comedone Extractor, click here: http://www.drpimplepopper.com/shop To learn more about my skincare line - SLMD Skincare - click here: www.sldmskincare.com Subscribe to my Dermatology educational channel, Dr Pimple Popper University! Link is here: https://www.youtube.com/channel/UCvaD01Jb_ruxsAcVqVmTHzQ For more content, exclusive content, and of course to get more Dr. Pimple Popper schwag, visit us at www.drpimplepopper.com! Instagram: @DrPimplePopper for 24/7 pops @DrSandraLee for my work, my life, my pops Facebook: facebook.com/DrPimplePopper Twitter: @SandraLeeMD Snapchat: drpimplepopper Periscope: Dr. Sandra Lee You can watch my TV appearances here: https://www.youtube.com/channel/UCOixDRVQAsKe4STSuWU8U0Q This video may contain dermatologic surgical and/or procedural content. The content seen in this video is provided only for medical education purposes and is not intended to be a substitute for professional medical advice, diagnosis, or treatment.

To buy your own Official Dr. Pimple Popper Comedone Extractor, click here: http://www.drpimplepopper.com/shop To learn more about my skincare line - SLMD Skincare - click here: www.slmdskincare.com Subscribe to my Dermatology educational channel, Dr Pimple Popper University! Link is here: https://www.youtube.com/channel/UCvaD01Jb_ruxsAcVqVmTHzQ For more content, exclusive content, and of course to get more Dr. Pimple Popper schwag, visit us at www.drpimplepopper.com! Instagram: @DrPimplePopper for 24/7 pops @DrSandraLee for my work, my life, my pops Facebook: facebook.com/DrPimplePopper Twitter: @SandraLeeMD Snapchat: drpimplepopper Periscope: Dr. Sandra Lee You can watch my TV appearances here: https://www.youtube.com/channel/UCOixDRVQAsKe4STSuWU8U0Q This video may contain dermatologic surgical and/or procedural content. The content seen in this video is provided only for medical education purposes and is not intended to be a substitute for professional medical advice, diagnosis, or treatment.

Click here for part 2: https://youtu.be/KFrqWzuJNAQ Steatocystoma Multiplex appear as multiple, uniform, yellow, cystic papules usually 2-6 mm diameter, located especially on upper anterior trunk, upper arms, axillae, and thighs. Typically no central punctum or umbilication is seen. Majority of cases present with dermal lesions, but multiple subcutaneous masses looking like multiple lipomas can be present. Bumps usually appear in adolescence or early adulthood, probably because sebaceous activity is at its peak. Sometimes larger steatocystomas are prone to rupture and suppuration and can cause scarring and pain. Steatocytomas typically contain a syrup-like, yellowish , odorless, oily material. If they are inflamed or infected by bacteria, they can develop a foul odor and can be a definite source of social isolation. This is probably the closest thing to a “sebaceous cyst”, a name that many people including non dermatologist physicians may use to describe an epidermoid cyst which we see more commonly. Steatocystoma may at times have vellus hairs, and eruptive vellus hair cysts may have sebaceous glands (oil glands) in their lining, which leads some dermatologists to believe these two conditions may lie along a continuum, that they may be related. Treatment is removal with small incisions and extraction, with care on treatment on the trunk because of the increased chance of poor cosmetic result/scarring. To buy your own Official Dr. Pimple Popper Comedone Extractor, click here: http://www.drpimplepopper.com/shop To learn more about my skincare line - SLMD Skincare - click here: www.slmdskincare.com Subscribe to my Dermatology educational channel, Dr Pimple Popper University! Link is here: https://www.youtube.com/channel/UCvaD... For more content, exclusive content, and of course to get more Dr. Pimple Popper schwag, visit us at www.drpimplepopper.com! Instagram: @DrPimplePopper for 24/7 pops @DrSandraLee for my work, my life, my pops Facebook: facebook.com/DrPimplePopper Twitter: @SandraLeeMD Snapchat: drpimplepopper Periscope: Dr. Sandra Lee You can watch my TV appearances here: https://www.youtube.com/channel/UCOix... This video may contain dermatologic surgical and/or procedural content. The content seen in this video is provided only for medical education purposes and is not intended to be a substitute for professional medical advice, diagnosis, or treatment.

This particular pilar cyst excision will go down on My Favorites short list. This gentleman travelled from Hollywood to see me, and he was dressed to the nines, but very, very nervous. He admits he gets "white coat syndrome" and hates to see doctors. However, he saw me on The Doctors TV show, and he felt that I might be the one to remove this bump on his scalp. As you can see he is pretty nervous but my favorite part was seeing his face right after I removed this cyst. He was smiling to himself and I could tell that he still couldn't believe that he went through with the surgery. He actually only had an appointment scheduled for a consult, but I could sense that he really wanted this bump removed and would probably chicken out and never come back, so luckily I had time enough to do it right then and there! Also, there are parts of this video that are muted, in order to protect his privacy and the privacy of others. Interestingly, I used a "suspension suture" to help me to extract this pilar cyst. The walls of a pilar cyst are usually very smooth, reminds me of an olive. I couldn't grasp the cyst with my forceps, so I decided to place a suture into it so I could pull it out. As you know, pilar cysts are benign growths that occur predominantly on the scalp, and usually have thicker walls than the more common epidermoid cysts. This makes them easier to pop out whole. This bump was very noticeable on his scalp so I think the removal will make him very happy, indeed. Thank you so much for watching. And I have the best patients in the world!! Instagram: @DrPimplePopper for 24/7 pops @DrSandraLee for my work, my life, my pops Facebook: Dr Sandra Lee Twitter: @SandraLeeMD Snapchat: drpimplepopper Periscope: Dr. Sandra Lee This video may contain dermatologic surgical and/or procedural content. The content seen in this video is provided only for medical education purposes and is not intended to be a substitute for professional medical advice, diagnosis, or treatment.

GOOEY CHIN CYST with Dr. Pimple Popper www.drpimplepopper.com

Prelude to POP + Q & A! https://youtu.be/PPHjO57hpTo A blackhead is also called an open comedo (single for comedone), and it is a clogged pore in the skin that is open to the air. Keratin (skin protein) and sebum (oil) combine to block the pore. They are often found on the face and trunk. but they can be found anywhere on the body. Blackheads are not clogged with dirt, but it is the exposure to air that causes oxidation turning the internal contents black. They can be extracted using a comedone extractor. I usually use an 11 blade (a blade that comes to a sharp point) and a Shaumberg type comedone extractor. A Dilated pore of Winer is essentially a large, solitary open comedone/blackhead. Dead skin cells get trapped and help widen this pore, and plugs up the opening. The expression of this plug squeezes out the macerated, white, soggy keratin/skin cells from the deeper portion of the pore. Once the content of the dilated pore is expressed, this whole process of the dilated pore filling once again with keratin is common. They are completely benign and are usually expressed for cosmetic reasons. A comedone extractor can be used to do this. To buy your own Official Dr. Pimple Popper Comedone Extractor, click here: http://www.drpimplepopper.com/shop To learn more about my skincare line - SLMD Skincare - click here: www.slmdskincare.com Subscribe to my Dermatology educational channel, Dr Pimple Popper University! Link is here: https://www.youtube.com/channel/UCvaD01Jb_ruxsAcVqVmTHzQ For more content, exclusive content, and of course to get more Dr. Pimple Popper schwag, visit us at www.drpimplepopper.com! Instagram: @DrPimplePopper for 24/7 pops @DrSandraLee for my work, my life, my pops Facebook: facebook.com/DrPimplePopper Twitter: @SandraLeeMD Snapchat: drpimplepopper Periscope: Dr. Sandra Lee You can watch my TV appearances here: https://www.youtube.com/channel/UCOixDRVQAsKe4STSuWU8U0Q This video may contain dermatologic surgical and/or procedural content. The content seen in this video is provided only for medical education purposes and is not intended to be a substitute for professional medical advice, diagnosis, or treatment.

Dr Pimple Popper: A Back Cyst like RICOTTA

A milium (single for milia) is a small superficial cyst formed in the top layer of the skin called the epidermis. They appear as tiny, pearly-white bumps just under the surface of the skin. They contain keratin (skin protein) and are harmless. They are often seen on the face, in particular on the delicate skin around the eyes. They can be prevented or minimized with exfoliating like chemical peels, microdermabrasion or topical retinoids. However, they are sometimes difficult to remove without a physician’s help, since they cannot simply be squeezed out. Often, the surface of the skin has to be pierced first with a lancet, a sharp pointed blade, or a needle, in order to successfully remove the milium. Often a comedone extractor is used to express the milium.

Dr Pimple Popper: More Cysts Behind the Ears!

Dr Pimple Popper: A Cyst Grandma Could Squeeze

Dr Pimple Popper: A Big Cyst on the Occipital Scalp

Steatocystoma Multiplex appear as multiple, uniform, yellow, cystic papules usually 2-6 mm diameter, located especially on upper anterior trunk, upper arms, axillae, and thighs. Typically no central punctum or umbilication is seen. Majority of cases present with dermal lesions, but multiple subcutaneous masses looking like multiple lipomas can be present. Bumps usually appear in adolescence or early adulthood, probably because sebaceous activity is at its peak. Sometimes larger steatocystomas are prone to rupture and suppuration and can cause scarring and pain. Steatocytomas typically contain a syrup-like, yellowish , odorless, oily material. If they are inflamed or infected by bacteria, they can develop a foul odor and can be a definite source of social isolation. This is probably the closest thing to a “sebaceous cyst”, a name that many people including non dermatologist physicians may use to describe an epidermoid cyst which we see more commonly. Steatocystoma may at times have vellus hairs, and eruptive vellus hair cysts may have sebaceous glands (oil glands) in their lining, which leads some dermatologists to believe these two conditions may lie along a continuum, that they may be related. Treatment is removal with small incisions and extraction, with care on treatment on the trunk because of the increased chance of poor cosmetic result/scarring. Subscribe to my Dermatology educational channel, Dr Pimple Popper University! Link is here: https://www.youtube.com/channel/UCvaD01Jb_ruxsAcVqVmTHzQ To buy your own Official Dr. Pimple Popper Comedone Extractor, click here: http://www.drpimplepopper.com/shop For more content, exclusive content, and of course to get more Dr. Pimple Popper schwag, visit us at www.drpimplepopper.com! Instagram: @DrPimplePopper for 24/7 pops @DrSandraLee for my work, my life, my pops Facebook: facebook.com/DrSandraLeeDermatology Twitter: @SandraLeeMD Snapchat: drpimplepopper Periscope: Dr. Sandra Lee You can watch my TV appearances here: https://www.youtube.com/channel/UCOixDRVQAsKe4STSuWU8U0Q This video may contain dermatologic surgical and/or procedural content. The content seen in this video is provided only for medical education purposes and is not intended to be a substitute for professional medical advice, diagnosis, or treatment.