One of my FAVORITE Pilar Cysts extracted - via Suspension Suture

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.

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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.