Cyst Excision
The whole cyst wall removed — which is why it does not return.
Epidermoid and pilar cysts are keratin-filled sacs beneath the skin, common on the scalp, face, neck and back. They enlarge slowly and can become inflamed, painful or infected.
- Local
- Anaesthesia
- 30–45 min
- Duration
- 7–14 days
- Sutures out
- Very low
- Recurrence

- Complete cyst wall excision
- Minimal-incision technique
- Pre-operative infection control
- Layered closure
Diagnosed first, treated second.
Draining a cyst empties it temporarily; it refills because the wall remains. Definitive treatment removes the entire lining intact, which is the difference between a cure and a recurrence.
- 01Complete cyst wall excision
- 02Minimal-incision technique
- 03Pre-operative infection control
- 04Layered closure
- 05Histopathological confirmation
- A firm lump that has been slowly growing
- A cyst that has become inflamed before
- Discharge or odour from a lump
- A cyst that was drained and refilled
- Multiple scalp cysts
How the treatment works
A sequence, not a single appointment — each step informs the next.
- 01
Assessment
Site, size and any current inflammation determine the timing of surgery.
- 02
Settling inflammation
Actively infected cysts are treated first — operating on them invites recurrence.
- 03
Complete excision
The cyst and its full wall are dissected out through a minimal incision.
- 04
Closure & care
Layered closure with aftercare designed to keep the scar fine.

Results measured, not promised.
What to expect
- 01Cyst removed entirely, with its wall
- 02Recurrence rate very low
- 03Pain, odour and discharge resolved
- 04Minimal incision, discreet scar
- 05Scalp cysts removed without shaving
Begin with a diagnosis,
not a guess.
Share a few details and the clinic will reply with available consultation times for cyst excision — one-to-one with Dr. Arely.
- Response
- Within 24 hours
- Consultation
- One-to-one, 45 min
- Assessment
- Trichoscopy included
- Location
- Dr. Arely Clinic
Frequently asked
Drainage relieves pressure but leaves the wall behind, so the cyst refills.
It is better to settle the inflammation first — tissue planes are clearer and recurrence lower.
No. Scalp cysts are removed through a small parting in the hair.
Yes, every excision is sent for histological confirmation.