Acne Cyst Drainage

How to cite: Mukhtar M, Gupta S. Innovative Use of a Disposable Syringe Barrel as a Device to Drain a Cyst. J Skin Stem Cell. 2022;9(3):e129915.https://doi.org/10.5812/jssc-129915.

Cystic skin lesions, such as cystic acne, hidradenitis suppurativa, and infected epidermoid cysts, are drained early to expedite healing and prevent the formation of ugly scars on healing. As per conventional practice, cysts are drained by manual vertical pressure with hands after making a nick/hole with a surgical blade or needle. Unfortunately, manual vertical pressure with hands is not possible at all sites, and sometimes the evacuated pus causes soiling of the surrounding skin and spurts on the attending physician, thereby creating a mess (1, 2). There is also the contamination of the pus material in cases where it has to be sent for microbiological examination. Few innovative methods have been used to drain the cysts, and intralesional injection is given to resolve the cyst; however, it is a slightly cumbersome and incomplete evacuation of the content and incidence of recurrence (3-5). Incision and drainage, deroofing, negative suction, cryopunch, and biopsy punch for draining hidradenitis cyst/sinus have been proposed (6, 7).

It is recommended to use a disposable syringe barrel for pus drainage and collection in such cases to overcome the above-mentioned problem. In this procedure, the site is aseptically prepared (Figure 1A). A syringe of appropriate size is taken as per the diameter of the cyst. The cyst is punctured with a needle connected to the syringe, and the needle is recapped (Figure 1B). The syringe’s piston is removed from the barrel, and the open barrel end is kept over the cyst in such a way that it covers the whole cyst. Gentle vertical pressure is applied; accordingly, the maximum possible exudative material is expressed out and collected in the syringe’s barrel (Figure 1C). At the time of drainage, the barrel should be on a dependent part; accordingly, the exudative material can be easily collected by gravitational force and vacuum effect in the syringe barrel (Figure 1D). This procedure can be performed in a sitting or a lateral lying down position. This barrel helps in the evacuation and collection of cyst content.

Skin Cysts (sebaceous Cyst)

A, An Aseptically Prepared Cyst; B, Incision of a cyst on face with a hypodermic needle; C, Application of gentle pressure with syringe barrel over a cyst to drain the cyst; D, Drainage of cyst content in a syringe barrel.

To resolve the cyst, the epithelial lining of the cyst wall should be enucleated, cauterized with trichloroacetic acid, electrocoagulation, radio-frequency or cryotherapy or sclerosed with hypertonic saline after draining the cysts to avoid its recurrence. Following cauterization, the patient is called after 3 to 5 days to evacuate the damaged cyst wall, and the cyst subsides after 1 week and heals within 4 weeks (Figure 2A - F). Therefore, a disposable syringe barrel is a simple, easily available, and cost-effective sterile drainage tool to drain cysts in a clean and effective manner and collect minimally contaminated exudative specimens.

A - C, After drainage of the epidermoid cyst, cauterization with Trichloroacetic acid and removal of epithelial lining of the cyst after 1 week; and D, Healing of the cyst after 2 weeks; E, 3 weeks; and F, 4 weeks with good cosmetic result.

Boil Vs. Cyst: Symptoms, Causes, Treatment

A variety of novel techniques have been proposed, including a three-way cannula, a hypodermic needle vent for drainage, and intralesional triamcinolone acetonide. However, it is a slightly tedious and time-consuming task with insufficient drainage of the content.

The traditional way of incision and draining of the cyst and manual pressure results in soiled clothes, floor, and clinic, which is not a preferable approach.

To avoid sprinkling of the extracted substance, it is collected in the device with less bleeding and better drainage since pressure is applied from all sides, compared to the conventional method.

Cysts: Diagnosis, Causes, & Treatment

Copyright © 2022, Journal of Skin and Stem Cell. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.Cystic acne is known as the most severe form of acne. It is that red, swollen, and painful pimple that sticks around on your skin for a long time. This leaves an acne scar the longer it stays because of the inflammation and deep lesions developing underneath the skin. An acne scar treatment will most likely be needed to get rid of it completely.

All types of acne and pimples are caused by dead skin cells, oil, and bacteria plugged into the pores. If you notice your pimple swelling, there’s a high chance that an acne cyst has developed. The only difference of this acne from the other superficial types is that it traps the cyst deep under the pores which cause swelling and redness.

This type of acne causes visible scarring because of its depth and inflammation. This is formed when bacteria gets trapped in the pores and triggers an infection deep into the skin. It appears to be a red and tender bump filled with pus.

Pimple Popping And Cyst Drainage Videos |advanced Dermatology And Laser Institute Of Seattle

Cystic acne is considered as the most severe kind of acne.It comes with pain that is impossible to ignore. This happens because there is no opening to release the pent-up bacteria and oil which causes pain and discomfort. A severe condition as this requires acne treatment to get rid of it effectively and safely.

For women, it’s usually the hormonal shifts that happen during their monthly period, which causes the glands to produce excess oil. This causes the oil glands to be filled with sebum that leads to breakouts.

High levels of androgen and testosterone are also linked to causing breakouts. This causes high activity of the sebaceous glands which leads to overproduction of sebum. There’s a higher chance of pores getting clogged, leading to severe acne.

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Acne tends to run in the genes. If one of your parents suffered from a severe acne breakout, it is possible you might get it, too. A family line with the genetic tendency to overproduce sebum leads to oily skin which results in more breakouts.

There’s also a chance your diet may be one of the causes. Some foods can trigger inflammation on the skin and speed up the formation of a cyst. High-glycemic foods and dairy are amongst the culprit linked to causing acne. Astudyassociated skim milk to triggering acne growth.

It is that painful, hard cyst on your chin that won’t seem to come to a head, stay on your face and continue to bug you. The longer it stays, the higher the chance it will develop into a stubborn acne scar.

Forehead Cyst Removal London

Pimples growing on the chin are usually related to hormones, especially in women. Hormonal imbalance and shifts can disrupt the body’s healthy functioning and cause acne flare-ups. Acne growth on the chin may fluctuate during monthly periods. Also, an increase in androgens and testosterone in women are the main reasons why they’re prone to pimples growing on the chin.

Hormones are what stimulate oil production. Too much sebum triggers the growth of bacteria which then gets trapped in the pores. Cystic acne breakouts typically happen underneath the skin and the bacteria in there.

Creams and ointments containing benzoyl peroxide, retinoids or antibiotics target excess sebum, bacteria, and clogged pores – all in which causes the development of severe acne. This topical acne treatment can reduce oil on your skin, kill bacteria, and unclog pores.

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For more stubborn cases of acne on your chin, help from a dermatologist is required. Laser therapy is a useful acne treatment in Singapore because it reduces the number of acne-causing bacteria on the skin and reduces inflammation.

Acne on the cheek is usually caused by oil and dirt buildup that clogs the pores over time. The dirt and debris that encourages bacteria growth on the cheek come from the environment. These may be on your pillowcases, dirty smartphones, and habits of touching your face with dirty hands. Environmental pollution is one of the skin’s worst enemies. Dirt, oil, and bacteria make a perfect formula for causing acne. These can all find its way deep into your pores which then leads to an acne cyst.

Making a habit of changing your sheets and pillowcases regularly can help lessen acne on your cheeks as they can be a breeding ground for bacteria. Overnight, your oils and dead skin cells transfer to your sheets and trigger bacteria growth. This bacteria then transfer back to your skin the next night which leads to pimples. This becomes damaging to the skin in the long term. If the bacteria makes its way deep into the pores, this may lead to severe acne.

Ways To Drain A Cyst

For severe acne on the cheeks, a facial treatment that contains cleansing, exfoliation, peeling, and infusion is a sure way to soothe the skin and reduce any inflammation. This acne treatment helps minimize pores and reduce oil on the face.

Sebaceous glands are what produce the oil on our skin and hair. The acne is formed when a sebaceous gland in the skin’s surface is blocked, and the oil is unable to pass through it. The