How to treat/remove hidrocystoma on nose? (photo)

Question

A derm PA let me know that what looked like a large blackhead on the side of my nose (middle of alar groove) is a hidrocystoma, and that it would need to be surgically removed in order to be resolved. How would a plastic surgeon generally remove something like this - with some sort of laser, or a scalpel, or something else? Should I seek out a surgeon who works in a particular sub-specialty, and what would that sub-specialty be? Thank you!

Nelson Lee Novick, MD · Answer

Hidrocystomas are easy to treat. Following numbing with a local anesthetic, the hidrocystoma can be electrocauterized without the need for cutting, stitches, etc. Make sure to consult with a board certified cosmetic dermatologist. Best of luck.

Jeffrey H. Spiegel, MD · Answer

The best way to remove that is simple excision.  A small cut around it, remove it, and then a couple of stitches across the top.  The location is favorable for a good, hard to see scar.  Any facial plastic Surgeon should be able to do that quickly and well in the office with local anesthesia.

Jose A. Munoz, MD - Account Suspended · Answer

Hi and welcome to our forum!A hidrocystoma is a benign proliferation of eccrine glandular tissue. Surgical removal with a scalpel with pathologic confirmation of completeness of excision will eliminate the lesion. As the lesion occurs at the alar crease of the nose, the excision should encompass it as an ellipse in the direction of the crease to minimize scarring. Fine layered closure will complete the procedure. It should ultimately heal well. Seek a board certified plastic surgeon for evaluation, examination, and treatment.Best wishes...

How to treat/remove hidrocystoma on nose? (photo)

Answers (3)

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