Help removing cyst? What are my options? (Photo)

Question

9 years ago I got a cyst in the nasolabial fold but it never fully went away/maybe it’s just the sac left? I’ve been to several dermatologists and plastic surgeons, they keep telling me because of the fact that it doesn’t have hard defined edges, I would need to have it surgically removed in order to get rid of it. However, they won’t do it through the mouth, so it would leave a scar on my face. What are my options? Would radiofrequency help? Microneedling, fraxel, CO2? I’ve had it injected 3x

Anna Chacon, MD, FAAD · Answer

When dealing with a persistent cyst in the nasolabial fold, especially one that has been present for several years, it is understandable to be concerned about both the effectiveness of treatment and potential scarring. Here are some options and considerations:

Surgical Removal: As you have been advised, surgical excision is often the most definitive way to remove a cyst, especially if it has been present for a long time. While this method carries a risk of scarring, an experienced dermatologist or plastic surgeon can often minimize the appearance of scars by utilizing precise surgical techniques and recommending post-operative care to improve healing.

Radiofrequency: This treatment uses energy waves to heat the tissue, which can potentially help in reducing the size of the cyst or improving skin texture. However, it might not completely remove the cyst sac, and its effectiveness can vary.

Microneedling: This procedure involves using fine needles to create tiny punctures in the skin, which can stimulate collagen production. While beneficial for improving skin texture and reducing minor scars, it is unlikely to remove a cyst.

Fraxel or CO2 Laser: These laser treatments are typically used for resurfacing the skin, improving texture, and reducing scars. While they might help in reducing the appearance of the cyst or any residual scarring, they are not likely to remove the cyst entirely.

Injection Treatments: If you have had the cyst injected three times, it is likely that these were corticosteroid injections aimed at reducing inflammation and size. While this can be effective for some cysts, persistent ones may not respond fully to this treatment.

Ultimately, the best course of action depends on your specific situation, including the size and nature of the cyst, as well as your personal preferences regarding potential scarring. It may be beneficial to have a thorough discussion with a dermatologist or plastic surgeon about your concerns and explore the possibility of scar-minimizing techniques if surgical removal is considered.

If you would like to discuss your case further or explore these options in more detail, feel free to reach out to a qualified dermatologist.

Help removing cyst? What are my options? (Photo)

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