Dr. Blackhead Extractions EP:289 – REMOVAL PIMPLE

 

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“If topical treatment alone does not improve acne, or if acne is severe or extensive, oral medications are the best option. If you’ve tried several topical medications without success, or if your condition is severe, oral acne medications are usually the next step in the treatment process. Treatment usually includes oral antibiotics and applying a prescription gel or topical cream to the skin. Depending on people with acne, treatment may include using prescription creams to prevent acne, taking antibiotics to kill bacteria that contribute to acne, or, if acne is severe, taking stronger medications such as like isotretinoin, or even minor surgery. Even if you have tried topical acne treatments such as creams or gels without any lasting results, laser therapy may be the right solution for you. While I would like you to try natural remedies first, if you are not seeing improvement and severe hormonal acne is making your quality of life worse, other treatments can make a real difference. While it may take a while, treating hormonal acne from the inside out until your hormones are in their natural, happy balance will allow your skin to truly heal.

While my approach isn’t an instant solution, and won’t replace everyone’s multi-drug regimen, hormonal acne can be very sensitive to a more holistic approach, which means less medication and more patches. While the studio treatments offered by Carolina Skin Care can be very effective in treating acne, patients should also commit to taking care of their skin at home. Multiple topical treatments, whether it’s steroids for eczema or topical antibiotics for acne, topical treatments may help in the short term, but in the long run, it can damage the skin, making you more likely to take it in the future. In addition to other treatments, you can take the most obvious step to soothe stress-related acne: reduce stress. If the creams and antibiotics you have been prescribed are not working, or if you cannot tolerate the side effects that medications may cause, you may want to consider acne treatments, which can be provided at your doctor’s office.

Dealing with a giant cyst should be done with care, as popping or improperly handling it can lead to infection, scarring, or other complications. If you’re asking about the process for treating a cyst, it’s best to follow these general guidelines:

  1. Seek professional help: A doctor or dermatologist is the safest route. They can drain or remove the cyst in a sterile environment with proper medical tools.
  2. Avoid popping it yourself: While it might be tempting, popping a cyst on your own (especially a large one) can push the contents deeper into your skin, leading to infection or more serious complications.
  3. If you absolutely must try at home (not recommended):
    • Clean the area: Wash the cyst and surrounding skin with soap and water to reduce the risk of infection.
    • Sterilize a needle: If the cyst is superficial, some people opt to carefully puncture the cyst with a sterilized needle. It’s crucial that you don’t puncture too deeply, and this is still risky.
    • Apply pressure gently: Apply steady, gentle pressure around the cyst to see if the contents will drain. Do not squeeze too forcefully.

After attempting anything like this, make sure to clean the area with an antiseptic and apply an antibiotic ointment. Keep an eye on it for signs of infection like redness, swelling, or pus.

If the cyst does get infected, or it’s painful, large, or recurring, it’s essential to see a healthcare professional for proper treatment.

Professional Treatment

  1. Consultation and Diagnosis: A doctor or dermatologist will examine the cyst to determine whether it is benign (non-cancerous) and if it’s safe to drain or remove. They will look for signs of infection or complications.
  2. Sterile Environment: Doctors will perform any cyst drainage or removal in a sterile environment, such as a clinic or office. They use sterilized instruments, such as a scalpel or needle, to puncture the cyst without causing additional damage or spreading bacteria.
  3. Numbing the Area: Before making an incision, the doctor will likely apply a local anesthetic to numb the area. This makes the procedure more comfortable for the patient.
  4. Drainage/Removal: In some cases, the doctor may gently squeeze or puncture the cyst to drain its contents, or they may surgically remove the entire cyst (including its capsule) to prevent it from coming back. They may apply a bandage or dressing afterward to keep the area clean.
  5. Aftercare: The doctor will advise you on how to take care of the area post-procedure, which might include cleaning the wound with antiseptic, applying antibiotic ointment, and avoiding squeezing it. They’ll also let you know when to come back for follow-up care.

If You Try at Home (Not Recommended)

If you decide to attempt dealing with the cyst yourself, follow these steps, but again, only after fully considering the risks.

  1. Preparation:
    • Clean the cyst and surrounding skin thoroughly with soap and water. This minimizes the chances of introducing bacteria into the area.
    • Sterilize your tools: If you’re planning on using a needle or a lancet, sterilize the tool using rubbing alcohol. You should also wash your hands with soap and water.
  2. Puncture the Cyst:
    • Use a sterilized needle to carefully puncture the surface of the cyst. Do NOT puncture deeply—you want to avoid piercing through the skin too far or causing additional damage. Aim to just break the surface.
    • Press gently: Use gentle pressure around the cyst (not too hard)

 

If You’re Determined to Do This at Home (Again, not recommended):

Materials You’ll Need:

  • Antiseptic (like alcohol or iodine)
  • Sterile needle or lancet (a small, sharp instrument to pierce the cyst)
  • Cotton swabs or gauze
  • Antibiotic ointment (like Neosporin)
  • Bandages or sterile dressing

Step-by-Step:

  1. Wash Your Hands Thoroughly:
    • Before touching the cyst or any tools, wash your hands with soap and water to reduce the risk of infection. Using hand sanitizer with at least 60% alcohol is also good.
  2. Clean the Area Around the Cyst:
    • Use an antiseptic to cleanse the cyst and the surrounding skin. This prevents any bacteria from getting inside during the process.
  3. Sterilize a Needle or Lancet:
    • Use rubbing alcohol or heat (if safe) to sterilize the needle or lancet you’ll use. This helps prevent the introduction of bacteria.
  4. Apply a Warm Compress (Optional):
    • Before attempting to pop the cyst, you can apply a warm, damp cloth for about 10-15 minutes. This helps soften the cyst and may encourage it to drain naturally. It can also make the process less painful.
  5. Piercing the Cyst:
    • Carefully pierce the surface of the cyst with the sterilized needle. You should do this gently, not forcefully. If you feel resistance, do not push too hard—this could lead to injury or the cyst bursting in an uncontrolled way.
    • The goal is to puncture the top layer of the cyst’s skin, just enough to allow the contents to drain out. You don’t need to go deep, as that can cause more damage.
  6. Apply Gentle Pressure:
    • After making a small hole, gently press around the cyst using your fingers (with clean hands or gloves). This should help the contents of the cyst (usually pus, oil, or keratin) come out.
    • If nothing comes out, it may be too deep or not ready to drain. If the cyst doesn’t drain, it’s best to leave it alone. You don’t want to push too hard and risk damaging the tissue.
  7. Clean Up and Treat the Area:
    • Once the cyst has drained, clean the area again with antiseptic. This reduces the chance of infection.
    • Apply an antibiotic ointment (like Neosporin) to the area. This helps protect against bacterial infection as the skin heals.
    • Cover it with a sterile bandage or dressing to keep it clean.
  8. Watch for Infection:
    • After popping the cyst, monitor the area for any signs of infection, which might include:
      • Increased redness or swelling
      • Pain or warmth
      • Pus or drainage that’s not clear
      • Fever
    • If you notice any of these signs, it’s best to seek medical attention promptly.

Things to Keep in Mind:

  • Don’t squeeze forcefully: Squeezing too hard can push the cyst contents deeper into the skin or cause the cyst to rupture in a way that worsens the problem.
  • Don’t try if it’s painful or large: For a large, deep, or inflamed cyst, home treatment is risky. Professional medical care is necessary to avoid complications.
  • Reoccurrence: Even if the cyst drains, it may come back. The best long-term solution is often to have a healthcare provider remove it surgically, which ensures it doesn’t return and reduces the risk of complications.

Professional Cyst Removal:

If you’re dealing with a large cyst or one that is causing discomfort or worry, the safest option is to visit a healthcare professional. They can:

  • Drain the cyst safely in a sterile environment.
  • Remove the cyst wall (in some cases) to prevent the cyst from coming back.
  • Prescribe antibiotics if there is a risk of infection.

Again, I want to stress that while the DIY approach can seem tempting, there’s a lot of potential for complications. A doctor or dermatologist is the best person to help with this. If you do go ahead with trying it at home, please be very careful and seek professional help if things don’t go as planned.

By Davan

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