Pilar Cyst Treatment

Pilar cysts are easily removed with excision under local anesthesia. An incision is made over the cyst, exposing the cyst’s glossy white external surface. The cyst wall is freed easily from the surrounding connective tissue by blunt dissection. At this stage, smaller cysts may be expressed intact up through the incision by steady, firm pressure on each side of the incision. The incised cyst wall is clamped, and through a combination of gentle traction and pressure on each side of the incision, the now smaller, partially emptied cyst is delivered through the incision. Larger cysts, which cannot be expressed in this manner, should be incised and their contents removed by curettage. Sutures may be needed to close the incision site.