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Epidermoid and Pilar Cysts

Epidermoid and pilar cysts are common benign subcutaneous nodules filled with keratin. They grow slowly but can become inflamed or infected.

When to Book

Book a visit if a skin concern is new, spreading, painful, not improving with over-the-counter care, or changing in appearance.

Symptoms

Firm, round, mobile, skin-colored subcutaneous nodules, often with a central punctum. Rupture causes redness, tenderness, and foul-smelling discharge.

Causes & Risk Factors

Epidermoid cysts form from occluded follicles. Pilar cysts arise from hair follicle root sheaths and may be familial. Trauma and acne increase risk.

How We Evaluate

Clinical diagnosis. Ultrasound confirms cystic structure if uncertain. Excised cysts are sent for pathology.

Treatment Options

Asymptomatic cysts may be observed. Inflamed cysts need incision and drainage. Complete excision including the wall prevents recurrence. Our North Miami Beach providers perform excisions under local anesthesia.

When It Is Urgent

See a provider if a cyst becomes acutely painful, red, and swollen, or if it grows rapidly.

Frequently Asked Questions

Do I need a referral to see a dermatology provider?

No referral is required at Nomi Beach Health. You can book directly for any skin, hair, or nail concern.

What should I expect at my first dermatology visit?

We perform a focused skin examination, review your history, and discuss a treatment plan the same day. Bring a list of current medications and any photos of how the condition has changed.

How long does it take for skin treatments to work?

Timelines vary. Topical treatments for eczema or acne often improve in two to six weeks. Chronic conditions like psoriasis may need several months of consistent therapy.

Will my skin condition come back after treatment?

Many skin conditions are chronic and managed rather than cured. We create maintenance plans to minimize flare-ups and guide you on when to resume active treatment.

Do you accept insurance for dermatology visits?

Yes. We accept most major insurance plans. Contact our office to confirm your specific plan before scheduling.

Get a Clear Plan for Epidermoid and Pilar Cysts

Our dermatology team provides accurate diagnosis and effective treatment tailored to your skin.