DR AGHA ARBAB ALI · ORAL & MAXILLOFACIAL SURGEON

Dermoid, Epidermoid & Facial Cysts in Sukkur

Dr Agha Arbab Ali, Oral & Maxillofacial Surgeon in Sukkur, assesses cysts of the face, scalp, neck and floor of mouth and plans careful removal with attention to scarring.

What is Dermoid, Epidermoid & Facial Cysts?

Dermoid cysts are developmental lumps present from birth, often around the eyebrow, nose or floor of the mouth. Epidermoid cysts (commonly called sebaceous cysts) form from skin cells trapped beneath the skin surface and may appear at any age. Both are usually benign and slow-growing.

Common symptoms

  • A smooth, round, movable lump under the skin
  • A small central dark spot (punctum) on some epidermoid cysts
  • Occasional discharge of cheesy material or an unpleasant smell
  • Redness, pain and swelling if the cyst becomes inflamed or infected
  • A swelling under the tongue or chin in floor-of-mouth dermoids

When to seek an assessment

Seek assessment if a lump is growing, repeatedly infected, cosmetically troublesome, or if you are unsure what it is. Any lump that is hard, fixed, rapidly enlarging or painful without infection should be checked promptly.

The role of an Oral & Maxillofacial Surgeon

Facial cysts sit close to important nerves and cosmetically sensitive areas. An Oral & Maxillofacial Surgeon combines knowledge of facial anatomy with careful incision placement to remove the cyst completely while minimising visible scarring.

Diagnosis and assessment

Most facial cysts are diagnosed clinically, but ultrasound, CT or MRI may be requested for deeper or midline lesions (for example on the nose, where a connection to deeper structures must be excluded). Removed tissue is usually sent for histopathology.

Treatment options

The options below are a general overview. The right approach for you depends on your examination, imaging and any biopsy or pathology findings.

Observation

Small, stable, symptom-free cysts may simply be monitored.

Treat infection first

An inflamed cyst is usually settled with antibiotics or drainage before definitive removal.

Complete surgical excision

Removal of the cyst with its wall, usually under local anaesthesia, to lower the chance of recurrence.

Specialised approaches

Deeper dermoids near the eye, nose or floor of mouth may need imaging and a planned approach, sometimes under general anaesthesia.

Recovery and aftercare

  • Keep the wound clean and dry as instructed
  • Stitches are usually removed after about five to seven days on the face
  • Sun protection and scar care help the scar settle over the following months
  • Report any redness, swelling or discharge promptly

You will receive specific aftercare instructions for your procedure.

Referral and multidisciplinary care

Cysts near the eye, deep nasal dermoids or lesions with unusual imaging features may be managed jointly with ophthalmology, ENT, neurosurgery or a plastic surgery team.

This page provides general information and is not a substitute for a personal consultation. Outcomes vary between individuals.