Cyst Evaluation & Treatment

Cysts are common, benign growths that form when skin cells or oil become trapped beneath the surface, creating a slow-growing bump that may feel firm or movable under the skin. While most cysts are harmless, they can become inflamed, infected, or bothersome — and squeezing them at home often makes things worse. Our board-certified dermatologist can evaluate your cyst and recommend the best course of treatment for your situation.

What Is a Cyst?

A cyst is a sac-like growth beneath the skin filled with fluid, keratin, or other material. Most are benign, but they can become inflamed, infected, or cause cosmetic concerns that warrant professional treatment.

Not all cysts are the same. Identifying the type is the first step toward the right treatment.

Epidermoid Cysts

Formed from outer skin cells (epidermis) and filled with keratin. The most common type — typically appearing as a firm, slow-growing bump on the face, neck, or trunk.

Sebaceous Cysts

Develop from oil glands and are filled with sebum. Often found on the scalp, face, or back, and prone to becoming inflamed or infected.

Pilar Cysts

Arise from hair follicles and contain keratinized material. Most commonly found on the scalp and tend to run in families.

Mucous Cysts

Form near joints or tendons and are filled with thick gelatinous fluid. Commonly appear on the fingers or toes, often near a nail or joint.

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Precision Diagnosis

Before recommending treatment, we carefully evaluate the cyst to determine its type, depth, and whether any signs of infection or atypical features are present.

A thorough hands-on assessment of the cyst’s size, location, texture, and behavior to guide the appropriate treatment approach.

Used when surface features are ambiguous to rule out other lesions and confirm the diagnosis before proceeding.

Excised cysts are sent for pathologic review when atypical features are present, ensuring nothing is missed.

Advanced Treatment Pathways

Treatment is matched to the cyst type and your goals — whether that’s relief from discomfort, cosmetic improvement, or both.

  • Incision & Drainage: For inflamed or infected cysts, we drain the contents to relieve discomfort and reduce swelling quickly.
  • Corticosteroid Injection: Reduces inflammation and shrinks the cyst — an effective option for early or mildly inflamed lesions.
  • Surgical Excision: Depending on the cyst location and size we will either perform the procedure in our office or refer you to a surgical specialist
  • Oral Antibiotics: Prescribed when a cyst shows signs of bacterial infection prior to or following drainage.
  • Wound Care Guidance: Post-procedure instructions tailored to Hawaii’s humid climate to support clean, efficient healing.
  • Recurrence Monitoring: We schedule follow-up to confirm complete resolution and address any regrowth early.
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The Hawaii Premier Difference

We specialize in skin growths, ensuring accurate diagnosis and safe, effective removal in Honolulu.

We understand cysts can affect your confidence and comfort. Our team provides a supportive, judgment-free environment from consultation through recovery.

Take the First Step

Choose how you'd like to connect with us:

If you have a cyst that’s growing, painful, infected, or simply bothering you, our Honolulu team is ready to help. We’ll evaluate it thoroughly and recommend the most effective, least invasive path to clear skin.

Other Ways to Reach Us:

Send us a message or consultation request

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Book your in-person consultation in Honolulu to get your personalized treatment roadmap.

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