Sebaceous and pilonidal cysts - everything you need to know

Sebaceous and pilonidal cysts are common but often uncomfortable and painful dermatologic conditions. In this article, we explore these formations in detail, from causes and symptoms to when surgical excision becomes necessary. At Elytis, we understand the importance of correct diagnosis and effective treatment, providing patients with high-quality general surgery services.

What are sebaceous cysts?

Sebaceous cysts are benign growths that occur when the sebaceous glands, which are responsible for producing sebum (an oily substance that lubricates the skin), become blocked. They take the form of small, round lumps that can be felt under the skin and can appear anywhere on the body, but are more common on the face, neck and torso.

• Causes:
  • Block the sebaceous gland ducts.
  • Skin lesions.
  • Genetic factors.
• Symptom:
  • Subcutaneous, mobile nodules.
  • White or yellowish.
  • They can become painful or inflamed if infected.

What are pilonidal cysts?

Pilonidal cysts are formations that occur in the sacrococcygeal region at the base of the spine. They contain hair, dead skin and other cell debris.

• Causes:
  • Hair growth inside the skin.
  • Friction and prolonged pressure.
  • Genetic factors.
• Symptom:
  • Pain and discomfort in the sacrococcygeal area.
  • Inflammation, redness and swelling.
  • Pus discharge in case of infection.

Why is excision necessary?

Excision of sebaceous and pilonidal cysts is recommended in several situations:

• Recurrent infection: infected cysts can cause severe pain and may require treatment with antibiotics, but excision is the only long-term solution.
• Discomfort and pain: large or inflamed cysts can affect your quality of life, limiting your daily activities.
• Aesthetic reasons: some patients choose excision to improve the appearance of the skin.
• Prevent complications: untreated cysts can lead to abscesses or fistulas.

The Elytiswe understand that every patient is unique and the decision to perform an excision is made after a thorough medical evaluation.

When does surgery become mandatory?

Surgery is recommended in the following cases:

• Infected cysts or abscesses that do not respond to conservative treatment.
• Large cysts that cause significant discomfort.
• Cysts that frequently recur after previous treatments.
• Complications such as fistula formation.

Elytis excision procedure

The Elytis, excision of sebaceous and pilonidal cysts is performed in maximum safety and comfort for the patient.

• Medical consultation: an initial assessment to determine the size and location of the cyst.
• Anesthesia: local or general anesthesia is administered, depending on the complexity of the procedure.
• Excision: the surgeon makes a small incision and removes the cyst completely.
• Suture: the incision is closed with sutures and the area is covered with a sterile dressing.
• Recovery: patients receive detailed instructions for postoperative care and follow-up appointments.

Why choose Elytis for cyst excision?

• Medical expertise and excellence: our team of surgeons is made up of professionals with extensive experience in general surgery.
• Modern technology: we use state-of-the-art equipment and minimally invasive techniques for optimal results.
• Multidisciplinary approach: we work with different specialties to provide comprehensive and personalized care.
• Post-operative care: we provide close monitoring and support for a fast and safe recovery.
• Comprehensive services: from initial consultations to complex surgery, our patients benefit from a wide range of medical services.

The Elytisthe health and comfort of our patients are our priority. We are committed to providing the highest quality healthcare services, ensuring lasting and satisfying results.

Sebaceous and pilonidal cysts can be bothersome conditions, but surgical treatment at Elytis offers an effective and safe solution.

If you are facing these problems, do not hesitate to contact us for a consultation. Our team of professionals is ready to offer you the best solutions for a healthy and worry-free life.

Latest medical review:

28.03.2025, Dr. Cristian Ene Roată - Primary Physician