Skin cysts are common, often benign growths that can appear anywhere on the body. While many are harmless and asymptomatic, others may become painful, infected, or cosmetically concerning, prompting individuals to seek medical attention. In Singapore, where access to high-quality dermatological care is readily available, understanding when skin cyst removal is necessary can help patients make informed decisions about their skin health.

 

What are skin cysts?

 

A skin cyst is a closed sac-like structure that forms beneath the skin, typically filled with fluid, semi-solid material, or sebum. The most common types include:

• Epidermoid (sebaceous) cysts: Often found on the face, neck, or torso, these cysts arise naturally or as a result of trauma.
• Pilar cysts: Usually located on the scalp, originating from hair follicles.
• Pilonidal cysts: Found near the tailbone, often associated with ingrown hairs.
• Ganglion cysts: Typically appear near joints or tendons, especially on the wrists.
• Mucous retention cysts: Occur in the oral cavity due to blocked salivary glands.

To learn more about the different types of cysts, you may refer here. While most cysts are benign, they can become problematic if they grow, rupture, or become infected.

 

When is skin cyst removal necessary?

 

Although cysts are usually benign, there are instances when skin cyst removal in Singapore becomes a medical necessity. Here are the signs that should prompt you to seek professional help:

 

1. Infection or inflammation

 

If a cyst becomes painful, swollen, red, or starts to discharge pus, it may be infected. In such cases, antibiotics may be prescribed initially, but definitive treatment often involves surgical removal to prevent recurrence.

 

2. Rapid growth or discomfort

 

Cysts that grow quickly or cause discomfort, especially in areas prone to friction, should be evaluated by a dermatologist in Singapore. Removal can alleviate pain and prevent further complications.

 

3. Cosmetic concerns 

 

Cysts on visible areas like the face or neck can affect self-esteem. Many patients opt for removal at a reputable skin clinic in Singapore to improve their appearance and confidence.

 

4. Diagnostic uncertainty 

 

If a cyst has atypical features or changes in appearance, a biopsy may be necessary to rule out malignancy. In such cases, complete excision is both diagnostic and therapeutic.

 

How are skin cysts treated?

 

Depending on the condition of the cyst (for example if it is infected or inflamed), your dermatologist may recommend one of the following options:

 

• Surgical removal / excision

 

This is the most definitive and commonly recommended treatment. It involves excising the entire cyst along with its sac to prevent recurrence. This is usually done under local anaesthesia in an outpatient setting. At TSN Dermatology, we usually perform a “mini-excision” where a small cut is made over the cyst, which is deflated and then removed through this small opening. The “mini-excision” method reduces the size of the wound and resulting scar. Recurrence is rare if the procedure is done correctly.

 

• Incision and drainage

 

If the cyst is deemed to be infected, the doctor may make a cut over the cyst to drain out any pus within, and then leave the wound to heal naturally (also termed “healing by secondary intent”). During the healing phase, which can take weeks to two months, the patient will need to return to the clinic regularly for review of the wound and dressings.

 

• Medical or conservative treatment 

 

If the cyst is not inflamed and not causing any problems, some patients may elect to leave them untreated. There is a small risk of the cyst becoming inflamed in future, so patients are advised not to manipulate or traumatise the cyst. Some patients may prefer not to have surgery even when their cysts are inflamed. In such cases, they may be prescribed antibiotics to help the inflammation resolve faster.

 

Where to go for skin cyst removal in Singapore

 

Dermatologists perform more skin surgeries than any other specialists in the world. Not only do they have the expertise to remove cysts, dermatologists are also able to diagnose other skin problems in case the growth turns out to be something else.

When selecting a dermatologist for skin cyst removal, consider the following:

• Accreditation: Ensure the dermatologist is accredited by Singapore’s Ministry of Health as a specialist.
• Experience: Look for specialists with a strong track record in surgical dermatology. Some dermatologists are fellowship trained in dermatologic surgery, meaning their sub-specialty is skin surgery.
• Facilities: Choose a skin clinic in Singapore equipped with modern surgical tools and sterile environments.
• Patient reviews: Online testimonials can offer insights into the quality of care and patient satisfaction.

 

Cost of skin cyst removal in Singapore

 

The cost of skin cyst removal varies depending on the clinic, complexity of the procedure, and whether additional services like biopsy (histology) is required. Cyst removal surgery is usually considered as a medical procedure, which means one may be able to utilise insurance and / or Medisave for a portion of the costs.

 

Final thoughts 

 

While not all skin cysts require removal, it’s important to monitor them for changes in size, appearance, or symptoms. If you’re experiencing discomfort, cosmetic concerns, or uncertainty about a skin lump, consult a qualified dermatologist in Singapore.

If you’re considering cyst removal, reach out to TSN Dermatology Skin Specialist Clinic, where experienced dermatologists provide expert assessment and treatment tailored to your needs. Don’t let uncertainty linger; get your skin concerns addressed today.

 

References

 

Randall K Roenigk. Dermatologists perform more skin surgery than any other specialist: implications for health care policy, graduate and continuing medical education. Dermatol Surg. 2008 Mar;34(3):293-300. doi: 10.1111/j.1524-4725.2007.34061.x. Epub 2007 Dec 19.

Delgado, A. (2024, February 5). Cyst: Pictures, Causes, Types, Treatments, and Prevention. Healthline. https://www.healthline.com/health/cyst

Epidermal Inclusion Cyst (Sometimes Called Sebaceous Cyst). Cleveland Clinic. (2025, June 2). https://my.clevelandclinic.org/health/diseases/14165-sebaceous-cysts

O’Keefe Osborn, C., & Sharon, A. (2025, March 21). What’s the Difference Between Cysts and Tumors? Healthline. https://www.healthline.com/health/cyst-vs-tumor

Pietrangelo, A. (2019, July 9). How to Remove a Cyst: Best Practices and What Not to Do. Healthline. https://www.healthline.com/health/how-to-remove-a-cyst