No. Observation is reasonable if the cyst is small and symptom-free. We recommend removal for recurrent inflammation, infection, growth, pain, frequent trauma/irritation, or if you simply prefer it removed.

Some cysts stay stable for years or flatten after rupturing; others enlarge, inflame, or become infected, causing pain and drainage. Because behavior is unpredictable, we recommend medical evaluation to confirm the diagnosis and discuss whether observation or removal suits you best.

Under local anesthesia, an elliptical excision is designed to remove the punctum in the skin. The cyst is then removed in its entirety including its sac. Excising it with its sac significantly reduces the risk of recurrence. Typically the incision required to do this is slightly longer than the diameter of the cyst.

Common risks include bleeding, infection, scarring, and recurrence (more likely if the capsule tears or if only incision-and-drainage is done for an acute infection). Rarely, seroma/hematoma or delayed wound healing can occur.

Goal: keep the site clean, reduce swelling, and support smooth healing.
Do:

• Keep the dressing clean and dry; change as instructed.
  
• Use prescribed topicals/oral meds (e.g., antibiotic ointment) exactly as directed.
  
• Elevate/compress the area if advised to limit swelling/bruising.
  
• Resume everyday activities as cleared; follow up for suture removal (often 7–14 days by location).
  

Don’t:

• Don’t do strenuous activity or movements that pull on the incision until cleared.
  
• Don’t pick/scratch at the site or remove scabs/sutures early.
  
• Don’t shave or exfoliate over the area while healing.
  
• Don’t sun-expose the fresh scar; protect with clothing/approved sunscreen once closed.
  

Cyst removal generally costs between $495 and $1,500+ per lesion, depending on the size, location, and complexity. Common, small, or non-complex sebaceous/pilar cysts typically start around $545–$650. Cyst removal procedures are not covered by OHIP as they are considered cosmetic.