Expert, safe, and scar-minimising removal of skin cysts

Cyst Removal in London

Cysts are small, round lumps that form beneath the skin when a hair follicle or oil gland becomes blocked. While harmless, they can grow, become irritated, or occasionally get infected, causing discomfort or swelling.

At her London practice, Dr Nicki Bystrzonowski offers professional cyst removal using precise, minimally invasive techniques. Each procedure is designed to ensure complete removal of the cyst and its capsule, reducing the chance of recurrence and promoting smooth healing.

As a qualified plastic surgeon, Dr Nicki combines medical expertise with an aesthetic approach. Whether the cyst is on the face, scalp, or body, her priority is clear: safe removal, accurate diagnosis, and minimal scarring.

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What Is Cyst Removal?

Cyst removal is a minor surgical procedure performed under local anaesthetic to remove the cyst and its capsule from beneath the skin. Most cysts are benign and filled with keratin or oil-like material. Common types include epidermoid cysts, sebaceous cysts, and pilar cysts (usually found on the scalp).

Although cysts are not dangerous, they can become tender, rupture, or cause local infection if left untreated. Removal is a straightforward, permanent solution that prevents recurrence and eliminates discomfort.

Before removal, Dr Nicki Bystrzonowski examines the cyst carefully to confirm its diagnosis. If necessary, the tissue can be sent for histopathology testing to verify it is benign and provide additional reassurance.

Key Information

Detail	Summary
Procedure Time	20–45 minutes
Anaesthetic	Local anaesthetic
Hospital Stay	Day case (outpatient)
Recovery Time	Minimal; most patients resume activities the same day
Scarring	Small and discreet; fades over time
Results Visible	Immediate removal; area heals within 1–2 weeks
Longevity	Permanent if the full capsule is removed
Follow-Up	Optional wound check or histopathology review

How Cyst Removal Works

Consultation and Assessment

Each procedure begins with a consultation with Dr Nicki Bystrzonowski, who will examine the cyst and confirm that it’s suitable for removal. She explains the process clearly, including the type of cyst, anaesthetic, expected results, and any aftercare instructions.

Anaesthetic and Preparation

A small amount of local anaesthetic is used to numb the area completely. The procedure is quick and painless, carried out in a clean outpatient environment.

The Procedure

A small incision is made over the cyst, and the entire sac, including the capsule, is gently removed. This step is key to preventing recurrence. If the cyst is inflamed or previously ruptured, removal may be slightly more complex, but remains straightforward and safe.

Closure and Healing

The incision is closed with fine, dissolvable sutures and covered with a sterile dressing. Dr Nicki provides written aftercare instructions and, if required, schedules a short follow-up appointment to ensure smooth healing.

Long-Term Results

Once healed, the skin returns to its natural appearance, with only a faint line or mark remaining. The cyst does not recur if the capsule is fully excised.

Frequently Asked Questions

What causes cysts to form?

Cysts typically develop when a hair follicle or oil gland becomes blocked, causing keratin or sebum to collect under the skin. They can appear anywhere on the body but are most common on the face, scalp, neck, and back. Most are harmless and not related to hygiene or diet.

When should a cyst be removed?

You should consider cyst removal if it grows in size, becomes red or painful, becomes infected, or causes cosmetic concern. While small cysts can sometimes remain stable, removing them early helps avoid inflammation or scarring if they later rupture.

Is cyst removal painful?

No. The procedure is carried out under local anaesthetic, so the area is completely numb. You may feel gentle pressure, but not pain. Any mild tenderness afterwards usually settles within a day or two and can be managed with simple pain relief if needed.

Will there be a scar after removal?

A small scar is expected where the incision is made, but Dr Nicki uses refined, plastic-surgical closure techniques to keep it as discreet as possible. Scars fade steadily over the following months and are often barely visible once healed.

Can the cyst come back after removal?

If the entire cyst and its capsule are fully removed, recurrence is very unlikely. However, if a cyst has previously ruptured or been squeezed, small remnants of the capsule can sometimes cause regrowth, which is why precise surgical removal is recommended.

How long does it take to heal?

Healing usually takes 7–10 days. The area should be kept clean and dry during this time. Any stitches used are often dissolvable, and the small incision fades over time. Most patients return to work and daily activity immediately.

Can I remove multiple cysts in one appointment?

Yes. If suitable, several cysts can be removed in the same session, depending on their size and location. This will be discussed during your consultation so that timing, comfort, and recovery are managed appropriately.