Cysts are common and often harmless, but some become painful, infected, or enlarge over time. Surgical removal may be recommended for relief and, when needed, pathology confirmation.
Cysts are common skin and soft tissue lesions that affect people across all age groups. They may appear anywhere on the body and vary widely in size, depth, and behaviour. While many cysts are medically benign and remain stable for long periods, others may become uncomfortable, recurrently inflamed, infected, or gradually enlarge. In these situations, medical assessment can assist in clarifying the nature of the lesion and identifying suitable cyst management options.
Dr Yezdi Mistry is a Specialist Plastic and Reconstructive Surgeon based in Charlestown, NSW, with extensive clinical experience in cyst assessment and cyst removal surgery involving the face, scalp, neck, trunk, and limbs. His approach focuses on careful diagnosis, clear patient education, and evidence based surgical decision making. Each patient is assessed individually, with consideration given to the type of cyst, its location, associated symptoms, and the patient’s overall health.
Management of a cyst is not solely about surgical removal. It involves understanding the characteristics of the lesion, excluding alternative diagnoses, and determining whether surgery or observation is the most appropriate course. This page provides detailed information to help patients understand cysts, the role of surgery, and what to expect before, during, and after treatment under the care of Dr Yezdi Mistry.
A cyst is a closed sac-like structure that develops within the skin or underlying tissues. It may contain fluid, keratin, or semi-solid material, depending on the cyst type. Common cysts encountered in clinical practice include epidermoid cysts, pilar cysts, sebaceous cysts, and dermoid cysts. These lesions are often slow growing and may not cause symptoms in their early stages.
Although many cysts do not pose a direct medical concern, their behaviour can change over time. Some cysts may increase in size, rupture, or become inflamed. Infection can result in local pain, redness, discharge, and involvement of surrounding tissues. Repeated episodes of inflammation may alter the local tissue environment and influence future management.
Surgical removal may be considered when a cyst causes ongoing discomfort, interferes with daily activities, or becomes repeatedly infected. Surgery may also be recommended when the diagnosis is uncertain or when histological examination is appropriate to confirm the nature of the lesion. Dr Yezdi Mistry places strong emphasis on accurate diagnosis, as not all lumps are cysts. Other conditions such as lipomas or benign soft tissue lesions can appear similar and require different approaches.
During consultation, Dr Mistry discusses whether surgical removal is likely to be helpful in the individual context and whether alternative management options may be suitable. Patients are encouraged to ask questions and take time to understand their situation before making decisions about treatment.
Cyst removal surgery is considered on a case by case basis. Not every cyst requires surgical treatment, and in some circumstances, ongoing observation may be appropriate. Dr Yezdi Mistry undertakes a thorough clinical assessment of cysts to determine whether surgery is a reasonable option.
Patients may be considered for cyst removal surgery if the cyst:
A detailed medical history forms an important part of surgical planning. Conditions such as diabetes, immune system disorders, or bleeding tendencies may influence timing and peri-operative management. Medication use, including anticoagulants, is reviewed. Smoking status is also discussed, as it may affect wound healing.
Dr Yezdi Mistry supports patients to understand the reasons for surgery, the expected process, and the limitations of treatment. Suitability is determined collaboratively, with informed consent and patient wellbeing at the centre of care.
The primary aim of cyst removal surgery is excision of the cyst and its capsule. When the capsule is removed in its entirety, the likelihood of recurrence is reduced. Many patients notice a change in local symptoms such as discomfort or recurrent inflammation once healing has progressed.
All procedures involving a skin incision result in a scar. Dr Yezdi Mistry applies established plastic surgical principles to incision placement and wound closure, taking into account skin tension lines and anatomical landmarks. While scars cannot be eliminated, they commonly settle over time.
Healing varies between individuals. Factors such as skin type, genetic predisposition, cyst size, and location all influence the longer term appearance of the surgical site. Dr Mistry provides balanced guidance so patients understand what surgery may address and what changes may occur gradually over months.
Clinical photography may be used in selected cases to assist with documentation, surgical planning, and follow-up. Images form part of the confidential medical record and are managed in accordance with privacy and professional standards.
Photography is not required for all patients. When images are taken, consent is obtained and patients are informed of their purpose. Dr Yezdi Mistry discusses this as part of the consultation process to support transparency and patient comfort.
Cyst removal surgery is usually performed as a day procedure. The setting depends on the size, location, and complexity of the cyst, as well as individual patient factors. Many cysts are removed under local anaesthetic, while others may be managed in a hospital operating theatre.
Once the area is prepared, an incision is made over or adjacent to the cyst. Careful dissection is undertaken to separate the cyst from surrounding tissues. The aim is to remove the cyst and its capsule where possible. In cases where a cyst has previously ruptured or been infected, the surrounding tissue planes may be altered, which can influence the procedure.
After removal, the wound is closed using appropriate suturing techniques. Layered closure may be used for deeper cysts. The excised tissue is commonly sent for histological examination to confirm the diagnosis.
Dr Yezdi Mistry uses careful surgical technique to reduce disruption to surrounding structures. Patients receive clear instructions prior to discharge, including guidance on wound care and follow-up arrangements.
Cyst removal surgery is generally well tolerated, however all surgical procedures carry potential risks. It is important that patients understand these considerations before proceeding.
Possible complications include bleeding, infection, delayed wound healing, scarring, and changes in sensation near the surgical site. In some cases, cyst recurrence may occur, particularly if the capsule cannot be fully removed.
The likelihood of complications varies depending on the cyst characteristics and individual health factors. Dr Yezdi Mistry discusses these considerations during the consent process and encourages patients to raise any questions. Careful planning and adherence to post-operative advice support recovery as anticipated.
Recovery following cyst removal surgery varies according to the extent of the procedure and the area treated. Most patients return home on the same day.
Swelling, bruising, and local discomfort are common in the early post-operative period and typically settle over time. Pain is usually manageable with analgesia as advised.
Patients receive written and verbal guidance regarding wound care, hygiene, activity modification, and follow-up. Sutures may be removed at a subsequent appointment, depending on the closure method used.
Return to work and routine activities is individualised. Many patients resume light duties within a few days, while more physically demanding activities may require a longer period of adjustment. Dr Yezdi Mistry provides guidance tailored to each patient’s circumstances.
Follow-up appointments form an important part of care after cyst removal surgery. These visits allow assessment of healing, review of histology results where applicable, and discussion of any ongoing concerns.
Some individuals are more prone to developing cysts over time. While surgery addresses a specific lesion, it does not prevent new cysts from forming. Dr Yezdi Mistry may offer advice on skin monitoring and when further review is appropriate.
Patients are encouraged to contact the practice if they notice changes at the surgical site or develop new symptoms. Ongoing communication supports appropriate long term management.
The cost of cyst removal surgery varies depending on the complexity of the procedure, the treatment setting, and whether additional services such as anaesthesia or hospital admission are involved.
During consultation at his Charlestown practice, Dr Yezdi Mistry provides information about anticipated fees associated with surgical care. This may include the surgeon’s fee and other related costs. Patients are encouraged to discuss financial considerations as part of informed decision making.
Recurrence is uncommon when the cyst and its capsule are removed in full, however it can still occur in some cases. Factors such as previous inflammation, rupture, or scarring around the cyst may influence this.
In many situations, cyst removal can be completed in a single procedure. If a cyst is actively inflamed or infected, surgery may be deferred until the local tissue environment has settled.
Yes, location plays an important role in planning. Cysts on the face, scalp, or near important anatomical structures may require additional consideration regarding incision placement and closure.
Histology allows the tissue to be examined under a microscope to confirm the diagnosis. This can be helpful when the clinical features are atypical or when clarity is needed for ongoing care.
Surgery may still be considered in certain circumstances, such as uncertainty about the diagnosis or progressive change over time. Observation remains appropriate for many asymptomatic cysts and is discussed during consultation.
Prior infection can alter the surrounding tissue planes and may make dissection more complex. This is taken into account when planning the timing and technique of surgery.
Most cyst removal procedures involve suturing to support wound healing. The type of sutures used depends on the size and depth of the incision and the area treated.
Initial healing occurs over weeks, while the appearance of the scar may continue to change over several months. Individual healing timelines vary.
In some cases, cyst removal may be performed alongside another planned procedure, depending on clinical considerations. This is assessed on an individual basis during consultation.
Patients are encouraged to seek review if they notice increasing redness, discharge, persistent discomfort, or changes at the surgical site. Follow-up appointments are also used to monitor healing and discuss any findings.
Preparation begins with a detailed consultation. Dr Yezdi Mistry reviews the patient’s medical history, examines the cyst, and explains the proposed procedure. Pre-operative guidance is provided to support recovery as anticipated.
Patients may be advised to avoid certain medications or supplements, arrange time away from work if required, and organise transport on the day of surgery. Specific skin preparation instructions may also be discussed.
Clear preparation supports a well managed surgical experience and recovery. Dr Mistry and his team remain available to address questions before and after surgery, helping patients feel informed throughout their care.
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Please Note: Information provided on Dr Mistry’s website is provided as a basic guide, it does not constitute a diagnosis and should not be taken as medical advice. Any surgical or invasive procedure carries risks.
“I care because it’s my job as a surgeon, as a plastic surgeon, to do the appropriate thing and to give you a good outcome. I want to leave knowing that I can tell a patient, hand on heart, that I did the very best I could and that I looked after them, so when I see them post op later that day or the next morning, that they feel they were in good hands.”
– Dr Yezdi Mistry
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