When it comes to surgically removing HS cysts without deroofing, the main option is excision. There are two types:
- Local excision — removes only the diseased skin, leaving healthy skin intact. Best for recurring abscesses or smaller, early-stage lesions
- Wide excision — removes affected skin plus 1–2 cm of surrounding Show Full Answer
When it comes to surgically removing HS cysts without deroofing, the main option is excision. There are two types:
- Local excision — removes only the diseased skin, leaving healthy skin intact. Best for recurring abscesses or smaller, early-stage lesions
- Wide excision — removes affected skin plus 1–2 cm of surrounding tissue. Usually reserved for more severe cases or extensive scarring In terms of outcomes, excision is considered highly effective — especially if the area heals well, lesions are unlikely to return in the same spot. However, it does carry a higher recurrence rate (around 30%) and complication rate (around 26%) compared to deroofing.
Recovery can vary depending on how large the excision is. Wide excision wounds are often left open to heal on their own, which can take time. myHSteam members have shared their experiences:
- "I had my HS cysts removed by surgical methods. If they're professionally removed by surgery, they do not return to the same place."
- "I had a huge cyst above my tailbone that was extremely painful. I had it surgically removed, and it healed great."
Pain levels vary by person and location, so it's worth having an honest conversation with a dermatologist or surgeon about what to expect for your specific situation.
October 1
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