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An atheroma can occur on the scalp, face, neck, back, and other areas of the body where sebaceous glands are present. While the formation is small, it often does not cause discomfort, but over time it may increase in size, become inflamed, suppurate, or cause cosmetic discomfort. In such cases, atheroma removal may be recommended.
Atheroma removal in Kyiv at the «Oxford Medical» medical center is performed by experienced surgeons. The intervention is performed on an outpatient basis using modern surgical techniques. This makes it possible to perform the operation as delicately as possible and ensure comfortable recovery after the intervention. You can make an appointment for a surgeon consultation by calling the contact center or through the online appointment form on the website.
An atheroma — is a benign cystic formation that occurs as a result of blockage of the excretory duct of a sebaceous gland. After the blockage, its secretion gradually accumulates inside the capsule, causing the formation to increase in size.
Most often, atheromas appear on the scalp, face, neck, back, chest, and groin area — that is, where a large number of sebaceous glands are located. To establish an accurate diagnosis, the doctor also performs differential diagnosis with other benign neoplasms. In particular, on the scalp, it is important to distinguish an atheroma from a trichodermal cyst, which has a different origin, although externally it may look very similar.
Doctors at «Oxford Medical» explain that an atheroma is not a malignant tumor and usually grows slowly. If it does not increase in size and does not cause discomfort, surgical treatment is not always necessary. At the same time, without treatment, an atheroma may gradually increase in size, become inflamed, suppurate, or be complicated by the formation of an abscess, so the doctor makes a decision regarding further management individually after an examination.
The main cause of atheroma formation is blockage of the excretory duct of a sebaceous gland. As a result, the secretion cannot be released onto the surface of the skin, accumulates inside the capsule, and gradually forms a cystic formation.
The risk of developing an atheroma may be increased by:
Sometimes an atheroma develops against the background of other skin diseases. For example, prolonged inflammation of the hair follicles in furunculosis may increase the risk of blockage of the sebaceous glands and contribute to the formation of an atheroma.
Doctors at «Oxford Medical» note: it is impossible to independently determine the type and cause of the appearance of a neoplasm. That is why, if any lump appears under the skin, it is necessary to consult a surgeon, who will establish the diagnosis and determine the further treatment strategy.
Not every atheroma requires surgical intervention. If the neoplasm is small, does not increase
in size, does not become inflamed, and does not cause discomfort, the doctor may recommend
observation. At the same time, in a number of cases, surgical removal may be recommended.
Indications for atheroma removal may include:
increase in the size of the atheroma;
inflammation, suppuration, or recurrence of the inflammatory process;
constant trauma to the neoplasm from clothing, jewelry, during shaving or combing;
cosmetic or physical discomfort associated with the location or size of the atheroma.
Atheroma of the penis requires special attention. Due to the peculiarities of its location, it is often traumatized and causes discomfort, so in most cases doctors recommend its removal.
Doctors at «Oxford Medical» recommend not postponing a consultation if the atheroma increases in size or signs of inflammation appear. Planned removal of the neoplasm is usually less traumatic than an operation performed against the background of an acute inflammatory process.
In most cases, surgical removal of an atheroma is a safe operation. However, sometimes it is advisable to temporarily postpone the intervention until conditions that may affect the course of the operation or the healing process are eliminated.
Temporary contraindications may include:
If the atheroma has already become inflamed or suppurated, this is not always an absolute contraindication to surgery. In such cases, the doctor determines the optimal sequence of treatment depending on the severity of the inflammatory process. Sometimes the inflammation is treated first, and after it decreases — the inflamed atheroma is removed.
Preparation for the operation begins with a consultation with a surgeon. During the appointment, the doctor performs an examination, assesses the size, location, and condition of the atheroma, clarifies whether there are signs of inflammation or suppuration, and also determines how long ago the neoplasm appeared and whether it has changed over time.
In most cases, the diagnosis is established during the examination. If the neoplasm has an atypical appearance or there are doubts about its nature, the doctor may recommend additional examinations, in particular an ultrasound examination of the soft tissues.
If atheroma removal is planned under local anesthesia, special preoperative preparation is usually not required. If sedation or general anesthesia is planned, the doctor may prescribe laboratory tests, in particular:
If the patient regularly takes medications, especially those that affect blood clotting, it is necessary to inform the doctor about this during the consultation. This will help to properly plan the preparation for the operation and, if necessary, adjust the treatment.
In most cases, surgical removal of an atheroma is performed on an outpatient basis under local anesthesia. After anesthesia, the doctor makes a small incision in the skin, excises the atheroma together with the capsule, treats the wound, and applies sutures. It is the removal of the atheroma with the capsule that makes it possible to significantly reduce the risk of its recurrence.
The duration of the operation is usually 20–40 minutes, depending on the size of the atheroma, its location, and the presence of an inflammatory process.
If the atheroma has become inflamed or suppurated, the treatment strategy may be different. In some cases, the purulent focus is first opened and drained, and after the inflammatory process subsides — the atheroma is excised.
After the operation, the removed tissues may be sent for histological examination. It makes it possible to confirm the diagnosis and exclude other neoplasms with similar clinical manifestations.
In most cases, after removal of a sebaceous gland cyst, healing proceeds without complications. However, as after any surgical intervention, it is impossible to completely exclude the risk of their occurrence.
Possible complications include:
Doctors at «Oxford Medical» explain that the risk of developing complications is significantly reduced provided that the recommendations for postoperative wound care are followed and follow-up examinations are completed in a timely manner.
After atheroma removal, the patient can usually return home on the day of the operation. The duration of recovery depends on the size of the neoplasm, its location, and the extent of the surgical intervention.
After the operation, it is recommended to:
The sutures are usually removed after 7–14 days, depending on the location of the atheroma and the rate of tissue healing. In most cases, after their removal, the patient can return to their usual lifestyle without restrictions.
Doctors at «Oxford Medical» recommend seeing a doctor as soon as possible if severe pain, significant redness, swelling, purulent discharge from the wound, or an increase in body temperature appears after the operation. This may indicate the development of complications.
You can find out the cost of a surgeon consultation and the operation here or from the contact center administrators. The doctor will provide you with more precise information regarding the final cost during the consultation, since it depends on the size of the atheroma, its location, the presence of an inflammatory process, and the complexity of the operation.
To make an appointment for a surgeon consultation, use the online appointment form on the website or contact the contact center by phone. At the «Oxford Medical» medical center, you can receive a full range of medical services — from consultation and diagnostics to surgical treatment and postoperative support.
The information is for informational purposes only and does not replace a consultation with a doctor.
Sources:
An atheroma can be removed at the «Oxford Medical» medical center. The clinics are located on the right and left banks of Kyiv, as well as in Irpin. Call the contact center — the administrators will help you choose the nearest location and a convenient time for your visit. The clinic performs removal of atheromas of various locations, including removal of an atheroma on the head, face, neck, back, and other areas of the body.
In most cases, the sutures are removed after 7–14 days. The final healing time depends on the size of the atheroma, its location, the extent of the operation, and the individual characteristics of the body. If the doctor’s recommendations are followed, recovery usually proceeds without complications.
The risk of recurrence of an atheroma is minimal if it is removed together with the capsule during the operation. If the capsule remains, the secretion of the sebaceous gland may accumulate again, which increases the likelihood of recurrence.
After the operation, a small scar remains, but over time it usually becomes less noticeable. Its prominence depends on the size of the atheroma, its location, the individual characteristics of skin healing, and adherence to recommendations during the postoperative period.
Yes, but the treatment strategy depends on the severity of the inflammatory process. If the atheroma has suppurated, opening and drainage of the purulent focus may first be required. After the inflammation subsides, planned removal of the atheroma together with the capsule is usually performed.
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