Skin lesions and cysts are common conditions that can appear anywhere on the body. While many are harmless, some may require medical attention or even surgical removal. Understanding when surgery is necessary can help you make informed decisions about your health.

At Absolute Urgent Care, we specialize in diagnosing and treating skin lesions and cysts, ensuring you receive the best care possible. If you're unsure whether a lesion or cyst requires removal, this guide will help you recognize the signs that surgery may be needed.

What Are Skin Lesions and Cysts?

Skin Lesions

A skin lesion is any abnormal growth or change in the skin, which may include:

  • Moles – Pigmented spots that can be flat or raised.
  • Warts – Small, rough growths caused by a virus.
  • Skin tags – Small, soft, benign growths that commonly appear on the neck, armpits, or eyelids.
  • Precancerous or cancerous growths – Abnormal patches of skin that may develop into skin cancer.

Cysts

A cyst is a fluid-filled or semi-solid lump that forms under the skin. Common types include:

  • Sebaceous cysts – Develop from oil glands and may become swollen or infected.
  • Epidermoid cysts – Small, slow-growing lumps filled with keratin.
  • Pilar cysts – Form on the scalp and are often hereditary.

While some lesions and cysts are harmless, others may cause discomfort or indicate a more serious condition.

When Should You Consider Surgery?

Surgery may be necessary if your lesion or cyst meets any of the following criteria:

1. Suspicious Changes in Size, Shape, or Color

If a mole or skin lesion begins to change, it could be a sign of skin cancer. Look for:

  • Asymmetry – One half of the lesion looks different from the other.
  • Border irregularity – Edges appear jagged or uneven.
  • Color variations – A mix of colors such as brown, black, red, or blue.
  • Diameter growth – Larger than 6mm (about the size of a pencil eraser).
  • Evolution – Any changes in size, shape, color, or texture over time.

If you notice these signs, a doctor at Absolute Urgent Care may recommend a biopsy or surgical removal.

2. Pain, Discomfort, or Irritation

Lesions or cysts that cause pain, tenderness, or irritation should be evaluated. This is especially true if:

  • The cyst is located in an area where it rubs against clothing or jewelry.
  • The lesion becomes itchy, swollen, or bleeds.
  • A cyst grows deep into the skin, pressing on nerves or muscles.

Surgical removal can provide relief and prevent further complications.

3. Signs of Infection

Infected cysts or lesions can cause swelling, redness, and pus drainage. Signs of infection include:

  • Increased pain or tenderness.
  • Warmth and redness around the area.
  • Foul-smelling or thick discharge.
  • Fever or chills.

In these cases, surgery is often necessary to drain or remove the infected tissue before the infection spreads.

4. Rapid Growth or Recurring Cysts

Cysts that keep coming back or grow quickly should be evaluated. Some cysts, like pilar cysts on the scalp, can become large and uncomfortable. If a cyst repeatedly refills with fluid after being drained, surgical removal may be the best option.

5. Cosmetic Concerns

While most skin lesions and cysts are benign, some people choose to have them removed for cosmetic reasons. If a lesion is on a visible area like the face or neck and affects confidence, a minor surgical procedure can improve appearance without significant scarring.

Types of Surgical Removal Procedures

At Absolute Urgent Care, we offer various methods to safely remove skin lesions and cysts, including:

1. Excision Surgery

  • Used for larger cysts or moles.
  • The area is numbed with local anesthesia.
  • A doctor makes a small incision and removes the lesion or cyst.
  • Stitches may be needed to close the wound.

2. Laser or Cryotherapy

  • Suitable for small, benign lesions like warts or skin tags.
  • Laser therapy uses light energy to destroy abnormal cells.
  • Cryotherapy freezes the lesion with liquid nitrogen, causing it to fall off.

3. Drainage or Aspiration

  • Used for infected cysts.
  • A doctor makes a small incision to drain the fluid or pus.
  • The cyst may need to be completely removed if it continues to refill.

4. Mohs Surgery (For Skin Cancer Removal)

  • A specialized technique for removing cancerous or precancerous lesions.
  • Layers of skin are removed one at a time until no cancer cells remain.
  • Preserves as much healthy tissue as possible.

What to Expect During Recovery

Recovery after minor skin surgery is usually quick and straightforward. Most patients can resume normal activities within a day or two. To ensure proper healing:

  • Keep the wound clean and dry as directed by your doctor.
  • Apply antibiotic ointment to prevent infection.
  • Avoid strenuous activities that may strain the surgical site.
  • Watch for signs of infection, such as increased pain, redness, or swelling.

Healing times vary depending on the procedure, but most small incisions close within 1-2 weeks.

Final Thoughts

Not all skin lesions and cysts require surgery, but when they cause discomfort, show signs of infection, or raise concerns about cancer, medical evaluation is crucial. If you're experiencing symptoms that may require surgical removal, Absolute Urgent Care is here to help. Our experienced medical team can assess your condition and recommend the best treatment plan for your needs.

Schedule a consultation today to take the next step toward better skin health!