Channel: Dr. Geoff Butler

Category: Education

Tags: epidermal cystpoppingmedicalmedical teachingdoctor geoffmedschoolpuspopsebaceous cystpussinfected cystscalpnursepilar cystinfectedmedschool prepgrossmedical procedurepopaholicdoctorgushkeratindr. geoff butleroozesurgery

Description: Popaholics I would look at the 4:00 - 5:20 part, 7:10ish and again at 11:20ish. This was an interesting procedure for a number of reasons. First I would make the following comments. At around the 5:15 mark I actually add a little anaesthesia but this wasn't captured on film. As well, I realize that the hair may bother some people but I don't find it particularly difficult to work with and at the end we always clean the patient up entirely before he/she leaves the office. I also mistakenly call the #15 blade that I use in this procedure a #11 which it is not. The #11is much pointier and used to pierce more than it is to incise. You'll notice that the colour of this keratin seems almost 'dirty' and that's because the cyst was very superficial and was starting to oxidize. As well, at the 7:10 point when I remark that the keratin coming out was simply some left in the cavity from the removed cyst I was wrong. I should have realized, by the way that keratin squirted out that there was a second underlying cyst behind the first. This isn't typical, however, which is why I mischaracterized it. Finally, while this may look like a lot of blood loss, it really isn't. It doesn't take much blood to stain the hair and you shouldn't panic when some degree of oozing starts. This level of bleeding will never result in anything problematic. As a last remark I would also comment that I continue to work on the camera angle and amount of zoom I am using. This one did 'move' more than I'd like and made me a little dizzy watching it. I'm trying to improve on this as best I can. Thanks again and take care.