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Inside the World of Dermatological Extractions: What You Need to Know

Posted on May 19, 2025

Dermatology, especially in the digital age, has transformed from a clinical specialty into a source of curiosity and even entertainment. One of the most attention-grabbing topics is the extraction of cysts, blackheads, and abscesses. If you’ve ever stumbled upon a pimple popping video online, you know the oddly satisfying sensation it gives.

The image above is a striking example of a facial cyst or abscess extraction near the lip—an extremely sensitive and delicate area. These types of procedures must be performed by licensed dermatologists or trained professionals due to the risk of infection, scarring, and complications from improper technique.


🔍 What Exactly Are These Facial Lesions?

The image displays what appears to be two large cystic lesions or abscesses with visible purulent (pus-filled) heads. These are typically:

  • Sebaceous cysts: Blocked sebaceous glands that become infected and swollen.
  • Furuncles/Boils: Deep bacterial infections of hair follicles.
  • Pustules or Nodular Acne: Severe acne causing inflamed, pus-filled bumps.

These lesions require careful drainage under sterile conditions. In this case, the proximity to the lip and nasal area (known as the “danger triangle” of the face) makes it riskier due to the close connection to facial veins that lead to the brain.


🎥 Watch Video 1: Initial Assessment & Diagnosis

In this video, the dermatologist explains how she identifies the type of lesion, its depth, and the best method for extraction. You’ll learn about common symptoms, causes, and initial precautions.


🧤 How Are They Treated?

Once diagnosed, treatment involves:

  1. Sterilization of the area.
  2. Incision and Drainage (I&D) using a sterile needle or scalpel.
  3. Manual Extraction of pus using fingers or comedone extractors.
  4. Topical Antibiotic Application post-procedure.
  5. Follow-up Skin Care to prevent recurrence.

A professional like the one pictured—often a certified dermatologist or surgical technician—will know how to minimize tissue trauma and promote healing.


🎥 Watch Video 2: The Extraction Process

Get a real-time look at how careful incisions are made and how the pus is drained. Notice the slow and controlled movements to avoid rupturing underlying tissues.


⚠️ Why You Should Never DIY

While tempting, popping cysts or pimples at home can lead to:

  • Scarring
  • Spread of infection
  • Deeper skin damage
  • Delayed healing

Especially in areas around the mouth and nose, improper handling can lead to life-threatening infections like cavernous sinus thrombosis.


🎥 Watch Video 3: Post-Extraction Care & Recovery Tips

Learn how to clean, moisturize, and medicate the area post-procedure to speed up recovery and avoid hyperpigmentation or infection.


🧬 What Causes These Skin Conditions?

Common causes include:

  • Hormonal imbalance (especially in teens/adults with acne)
  • Bacterial infections (Staphylococcus aureus is a common culprit)
  • Poor hygiene or skin trauma
  • Use of comedogenic (pore-blocking) products
  • Genetics

🎥 Watch Video 4: Preventing Cystic Acne and Lesions

This final video provides daily skincare tips, how to select non-comedogenic products, and what to avoid in your diet and routine.


👩‍⚕️ Expert Insight

The dermatologist featured in the article is a popular face in the world of skin care education. Her clinical expertise, combined with her public-friendly approach, makes even complex procedures understandable.

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