Watch Part 2: https://allaccess.drpimplepopper.com/videos/the-story-of-3-pilar-cysts-part-2-of-2
This woman came in accompanied by her physician husband, who has a practice in Southern California as well. She was recommended to see me by her son, who is in medical school and happened upon my videos on youtube. She has three pilar cysts, with two pretty large ones. She was SO kind to allow me to film the removal, and they were fun cysts to remove! I like excising pilar cysts, because the walls of these cysts are usually thicker and more durable so these cysts are more likely to pop out whole. This is ideal, because it usually ensures that we have removed the cyst in its entirety and that it will not likely reoccur.
In this video, I point out a distinctive sound that can be heard when doing surgery on the skin of the scalp. Under the skin and fat, just before you get to the bone of the skull, there is a thin area of tissue called the galea aponeurosis. When you tease and undermine away in this surgical plane, the tissue makes a distinctive noise.. see if you can hear it. Thought you may find this interesting. Also, this is the ideal surgical plane for closure. Although the scalp is very vascular and often bleeds, blood vessels don’t course through this surgical plane, so there is very low risk of bleeding when I am undermining the skin at this level.