Unusual types of Cysts: Eruptive Vellus Hair Cysts, Part 1 in a Series

THIS IS PART ONE IN A SERIES, AND THE VIDEOS GET BETTER!! This is the first time I have tried to extract these type of cysts. The reason for this is twofold: 1. This is not a common condition, and I have only personally had a few cases of people with this condition. 2. As you will see this is a time-consuming type of procedure, and would likely not be covered by health insurance. So, if a patient wants a "cosmetic" procedure such as this done which is very time consuming, it will likely be very expensive, and not a reasonable expense for most people. Well, I chose to do this because I wanted to see if these type of cysts could truly be "popped out" successfully, and I offered to treat these for free if she consented to my videotaping the procedure for you all to learn from and enjoy. As I write this, she has had 3 sessions, and let me tell you, I've gotten much better at removing these little suckers! This is the first session, about 3 months ago, and here you will see me struggling as I was learning how to remove these cysts. I decided not to do too many, because I wanted to see how the areas heal after removal. She has a darker complexion (skin type III/IV), and I know that she will get post inflammatory hyperpigmenation (meaning that areas of skin trauma will turn dark initially and take some time to lighten up). I want the area to look better over time, not worse! Now, let's talk about these eruptive villus hair cysts (EVHCs)! They are really interesting! EVHCs appear as multiple and can be in the 100s!, usually 1 to 4mm skin colored or blue grey firm bumps on the chest and upper arms. They usually appear between ages 17 and 24. So, these small cysts contain coiled up vellus hair, which is that fine downy hair that you see in newborns or on the cheeks and temples of adult faces. Treatment is not medically necessary, but the bumps won't disappear or regress. If we extract them as we do here, there is a chance she won't get new ones and we can get rid of them. Remember, this is Part 1 in an ongoing series. You will see me getting better at removing these EVHCs, and it's pretty amazing to see what they look like under the microscope! For more content, exclusive content, and of course to get your Dr. Pimple Popper schwag, visit us at www.drpimplepopper.com! Instagram: @DrPimplePopper for 24/7 pops @DrSandraLee for my work, my life, my pops Facebook: Dr Sandra Lee Twitter: @SandraLeeMD Snapchat: drpimplepopper Periscope: Dr. Sandra Lee This video may contain dermatologic surgical and/or procedural content. The content seen in this video is provided only for medical education purposes and is not intended to be a substitute for professional medical advice, diagnosis, or treatment.

Comments

1. I have like ten of these things on my chest. I need help !!!!
2. Love these sorts of vids where you are trying to solve the problem. Very interesting.
3. I have the same strange invisible fibers on some of my pores, I dont know what could be but I can literally pass ours extracting fibers of one only pore... help please!!
4. you are the best!! Hands down!
5. These just look like freckles to me ¿¿¿
6. Ingrown hair videos please?
7. I have those things (and other kinds of pimples and abscesses) all the time around my "lower body parts", squeeze, remove the hair and I am done. But I can't figure out what the case is cause I never shave. :/
8. it was really interesting to see those hair coils, so many in that tiny little sack. i wonder why it got so dried up?
9. omg that was so frustrating to watch!
10. Finally!!! Since I was a teen (now 43 yrs old) I have had these all over my breasts. Until recently I thought it was strange acne that would never clear up. But after taking several pics and magnifying them I can clearly see the hairs coiled under the skin.
    Now to figure how to deal with it....
11. I have one on my back. I've had it for years and at one point it even got infected (I did lots of working out and my sports bra made it too hot and yucky) I took meds for it which I found to be allergic to but the infection went away. my husband tried to pop it once but it kept coming back. I even tried and it still comes back. I just leave it alone now its just a bluish dot
12. u r one stubborn doctor.. Geez, I'll never have the patience to do these 👏💃
13. The door alarm sounds exactly the same as the one at the Subway restaurant I worked at for my first job at 16. I listened to that thing HUNDREDS of times during the summer I worked there. So, the brain being the thing it is, that sound smells like proofing bread to me.
14. Is cyst the same like boil?
15. This was so interesting! Never heard of these before. Loved the microscope shots. Thank you for sharing! 😊
16. this is tmi but I'm wondering is anyone can help me. I get these bumps, mainly on my stomach. it's only happened twice two count. when I squeeze the bump, sometimes something hair, black or yellowish in color, comes out. as well as that, I get a cluster of fine very light brown hair. the hairs are very short, maybe 1/4 of an inch or less. at first it looks like maybe pus until I roll it around in my finger and it begins to fray and spilt a until I realize that it's maybe fifty or so very fine hairs. anyone have any idea what this could be?
17. Dr. Lee, I heard these only happen in Asian skin. Is that true? and why is that if it is true?
18. Dr. Lee, your voice in this vid is particularly soothing and relaxing! It usually is, but especially so in this video. Thanks, as always for sharing your work.
19. Dang door chime..... and the phone! lol
20. What happens to the holes left behind the incision?