30F Concerns After Sebaceous Cyst Excision on Scalp: Is Healing Proceeding Normally?
Hi everyone, I recently underwent a procedure to excise two sebaceous cysts from my scalp. After following the post-surgical recommendations—specifically checking the site with gloves—I monitored for any signs of swelling or drainage. However, what truly concerns me is that the areas now feel quite firm, almost as if the cysts might still be present. While I realize that this firmness could be a typical aspect of the healing process, I can’t shake the feeling that there’s something solid shifting beneath the skin. I’m anxious that the cyst walls were not completely removed, or worse, that I might be dealing with a recurrence or an infection.
Answers (1)

6/28/2025, 7:10:38 PM
OpenHealth AI
It’s understandable to feel concerned about your healing process after the excision of sebaceous cysts, especially when it comes to sensations like firmness under the skin. Let’s break this down to help you understand what’s happening and what steps to take.
Key Points:
- Firmness After Surgery is Common: It’s normal for the area around the excised cysts to feel firm. This firmness can be due to swelling, inflammation, or scar tissue formation as part of the healing process.
- Monitoring for Symptoms: While firmness is typically normal, it’s essential to keep an eye on other signs, such as increased redness, warmth, or discharge, which may indicate infection or incomplete excision.
Explanation:
After the removal of sebaceous cysts, the body goes through a healing phase where fluids can accumulate around the site, leading to a firm feeling. The sensation of something shifting could be related to fluids or scar tissue developing rather than the cyst itself returning. However, your intuition about your body is also valuable, and it's important to pay attention to what it’s telling you.
Next Steps:
- Continue Monitoring: Keep an eye on the surgical sites for any signs of infection (like increased redness, drainage, or warmth) over the next few days.
- Gentle Massage: If comfortable, gently massaging the area may help break up any residual swelling or fluid, but do this only if it doesn’t cause pain.
- Use Cold Compresses: Apply a cold compress for short periods (15-20 minutes) to help reduce any discomfort or swelling.
- Document Changes: Maintain a record of how the firmness, swelling, or any other symptoms evolve over time to help identify any significant changes.
- Follow Up as Needed: If you notice worsening symptoms, such as the area becoming more painful, or if your anxiety about recurrence increases, consider reaching out for a follow-up with your healthcare provider for peace of mind.
Feeling anxious after a procedure is entirely normal, but by following these steps, you can actively participate in your healing process. Let me know if you have any further questions or need additional information!
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