Epidermoid vs. Sebaceous Cysts: What’s the Difference?

Summary

Epidermoid and sebaceous cysts are two of the most common types of benign skin lumps. Though they look similar on the surface, these cysts form for different reasons and require professional evaluation for proper treatment. At Calgary Vein & Laser, our medical team performs safe, precise excision surgery to remove cysts completely and prevent recurrence. Understanding the difference between these two types of cysts can help you recognize when removal may be the right choice. Contact us today and learn how these cysts form, what sets them apart, and the most effective way to treat them for clear, healthy skin. 

Understanding Epidermoid and Sebaceous Cysts

Cysts are small, round lumps that develop beneath the skin’s surface. Both epidermoid and sebaceous cysts are benign and slow-growing, but they originate from different sources within the skin. They can occur anywhere on the body, although they are most common on the face, neck, scalp, chest, and back.

While neither type is dangerous, they can become inflamed, infected, or cosmetically bothersome. Proper diagnosis is key, as each type of cyst may require a slightly different approach to treatment.

What Is an Epidermoid Cyst?

Epidermoid cysts form when skin cells that normally shed become trapped within the skin. These cells continue to produce keratin, a protein that accumulates and forms a soft, yellowish material inside the cyst.

These cysts are typically firm to the touch and may have a small opening at the surface. They are not linked to oil glands and are considered the more common of the two types.

What Is a Sebaceous Cyst?

Sebaceous cysts, though often used interchangeably with epidermoid cysts, are actually different. They originate from the sebaceous (oil) glands and contain sebum — the natural oil that keeps your skin moisturized. When a sebaceous gland or duct becomes blocked or damaged, oil accumulates and forms a cyst.

Sebaceous cysts tend to have a stronger odour when drained and may feel slightly softer than epidermoid cysts. Like epidermoid cysts, they are harmless but can grow, rupture, or become infected if untreated.

How Are They Treated?

The most effective and permanent treatment for both cyst types is excision surgery. During this procedure, the cyst and its capsule are carefully removed in full to prevent it from returning. Calgary Vein & Laser’s specialists perform this procedure using local anesthesia and precise surgical techniques to minimize discomfort and scarring.

In some cases, laser treatment may be recommended afterward to smooth the skin or reduce any minor pigmentation left behind after healing. Attempting to squeeze or drain a cyst at home is not advised, as this often leads to infection or recurrence. 

Professional Cyst Removal and Skin Care

Whether you have an epidermoid or sebaceous cyst, professional evaluation ensures accurate diagnosis and safe removal. At Calgary Vein & Laser, our team uses excision surgery to completely eliminate cysts while preserving healthy surrounding skin. For enhanced cosmetic results, laser treatment can also be incorporated after healing. If you’ve noticed a persistent or bothersome skin lump, contact us and our specialists can provide a clear path toward smoother, healthier skin. 

FAQs:

No. Epidermoid cysts come from trapped skin cells, while sebaceous cysts form from blocked oil glands. They can look similar but have different contents. Not sure which cyst you have? Contact Calgary Vein and Laser today and we will help identity and treat your cyst.  

A trained clinician can identify the type based on appearance, location, and texture. In some cases, a small sample may be tested to confirm the diagnosis. 

Both types are benign, but they can become painful or infected if left untreated. 

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