Dermoid cysts on the eyebrow are a common condition that can be concerning for those who notice a bump or lump in this area. Understanding the nature of these cysts and differentiating them from other types of cysts, such as sebaceous cysts, is important. We will explore what dermoid cysts are, the causes behind their formation, and what could happen if they remain untreated. Additionally, we will discuss the criteria for removal and common treatments.

What Is a Dermoid Cyst on the Eyebrow?

A dermoid cyst is a benign, congenital growth that can appear on various parts of the body, including the eyebrow. These cysts form during embryonic development and are made up of tissue elements like hair follicles, sebaceous glands, or even teeth and bones in some cases. Dermoid cysts are usually present at birth but may not become noticeable until later in life, especially when they grow in size.

In the case of eyebrow dermoid cysts, the lump is typically smooth, non-tender, and mobile beneath the skin. It may remain small for many years or gradually enlarge. Though they are not usually painful, they can cause discomfort if they press against surrounding tissues or become inflamed.

Dermoid cysts are enclosed in a thick, fibrous capsule that protects the various tissue elements contained within, making them relatively stable over time. However, eyebrow cyst removal is often the only way to eliminate them completely.

What Is a Sebaceous Cyst vs Dermoid Cyst?

Differentiating between a sebaceous cyst and a dermoid cyst is crucial for appropriate diagnosis and treatment. Here are the main differences:

• Sebaceous Cyst: Also known as an epidermoid cyst, a sebaceous cyst is a benign growth that forms in the skin’s sebaceous glands. These glands are responsible for secreting sebum, a natural oil that lubricates the skin and hair. Sebaceous cysts are generally filled with keratin and a white, oily material that may have a foul smell. They are more likely to occur due to blocked hair follicles, trauma to the skin, or acne. They feel firm to the touch and may have a central black dot, known as a punctum.

• Dermoid Cyst: Unlike sebaceous cysts, dermoid cysts contain a mixture of tissues, such as skin, hair follicles, and sometimes even more complex structures like cartilage or bone. They are congenital and result from skin layers that fail to fuse completely during embryonic development. Dermoid cysts are usually well-encapsulated and often occur around the eyebrow or eye area.

The key distinction lies in the cyst’s origin and contents. While sebaceous cysts are skin-related and often develop later in life, dermoid cysts are present from birth and contain a variety of tissue types.

What Are the Causes of Cysts on the Eyebrow?

The causes of cyst formation, particularly around the eyebrow area, can vary depending on the cyst type:

1. Congenital Factors: Dermoid cysts are congenital, meaning they form during the embryonic stage. The cause is related to the entrapment of skin and tissue during the development of the facial structures. This entrapment leads to a cyst that contains multiple tissue types, such as hair and skin glands.

2. Blocked Sebaceous Glands: Sebaceous cysts occur due to the blockage of oil glands. This can be a result of trauma, skin conditions like acne, or an overproduction of sebum.

3. Trauma or Injury: In some cases, trauma to the eyebrow area can contribute to cyst formation. Injury can trigger skin cells to become embedded beneath the skin’s surface, leading to a cyst-like growth.

How Are Eyebrow Cysts Formed?

Dermoid cysts form due to improper closure of embryonic tissues. During fetal development, skin layers sometimes get trapped along the lines of fusion, resulting in a cyst that contains tissue elements. This process is a natural anomaly that occurs randomly, and there are no known preventative measures.

Sebaceous cysts, on the other hand, are formed when a hair follicle or skin pore becomes blocked. This blockage prevents sebum from exiting the gland, causing a buildup that results in a cyst. Sebaceous cysts are more likely to occur in areas with a high density of sebaceous glands, including the face and scalp.

What Is the Most Common Cyst Type Around the Eyebrow?

The most common cyst type around the eyebrow is the dermoid cyst. Since dermoid cysts are congenital and often occur in the midline or near the eyebrow area, they are frequently diagnosed in children or young adults when the cyst becomes noticeable or starts growing. While sebaceous cysts can also occur around the eyebrow, they are less common in this specific location compared to dermoid cysts.

How Big Does a Cyst Need to Be to Have It Removed?

The decision to remove a cyst around the eyebrow depends on several factors, including the cyst’s size, symptoms, and cosmetic concerns. Generally, a cyst does not need to reach a specific size to be eligible for removal. Here are some considerations:

• Size and Growth: If the cyst is gradually increasing in size or causing a visible deformity, it may be advisable to remove it.

• Symptoms: A cyst that becomes painful, tender, or inflamed is more likely to require removal.

• Asthetic Reasons: Many people choose to have eyebrow cysts removed for aesthetic purposes, especially if the cyst is large and noticeable.

• Risk of Infection: If there is a risk of infection or if the cyst has become infected in the past, removal may be recommended.

What Happens If I Leave the Eyebrow Cyst Untreated?

Leaving an eyebrow cyst untreated can have different outcomes depending on the cyst type:

1. Dermoid Cyst: If left untreated, a dermoid cyst can continue to grow slowly. In rare cases, the cyst can become infected or rupture, causing pain and inflammation. Additionally, if the cyst grows too large, it may cause pressure on surrounding structures, which can be uncomfortable. Dermoid cysts rarely become cancerous, but any changes in the cyst’s appearance or texture should be evaluated.

2. Sebaceous Cyst: Untreated sebaceous cysts can remain unchanged for years or gradually increase in size. They may also become inflamed, painful, or infected, leading to the formation of an abscess. If an infection occurs, surgical drainage or antibiotics may be necessary.

3. Cosmetic Impact: Both dermoid and sebaceous cysts can have a cosmetic impact, especially if they are located in a prominent area like the eyebrow. For many patients, this is the main reason for seeking removal.

4. Psychological Impact: A visible cyst on the face can be a source of embarrassment or self-consciousness for some individuals. This psychological impact may influence the decision to pursue treatment.

When to See a Specialist

If you notice a lump around your eyebrow or are unsure whether it is a dermoid or sebaceous cyst, a specialist consultation is crucial. A plastic surgeon or skin doctor at CLNQ can assess the cyst, discuss your concerns, and recommend the best treatment options. In some cases, imaging studies like an ultrasound or MRI may be needed to evaluate the cyst’s nature, size, and impact on nearby structures.

An eyebrow cyst is a benign, fluid-filled sac that can develop beneath the skin of the eyebrow. These cysts are typically harmless but may cause discomfort or cosmetic concerns. Removal is often considered to alleviate symptoms or for aesthetic reasons.

What Is Involved in Eyebrow Cyst Removal?

The removal of an eyebrow cyst is a minor surgical procedure usually performed under local anaesthetic. The general steps include:

1. Consultation: Our team of specialist will assess the cyst to determine its type and the appropriate removal method.

2. Preparation: The area around the cyst is cleaned and sterilised to prevent infection.

3. Anaesthesia: Local anaesthetic is administered to numb the area, ensuring the procedure is pain-free.

4. Incision and Removal: A small incision is made over the cyst, and the entire cyst sac is carefully extracted to minimise the risk of recurrence.

5. Closure: The incision is closed with sutures, and a sterile dressing is applied.

6. Aftercare: Post-procedure instructions are provided, including keeping the area clean and monitoring for signs of infection. We will review you in about 7-14 days to check the wound and ensure all is healing well.

The procedure typically takes about 20 to 30 minutes, and patients can usually return to normal activities shortly thereafter.

Can I Have Eyebrow Cyst Removal on the NHS?

The National Health Service (NHS) in the UK provides treatments based on medical necessity. For cysts that are symptomatic, infected, or causing significant discomfort, removal may be available on the NHS. However, if the cyst is deemed to be primarily a cosmetic concern without associated health issues, the NHS may not cover the procedure. In such cases, individuals often opt for private treatment to have the cyst removed.

Why Should I Consider Private Cyst Removal?

Opting for private cyst removal offers several advantages:

• Timely Treatment: Our clinics often have shorter waiting times, allowing for prompt consultation and treatment. We can usually perform the treatment within 1-2 weeks after your consultation.

• Specialised Care: Access to experienced specialists who perform cyst removals regularly, ensuring high-quality care.

• Flexible Scheduling: Private clinics may offer more convenient appointment times. You can decide when to have the procedure and not fixed by an NHS appointment which can be difficult to change.

• Personalised Service: A more tailored approach to patient care, with detailed consultations and follow-up.

• Cosmetic Considerations: Private practitioners often focus on minimising scarring and achieving the best aesthetic outcome.

How Much is Eyebrow Cyst Removal?

The price for an eyebrow cyst removal will depend on the size of the cyst. You will have a consultation which is £100 and we can assess the size and location then determine if any scans are needed. If there is no need for a scan, then the procedure for cyst removal under local anaesthetic starts from £450 for a cyst smaller than 1 cm. If the cyst is larger then the price is from £650.

Why Choose CLNQ for Your Cyst Removal?

CLNQ is a reputable clinic in Manchester and Cheshire offering a range of medical and cosmetic procedures, including cyst removal. Reasons to consider CLNQ include:

• Experienced Practitioners: Led by Mr. Reza Nassab, a consultant plastic surgeon with extensive experience in cosmetic and reconstructive surgery.

• State-of-the-Art Facilities: Modern clinic equipped with advanced technology to ensure safe and effective treatments.

• Patient-Centred Care: Emphasis on understanding patient needs and providing personalised treatment plans.

• Convenient Locations: Clinics situated in Manchester and Cheshire, accessible to patients in the North West.

• Positive Patient Feedback: Numerous testimonials highlighting successful outcomes and high levels of patient satisfaction.

Choosing CLNQ ensures that your cyst removal is handled by our skilled doctors and surgeons in a comfortable and supportive environment.

Conclusion

Dermoid cysts on the eyebrow are generally benign but can be concerning due to their appearance and potential for growth. Differentiating between dermoid cysts and other types, such as sebaceous cysts, is essential for appropriate management. While some people may choose to leave these cysts untreated, surgical removal is often recommended for cosmetic reasons or if the cyst becomes symptomatic. If you are dealing with a cyst on your eyebrow, book a consultation with our team at CLNQ who can help you make an informed decision about your treatment options.