Atheroma removal

The appearance of subcutaneous lumps not only causes aesthetic discomfort but also leads to inflammation or suppuration. To avoid complications and maintain healthy skin, it is important to remove sebaceous tumours promptly. The procedure eliminates the tumour without the risk of recurrence, causes no discomfort, and has a short recovery period. Modern methods allow for the removal of sebaceous tumours quickly and safely, with minimal scarring on the skin.

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What is atheroma?

A sebaceous cyst, or atheroma, is a benign growth that occurs due to a blocked sebaceous duct. It consists of sebum, dead skin cells, and cholesterol crystals. The cyst is firm, smooth, and elastic to the touch. It is easily distinguished from other growths by its characteristic central point—the outlet of the blocked duct. These growths most often appear on the face, scalp, neck, back, and genital area.

What is atheroma?

Causes of atheroma

The following factors can lead to the development of cysts:

  • Increased oiliness of the skin
  • Hormonal imbalance
  • Endocrine disorders
  • Improper skin care
  • Frequent use of cosmetics that clog pores
  • Excessive sweating

Furthermore, the formation develops after microtrauma to the skin or inflammation of the hair follicles. In men, the appearance of atheroma is often associated with skin irritation after shaving.

Symptoms of atheroma

In the early stages, an atheroma appears as a small, painless, soft lump under the skin. It may move when pressed, as the lump is not connected to surrounding tissue.

If the cyst becomes inflamed, the following symptoms occur:

  • Redness and swelling of the skin
  • Tenderness to the touch
  • Fever
  • Pus discharge

If these symptoms appear, urgent treatment is required, as a purulent atheroma can rupture and cause tissue infection.

Indications for atheroma removal

Surgery is performed in the following cases:

  • Increased cyst size
  • Pain during movement
  • Inflammation and suppuration
  • Frequent recurrences after lancet

Even in the absence of pain, it is recommended to remove the atheroma on a planned basis, before inflammation develops. Performing the procedure early prevents complications and ensures a more gentle intervention.

Contraindications to surgery

The procedure has a number of limitations:

  • Acute infectious diseases
  • Bleeding disorders
  • Allergic reactions to anesthetics
  • Pregnancy, lactation

Also, atheroma removal is contraindicated in the presence of exacerbations of chronic diseases, skin rashes in the surgical area, or cardiovascular disorders.

Methods for removing atheroma

Cyst removal can be done in the following ways:

  • Classic surgical. Performed with a scalpel. Suitable for large and inflamed cysts.
  • Laser. Involves laser exposure to the atheroma. Used for small, non-inflamed cysts.
  • Radio wave. Pathological tissue is destroyed by radio waves. Suitable for visible areas of the body.
  • Endoscopic. The doctor inserts an instrument through a puncture, removes the capsule, and cleans the cavity. Used for recurrent atheromas, growths on the scalp, behind the ear, in the armpits, and groin.

Endoscopic. The doctor inserts an instrument through a puncture, removes the capsule, and cleans the cavity. Used for recurrent atheromas, growths on the scalp, behind the ear, in the armpits, and groin.

General information

Preparing for surgery

During preparation, it is important to follow these recommendations:

  1. Consultation with a doctor. The specialist will examine the cyst, clarify information about chronic illnesses, allergies, previous surgeries, and current medication use.
  2. Comprehensive examination. A complete blood count and urine test are performed to identify any hidden abnormalities. When planning surgery, a coagulation profile is performed. An ultrasound or dermatoscopy is necessary to accurately determine the boundaries of the atheroma.
  3. Stop drinking alcohol and smoking 24 hours before the procedure. Alcohol and nicotine reduce the effectiveness of local anesthetics and affect blood clotting, which increases the risk of bleeding during surgery.
  4. Stop taking medications. Anticoagulants should be discontinued 3-5 days before surgery.
  5. Skin preparation. Before surgery, avoid using cosmetics. If the atheroma is located on the face or forehead, gently cleanse the skin with a mild, non-harsh cleanser.

Proper preparation helps reduce the risk of complications and speed up the healing process.

How the surgery is performed

After administering local anesthesia, the surgeon makes a small incision over the cyst. The entire capsule is then carefully removed to prevent recurrence. After the atheroma is removed, the wound is treated with an antiseptic and, if necessary, cosmetic sutures are applied. If laser or radiofrequency treatments were used, no sutures are required. The patient goes home the same day with aftercare instructions.

Postoperative period

For the first 24 hours, do not allow the surgical site to become wet. Antiseptic treatments and dressing changes are recommended for the first 5-7 days. The wound should be treated only with sterile products prescribed by your doctor. Do not use ointments or alcohol-based solutions on your own. Your doctor may adjust the frequency of dressing changes depending on your skin condition and healing process.

Important! Slight swelling or redness after surgery is considered normal and will resolve on its own. If the atheroma was removed from your face, it is important to avoid using makeup and direct sunlight until your skin has fully healed.

Rehabilitation

During the recovery period, it is important to follow these recommendations:

  1. Avoid visiting baths, saunas, swimming pools, and solariums for 2 weeks. High temperatures and humidity slow healing and provoke inflammation.
  2. Avoid active sports, fitness, and heavy lifting. Excessive physical activity can cause suture rupture.
  3. Use creams with silicone components if there is a scar after surgery. They make scars less noticeable and restore skin smoothness.
  4. Include more foods containing protein and vitamins A, C, and E in your diet. These promote active tissue regeneration, stimulate collagen production, and prevent inflammation.
  5. Visit your doctor for a follow-up examination 5-7 days after the procedure. They will assess the condition of the wound and check for signs of inflammation or suppuration.

To prevent the recurrence of atheroma, it is important to maintain good personal hygiene, avoid clogged pores, and avoid frequent use of greasy creams. If your sebaceous glands are overactive, it's a good idea to have regular professional cleanings and apply light sebum-regulating products.

Complications and consequences of surgery

Possible postoperative complications include:

  • Inflammation. Occurs when bacteria enter the wound due to poor hygiene and improper suture preparation. It is accompanied by redness, pain, and swelling.
  • Suppuration. Develops when inflammation is left untreated. A cavity filled with pus forms, and the wound stops healing. Symptoms include pain, swelling, fever, and an unpleasant odor.
  • Bleeding and hematoma. Occurs when small vessels are damaged. Applying a cold compress in the first hours after surgery reduces the risk of hematoma.
  • Recurrence. Recurrence of an atheroma in the same location is possible if its capsule was not completely removed.
  • Allergic reactions to anesthetics, antiseptics, and suture material can cause redness, itching, burning, and swelling of the skin.
  • Fever above 38°C, chills, and weakness. These symptoms indicate the development of an infection and require immediate medical attention.

Sometimes, a temporary decrease in skin sensitivity in the surgical area is observed. This is due to irritation or damage to the nerve endings. Sensitivity is fully restored within 2-3 weeks without additional treatment.

Atheroma removal prices in Moscow

The cost depends on the method of atheroma removal. Traditional surgery is considered the most affordable option. Laser and radiofrequency removal are more expensive, as both methods provide excellent cosmetic results. If the atheroma is inflamed, preliminary treatment is required before surgery, including incision, drainage, and antibiotics. All additional procedures increase the overall cost of the procedure.

Atheroma removal is available at a competitive price at the K+31 Medical Center in Moscow. Surgeons with many years of experience perform the procedures, guaranteeing maximum precision and the absence of complications. Innovative equipment ensures complete sterility and comfort during the procedure. After the procedure, patients are closely monitored by medical staff.

Schedule an appointment at the K+31 Clinic by phone or through the online form on the website. You'll receive a professional consultation, during which the doctor will describe in detail all available methods for sebaceous cyst removal and select the most appropriate option. Don't put off caring for your healthy and beautiful skin!

FAQ

Is it possible to remove an atheroma without surgery?

No, it's impossible to completely remove the growth without surgery. Medications don't remove the cyst capsule, but only temporarily reduce inflammation. To prevent the atheroma from returning, it's important to remove it entirely.

How is atheroma removal performed?

The surgery is performed under local anesthesia, so the patient feels no pain. The doctor makes a small incision, removes the atheroma capsule, and sutures the wound. The procedure takes 15-30 minutes, depending on the size and location of the cyst.

Will there be a scar after the removal?

Since doctors use laser and radiofrequency techniques in most cases, the scar after surgery will be minimal. Over time, it will become almost invisible.

Can an inflamed atheroma be removed?

No, it cannot, as this increases the risk of complications, suppuration, and infection spread. The inflammation must be treated first. To do this, the doctor will prescribe antibiotics or drain the cyst. Once the inflammation subsides, a planned removal is performed.

How long does recovery after surgery take?

The recovery period lasts from 5 to 10 days. During this time, you should treat the wound with antiseptics and avoid physical activity. After the stitches are removed, you can return to your normal activities.

Our doctors

Zhao Alexey Vladimirovich
Experience 43 years
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Zhao
Alexey Vladimirovich
Chief physician of the network
Udin Oleg Ivanovich
Experience 32 years
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Udin
Oleg Ivanovich
Deputy chief physician for surgery, surgeon
Korolev Sergei Vladimirovich
Experience 24 years
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Korolev
Sergei Vladimirovich
Deputy chief physician for medical affairs, surgeon, oncologist
Shapovalyants Sergei Georgievich
Experience 51 year
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Shapovalyants
Sergei Georgievich
Chief Consultant in Surgery, Surgeon
Tsvetkov Vitaly Olegovich
Experience 40 years
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Tsvetkov
Vitaly Olegovich
Surgeon
Maltsev Andrew Vladimirovich
Experience 18 years
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Maltsev
Andrew Vladimirovich
Surgeon, plastic surgeon
Malygin Sergey Evgenyevich
Experience 31 year
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Malygin
Sergey Evgenyevich
Oncologist-mammologist, surgeon
Shabrin Alexei Valerevich
Experience 19 years
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Shabrin
Alexei Valerevich
Surgeon
Kovylov Aleksey Olegovich
Experience 20 years
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Kovylov
Aleksey Olegovich
Specialist in wounds and wound infections, diabetic foot doctor
Kim Ilya Viktorovich
Experience 27 years
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Kim
Ilya Viktorovich
Surgeon
Kuzavleva Elena Igorevna
Experience 19 years
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Kuzavleva
Elena Igorevna
Endocrine surgeon
Lysenko Andrey Olegovich
Experience 10 years
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Lysenko
Andrey Olegovich
Surgeon on duty
Ivanchik Inga Yakovlevna
Experience 20 years
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Ivanchik
Inga Yakovlevna
Surgeon, phlebologist
Shpilevoy Nikolay Yurievich
Experience 20 years
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Shpilevoy
Nikolay Yurievich
Cardiovascular surgeon, surgeon, ultrasound specialist
Gontarenko Vladimir Nikolaevich
Experience 24 years
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Gontarenko
Vladimir Nikolaevich
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Volenko Ivan Alexandrovich
Experience 15 years
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Volenko
Ivan Alexandrovich
Surgeon-oncologist-mammologist, plastic surgeon
Kushkin Ilya Olegovich
Experience 7 years
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Kushkin
Ilya Olegovich
Surgeon
Natalinov Ruslan Viktorovich
Experience 15 years
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Natalinov
Ruslan Viktorovich
Surgeon, ultrasound diagnostics doctor
Blinov Dmitry Alexandrovich
Experience 15 years
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Blinov
Dmitry Alexandrovich
Oncologist
Adyrkhaev Zaurbek Akhsarbekovich
Experience 17 years
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Adyrkhaev
Zaurbek Akhsarbekovich
Vascular surgeon
Nikitina Nina Mikhailovna
Experience 12 years
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Nikitina
Nina Mikhailovna
Surgeon, thoracic surgeon
Hakopyan Artashes Aramovich
Experience 20 years
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Hakopyan
Artashes Aramovich
Oncologist, surgeon
Grechin Anton Ivanovich
Experience 8 years
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Grechin
Anton Ivanovich
Surgeon
Magdiev Arslan Khulatdaevich
Experience 14 years
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Magdiev
Arslan Khulatdaevich
Surgeon, oncologist, phlebologist
No Specify
Experience 11 years
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Samara
Maxim
Surgeon
Iluridze Georgy Davidovich
Experience 9 years
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Iluridze
Georgy Davidovich
Oncologist, traumatologist-orthopedist, surgeon
Andreev Alexey Olegovich
Experience 16 years
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Andreev
Alexey Olegovich
Surgeon
Chukumov Rinat Maratovich
Experience 32 years
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Chukumov
Rinat Maratovich
Maxillofacial surgeon
Balkarov Beslan Khasenovich
Experience 17 years
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Balkarov
Beslan Khasenovich
Surgeon, oncologist
Melkonyan Lia Eduardovna
Experience 13 years
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Melkonyan
Lia Eduardovna
Oncologist, oncologist-mammologist, surgeon, radiologist, ultrasound diagnostician
Okhotin Viktor Viktorovich
Experience 18 years
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Okhotin
Viktor Viktorovich
Oncologist-mammologist, ultrasound diagnostician
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Our doctors are laureates of the ProDoctors Award
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Reviews

I'd like to thank surgeon Samara M. for his exceptional professionalism and truly skilled hands. The removal of the sebaceous cyst behind my earlobe was quick, gentle, and completely calm. I was especially impressed by how simply and clearly he explained everything—my anxiety immediately disappeared, and I felt confident that everything would be fine. Thank you for your skill and compassion!
12.01.2026
Anatoly

About doctor:

Samara Maxim

The appointment went very well. The doctor bandaged the wound. I received the care I needed. The specialist was attentive and friendly.
12.01.2026
Olga

About doctor:

Samara Maxim

Good and responsive doctor!
29.12.2025
S. Irina Viktorovna

About doctor:

Melkonyan Lia Eduardovna

CIRCUMSTANCES AND ATTENTION OF A SPECIALIST
20.12.2025
T. Elena Mikhailovna

About doctor:

Ivanchik Inga Yakovlevna

A very good, responsive and competent doctor! ☀️
09.12.2025
S. Tatyana Vladimirovna

About doctor:

Melkonyan Lia Eduardovna

I was very pleased with the doctor’s professionalism!
03.12.2025
S. Maria Yuryevna

About doctor:

Melkonyan Lia Eduardovna

I consulted a surgeon in Samara. I had an abscess that was really bothering me. I specifically chose this doctor because I read that he was a specialist in the removal of tumors and purulent surgery with extensive experience. During the appointment, the doctor incised and cleaned the abscess. My main impression from the appointment was complete trust. The surgery was completely painless, although I was very nervous. I want to highlight the doctor's many strengths: his high level of professionalism, amazing precision in his work, and his attentive attitude towards the patient. He explained everything in detail, constantly inquired about my well-being, and maintained a calm and trusting atmosphere. I did not notice any drawbacks. The result exceeded expectations: the wound healed very quickly and without complications. The treatment was completely successful. A huge thank you to the doctor for his skillful hands, sensitivity, and the confidence he gives his patients!
01.12.2025
Anna

About doctor:

Samara Maxim

The doctor was very professional in treating this lesion. Compared to a similar operation I had in Nanjing in 2022, this time everything went better.
29.11.2025
L. Chengting
Attentive, friendly, clear language. Thank you.
29.11.2025
R. Olga Ivanovna

About doctor:

Ivanchik Inga Yakovlevna

Thank you so much for removing my lipoma. I'm delighted with the professionalism and the perfect cosmetic result. I'm very happy!
27.11.2025
Andrey

About doctor:

Samara Maxim

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