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Pilar cysts                         

Pilar cysts, also called trichilemmal cysts, or wens, are benign cysts which occur predominately on the scalp. These cysts present as flesh colored bumps on the surface of the skin, and can vary in size from the size of a nickel to the size of a golf ball.  As they grow in size they can create a dome-like bump on the skin, with a smooth texture, and are firm to the touch. The larger the Pilar cysts grow, the more pressure they cause, and the more discomfort they create. These cysts can rupture as a result of trauma, which can cause pain and infection. Pilar cysts are hereditary and are more common in middle-aged women than in men.

While pilar cysts are benign, due to the size and pressure caused by these cysts, many patients choose to have them removed. It is important to remove both the cyst and the epithelial lining to prevent the cyst from re-occurring. Although these pilar cysts are benign, many patients want these pilar cysts removed for cosmetic reasons as well.