Dr. Pimple Popper is at it again. On Tuesday night, dermatologist Sandra Lee, MD, shared a new video on Instagram that’ll have you wishing you could look away (but you know you can’t).
In her latest masterpiece, Dr. Pimple Popper shows three pilar cysts on a person’s scalp, and, of course, the extraction process of each. She even captions the video, “Poppa cyst, Momma cyst, and Baby cyst!” Groan, but also, LOL.
Dr. Pimple Popper digs into what looks like the medium-sized cyst first by making an incision on the top of it. Then, she pushes on both sides of the cyst to pop it out—and it looks to take a bit more strength than usual. “I’m gonna push hard so just resist me here,” says Dr. Pimple Popper. After a few pushes, the cyst appears. “It’s like a little olive,” she says.
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The biggest cyst is next—it’s the one the unnamed patient came in for, according to the video. “Everybody kept asking me, ‘What happened to you?'” she said. Dr. Pimple Popper pops that one out a bit easier than the last. (FYI: Dr. Pimple Popper says she’s such a “chatterbox” during these procedures—especially when they’re happening on a person’s head—in order to drown out the uncomfortable noise.
The last video shows Dr. Pimple Popper explaining the extracted cysts to her patient. “This is a pilar cyst, see the walls are actually thicker, almost like garbanzo bean,” she says, talking about each of the cysts as she cut them open. “The contents are a little bit smoother,” she says, explaining that the inside of the cyst is just made up of shed skin.
Hold up, how common are these pilar cysts?
Pilar cysts, also known as trichilemmal cysts, are the most common kind of skin cysts, but they still only appear in less than 10 per cent of the population, according to the U.S. National Library of Medicine. Young women are most susceptible to this skin condition, and the cysts, which, again, are made up of excess keratin and shed skin tissue, are often found on the head, scalp, face, and neck.
As for why people get them? Pilar cysts are often hereditary, meaning they’re passed on from parent to child (the woman in the video actually says her mother had one on her face). These types of cyst are usually benign and not dangerous (Dr. Pimple Popper still sent this particular patient’s cyst off to the lab for testing). Still, they can be uncomfortable painful, since they can cause pressure on the affected site. Patients will get these surgically removed for cosmetic reasons or to lessen discomfort.
Even if you’re squeamish, you’ve gotta admit that the last video is pretty interesting (it’s made of shed skin, guys!), though, tbh, I doubt I’d want to see it immediately after being extracted from my own head.
This article originally appeared on Women’s Health US.
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