DR Pimple Popper is back again – this time squeezing a 'lump of gum' from a patient's scalp.
In her latest gruesome yet satisfying Instagram video, Dr Sandra Lee is visited by someone with a pilar cyst on their head.
And as she treats the patient even Dr Pimple Popper, who has seen her fair share of grim dermatological issues, is surprised by what pops out.
The US dermatologist captioned the clip on her Instagram page, which is followed by 3.5million fans: "You never know when a great thing might just POP into your life… or hand."
At first, Dr Pimple Popper is seen squeezing the cyst and she is optimistic about treating it, saying: "These are fun to pop out, they're very easy."
However, the lump takes longer than usual to budge and she has to squeeze it multiple times.
She says: "I'm going to push against you, so resist me, I'm not pushing your head forwards."
And when that doesn't work, Dr Pimple Popper decides she has to open the incision wider to get the pilar cyst out.
As she makes a bigger cut, she says: "As it's in the scalp it's not going to matter that she has a little fine line there.
There’s also something satisfying in the resolution, like something is being removed that shouldn’t be there
"No one is ever going to see it back here and it allows us to take this out easier which is a good thing too – but it's not long at all.
"And one other thing is lot of people are worried about if you have to shave your head and you don't."
After a fair bit more squeezing, the lump pops out with no warning and Dr Pimple Popper watches as it rolls out of the opening and lands on the floor.
Dr Pimple Popper gasps: "Wow, oh good – almost got a catch – look how that rolled off."
What is a pilar cyst?
Pilar cysts are flesh-colored bumps that can develop on the surface of the skin.
They’re sometimes called trichilemmal cysts or wens and are benign cysts, meaning they typically aren’t cancerous.
Although 90 percent of pilar cysts occur on the scalp in the lining of hair follicles, they can develop anywhere on the body.
These types of cysts can range in size – some can be the size of a quarter, and others can grow to the size of a small ball.
They’re also round in shape, sometimes creating a dome-like bump on the surface of your skin.
Pilar cysts may be hereditary – they're also more common in middle-aged women.
The cysts are usually harmless, but some people consider surgical removal for cosmetic reasons.
She quickly picks it up to show off the prize pilar cyst she squeezed out resting in her hand.
Viewers of the video have since compared the large pilar cyst to "a wad of gum", "a cork" and "a marble".
Dr Pimple Popper's YouTube and Instagram accounts each have over 1 million followers, who tune in to watch her videos of the grim spots and other lumps the removes from her patients.
Initially surprised by the popularity, she suspects we just hid our love for watching pimple popping and now we’re all "out of the closet" with the knowledge that so many others like the same thing.
"It’s part fascination, part can’t look away, not unlike watching a car accident," she said.
"There’s also something satisfying in the resolution, like something is being removed that shouldn’t be there and now the skin has been cleansed of an impurity."
And Dr Pimple Popper has revealed that "preparation is key" when it comes to popping your own spots at home.
She said: "You really shouldn’t pop anything on your face unless it has come to a white/yellow head," Dr Pimple Popper said.
"If the pimple has a head, at that point it is OK to extract because the bump is very superficial to the surface of the skin and therefore the risk for permanent scarring is very minimal.
"Usually if the pimple doesn’t have a head yet and is still under the skin, trying to extract it can not only be very painful, but increase swelling, irritation and increase your risk of infection.
"Worse yet, if you really traumatise the skin, you risk scarring which can be permanent."
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