Atheroma on the scalp: symptoms and care guide

An atheroma, also called a sebaceous cyst, is a harmless but sometimes troublesome sebaceous gland cyst that can occur on the scalp. Understand what it is, when it needs to be treated and why it is important to seek professional help.

What is an atheroma on the scalp?

An atheroma is a ** sebaceous gland cyst** that occurs when the exit from a sebaceous gland becomes blocked. Sebaceous glands produce sebum, an oily substance that lubricates the skin and hair. When the duct is blocked, the sebum collects and forms a cyst.

What does an atheroma feel like?

An atheroma feels like:

Fixed, movable ball - A firm lump under the skin that can be moved
Usually painless - In most cases it causes no pain
Different sizes - Can be small like a pea or larger
Slow growth - Usually grows slowly over time

Where does Atheroma occur?

Atheroma can occur anywhere there are sebaceous glands, but is most common in:

Scalp - The most common area
Face - Especially on the forehead and cheeks
Neck - Often on the scalp
Back - Less common but possible

Causes

Atheroma occurs when:

The exit is blocked - The opening of the sebaceous gland is blocked
Saliva accumulates - The sebum cannot come out and accumulates instead
Cyst forms - A fluid-filled lump forms under the skin

Factors that may increase the risk

Genetics - Some people are more likely to develop atheroma
Skin type - Oily skin can increase the risk
Previous atheroma - If you've had atheromas before, you're more likely to get more

When Do Atheromas Need Treatment?

Atheromas rarely require treatment for medical reasons, but may need to be removed if they do:

Become inflamed

Redness - The area becomes red and irritated
Pain - The atheroma starts to hurt
Swelling - The area swells up

Becomes Infected

Heat - The area feels warm
Pus - Infection can lead to pus formation
Fever - In severe cases, it can cause fever

Is Aesthetically Disturbing

Visible location - If the atheroma is visible and affects the appearance
Size - If it is large and noticeable
Psychological distress - If it affects self-esteem

Treatment

Surgical Removal

If the atheroma needs to be removed:

Single procedure - Usually a simple surgical procedure
Local anesthesia - Usually done under local anesthesia
Minimal scarring - If done correctly, it leaves minimal scarring
Fast recovery - Recovery is usually fast

Why not try it yourself?

It is very important not to try to clip or stab an atheroma yourself:

Risk of infection - Can lead to serious infection
Scarring - Can cause permanent scarring of the scalp
Incomplete removal - The atheroma may come back if it is not completely removed
Complications - May lead to unnecessary complications

Professional Treatment at Akacia Medical

At Akacia Medical we can:

Diagnose - Assess whether it is an atheroma or something else
Recommend treatment - Determine if treatment is needed
Perform surgery - Remove the atheroma safely and professionally
Minimize scars - Use techniques that minimize scarring

Preventive measures

Although atheroma is often genetic, you can:

Hair health - Take care of your scalp with regular cleansing
Avoid harsh products - Use gentle products that do not clog pores
Monitor - Pay attention to changes in your scalp

When Should You Seek Help?

Seek professional help if:

The atheroma grows - If it grows rapidly or gets bigger
Pain or irritation - If it starts to hurt or feel irritated
Signs of infection - If it shows signs of infection
Aesthetic reasons - If it affects your appearance or self-esteem

Frequently asked questions

Is Atheroma Dangerous?

No, atheromas are usually harmless. However, they can become troublesome if they grow, become inflamed or infected.

Can atheroma disappear by itself?

Atheromas rarely disappear by themselves. However, they can remain unchanged for many years without causing problems.

Will Atheroma Return After Removal?

If the atheroma is removed correctly and completely, it usually does not come back. This is why it is important to have a professional perform the procedure.

Conclusion

Atheromas on the scalp are usually harmless but may sometimes need to be treated. It is important not to try to manage them yourself but to seek professional help. At Akacia Medical, we can diagnose, assess and treat atheroma safely and professionally.

If you have an atheroma on your scalp or have questions about treatment, contact us for a consultation.