Acne can be persistent and difficult to manage, especially when it leads to scarring, inflammation, and deep breakouts. Medium to deep chemical peels offer an advanced treatment option that targets severe acne, clogged pores, and post-inflammatory hyperpigmentation. These peels penetrate deeper into the skin layers, effectively removing damaged skin cells, regulating oil production, and stimulating skin renewal for a clearer, smoother complexion. Medium to deep peels use stronger exfoliating agents such as trichloroacetic acid (TCA), phenol, or high-strength salicylic acid to reach the mid to lower dermis, making them effective for stubborn acne, deep scars, and long-term skin rejuvenation.

Effective cyst and lipoma removal at Claire Derma means complete excision of the growth including its capsule or sac wall, which is the single most important factor in preventing recurrence. Epidermoid cysts contain a keratin-filled sac lined by squamous epithelium — if any portion of that lining is left behind during removal, the cyst will almost certainly refill over the following months.

These peels work by deeply penetrating the skin to:

Deep Exfoliation – Exfoliate dead skin layers and remove acne-causing debris.

Bacteria & Inflammation Control – Destroy acne-causing bacteria, reducing inflammation.

Pore Unclogging & Oil Regulation – Unclog pores and regulate oil production, preventing future breakouts.

Collagen Boost for Scar Reduction – Stimulate collagen production, helping to heal acne scars.

Clinical Differentiation – Our team distinguishes cyst subtypes from lipomas through palpation, transillumination, and inspection for a central punctum.

Ultrasound Assessment – For deeper or larger growths, high-frequency ultrasound confirms the lesion's dimensions, capsular integrity, and proximity to neurovascular structures.

Infection Status Evaluation – Inflamed or previously ruptured cysts are assessed for signs of active infection — warmth, erythema, fluctuance, and tenderness.

Accurate pre-operative diagnosis guides the surgical approach. At Claire Derma, we differentiate between epidermoid cysts, pilar cysts, dermoid cysts, and lipomas based on clinical examination and, when needed, ultrasound imaging. Epidermoid cysts have a visible central punctum and are tethered to the overlying skin, while lipomas are mobile, soft, and sit deeper in the subcutaneous fat.

Deep Skin Cleansing – Intense exfoliation, clearing out deep-rooted impurities.

Cystic Acne Reduction – Reduction in cystic and nodular acne, decreasing painful breakouts.

Sebum & Oil Control – Oil regulation, balancing sebum production to prevent acne recurrence.

Skin Smoothing & Scar Healing – Smoother skin texture, reducing roughness and acne scars.

Complete Cyst Enucleation – The cyst is dissected free from surrounding tissue using blunt-tipped scissors or a curette, keeping the sac wall intact throughout.

Minimal-Incision Lipoma Extraction – A short skin incision — typically one to two centimetres — is made directly over the lipoma.

Layered Wound Closure – After the growth is removed, the dead space left behind is closed with deep absorbable sutures to prevent haematoma and seroma formation.

Surgical technique at Claire Derma is tailored to the growth type and size. Epidermoid cysts are removed through an elliptical incision that includes the punctum and a thin cuff of attached skin, followed by blunt dissection to enucleate the sac intact.

Clears Severe Acne – Effective for cystic, hormonal, and treatment-resistant acne.

Prevents Future Breakouts – Regulates sebum and bacteria growth, preventing future breakouts.

Reduces Acne Scars – Stimulates collagen production, helping to heal acne scars.

Benefit – Complete capsule removal reduces recurrence rates to under five percent for both cysts and lipomas. Compare that to aspiration or partial drainage, which carry recurrence rates above fifty percent because.

Benefit – Every excised specimen is sent for histopathological examination, confirming the diagnosis and ruling out rare malignant mimics such as liposarcoma or dermatofibrosarcoma.

Benefit – Effective removal eliminates the physical discomfort caused by large or strategically placed lumps — pressure pain from sitting on a gluteal lipoma, visible bulging through clothing from a forehead cyst.

Professional excision at Claire Derma delivers results that aspiration, steroid injection, and watchful waiting cannot. Aspirating a cyst with a needle removes the fluid content temporarily but leaves the sac lining intact, guaranteeing recurrence. Similarly, lipomas do not respond to injection therapy — they are structural growths that require physical removal.

This treatment is ideal for individuals who:

Struggle with moderate to severe acne or deep acne scars.

Experience frequent cystic or nodular breakouts.

Post-operative care after cyst or lipoma removal at Claire Derma focuses on wound protection and dead-space management. A pressure dressing is worn for 24 to 48 hours to reduce the risk of haematoma in the cavity left by the growth. After this period, the dressing is replaced with a lighter non-adherent pad.