Pilar Cysts (Scalp Cysts)

When Your Scalp Grows Little Surprises

If you’ve ever felt a smooth, round lump under your scalp and wondered what in tarnation it could be, chances are you’re dealing with a Pilar Cyst. These little scalp bumps are about as common as sweet tea in the South, and while they’re usually harmless, they sure do like to make their presence known.

What Are Pilar Cysts?

Pilar cysts are benign (non-cancerous) lumps that form under the skin, usually on the scalp. They’re filled with keratin, the same stuff your hair and nails are made of, and they’re caused when a hair follicle gets clogged. Think of it as your scalp’s way of storing leftovers you didn’t ask for.

What Causes Them?

• Hair Follicle Clogging: Dead skin cells and keratin build up instead of shedding properly.

• Family History: If your mama or daddy had them, you might get them too.

• Trauma: A bump to the scalp or irritation can sometimes trigger a cyst to form.

Signs of Pilar Cysts

• Smooth, round lumps under the skin of the scalp.

• Painless (most of the time), but can become tender if irritated.

• Slow-growing and firm to the touch.

• Usually found in multiples, because why stop at one?

What Can You Do About It?

• Leave It Alone (Unless It’s Bothering You): Pilar cysts are harmless, so unless they’re painful or getting in the way, there’s no need to worry.

• See a Doctor: If the cyst becomes red, swollen, or painful, it might be infected and need treatment.

• Surgical Removal: For larger or bothersome cysts, a doctor can remove them quickly and easily.

• Gentle Scalp Care: Avoid harsh brushing or tight hairstyles that could irritate the cyst.

A Little Southern Wisdom

Darlin’, a Pilar Cyst might be a nuisance, but it’s nothing to lose your cool over. Just think of it as an uninvited guest—polite, quiet, but not staying forever. If it starts acting up, get it checked out, and remember: you’re still fabulous, lumps and all. After all, a little bump on the road doesn’t stop the journey.

Courtesy of DermNet