Evaluating a New Facial Growth: Acne Cyst vs Skin Lesion in Katy and Houston, Texas
New or changing facial growths can be concerning, especially when they become irritated or painful. At Reena Jogi, MD, we routinely evaluate facial lesions to determine whether they represent benign skin growths, inflammatory acne cysts, or other conditions that may require biopsy or procedural treatment. This case highlights a comprehensive dermatologic evaluation and targeted treatment approach.
Patient Overview
A 53-year-old female, established with our practice, presented with a new, irritated growth on the right cheek. The lesion was moderate in severity and had recently appeared, prompting evaluation to rule out concerning pathology and determine appropriate treatment.
Comprehensive Skin Examination
A full-body skin examination was performed, including:
Scalp and hair
Face, eyelids, lips, nose, and ears
Neck, chest, abdomen, and back
Upper and lower extremities, hands, feet, and nails
Genital, groin, and buttock areas
The patient appeared well-developed, well-nourished, alert, and in no acute distress. A dermatoscope was used to enhance diagnostic accuracy.
Benign Nevi Findings
During the exam, the patient was noted to have benign nevi on the inferior thoracic spine. These moles were:
Regular
Symmetrical
Evenly pigmented
Counseling and recommendations included:
Monthly self-skin examinations
Annual professional skin exams
Daily use of broad-spectrum sunscreen SPF 30+
The patient was advised to contact the office if any moles change in size, shape, color, or begin to itch, bleed, or burn.
Facial Growth Diagnosis: Inflammatory Acne Cyst
The primary concern on the right inferior lateral buccal cheek was diagnosed as an inflammatory acne cyst. While benign in nature, these lesions can occasionally mimic other conditions, including dental sinus tracts. We discussed that if the lesion failed to resolve, a biopsy could be considered to rule out alternate causes.
Treatment with Intralesional Kenalog
To reduce inflammation and promote rapid resolution, the patient underwent intralesional Kenalog (ILK) injection:
Medication: Kenalog 2.5 mg/cc
Total volume injected: 0.2 cc
Number of lesions treated: 1
The risks, including localized skin atrophy, were reviewed in detail prior to treatment.
Patient Counseling and Expectations
The patient was counseled that:
Isolated inflammatory acne cysts are common and easily treatable
Improvement is expected following ILK treatment
Topical or systemic antibiotics may be considered if recurrence occurs
She was advised to contact the office if the lesion worsened or failed to resolve.
Expert Dermatologic Care in Katy and Houston, Texas
This case highlights the importance of expert evaluation when new facial growths appear. At Reena Jogi, MD, we provide medical dermatology, procedural treatments, and preventive skin care for patients throughout Katy, Houston, and surrounding Texas communities.
If you notice a new facial growth, acne cyst, or changing skin lesion, professional evaluation can provide reassurance and effective treatment.
