Atheroma

Atheroma, atheroma is a benign neoplasm that develops as a result of blockage of glandulae sebacea – sebaceous glands of the skin. Atheroma is often called a lipoma, and in the medical lexicon it has a synonym – steatoma (from stear – fat). Atheroma can be detected in children and even newborns, but most often it is diagnosed as a retention cyst of the sebaceous gland in adult patients.

ICD-10 code

Atheroma is a benign cyst of the subcutaneous tissue, the neoplasm belongs to the category of epithelial tumors and is subdivided by histological structure into epidermoid cysts, dermoids, steacystomas, trichilemmal tumors. All types of atheromas are practically the same in clinical signs and are included in the International Classification of Diseases of the latest revision (ICD-10) as diseases of the skin appendages.

In ICD, atheroma is defined as follows:

• Class L00-L99, class XII – diseases of the skin and subcutaneous tissue.
• Block L60-L75 diseases of skin appendages.

Disease code	Name of the disease
L72	Follicular cysts of the skin and subcutaneous tissue
L72.0	Epidermoid cyst
L72.1	Trichodermal cyst
L72.2	Steacistoma, including multiple steacistoma
L72.8	Other follicular cysts of the skin and subcutaneous tissue
L72.9	Follicular cyst of skin and subcutaneous tissue NEC (unspecified)

In general, the nosological group of neoplasms L72.1 includes such diseases of the sebaceous glands that are of the same type according to clinical signs and methods of treatment:

• Atheroma.
• Sebaceous cyst.
• Atheromatosis.
• Steatoma.

Reasons

Etiology, causes of atheroma are caused by the obstruction of the sebaceous gland duct. In turn, the sebaceous glands are a truly unique structural unit of the human body. The sebaceous glands are located literally throughout the body, they secrete a lipid substance designed to moisturize and protect the skin and hair. Glandulae sebacea (sebaceous glands), unlike their "brothers" - sweat glands, are localized much closer to the upper layers of the skin - they are located in the area of the papillary and reticular layer, in the excretory part they are associated with the zones in which atheromas are formed:

• The duct is open on the surface of the skin - external auditory canal, eyelids, lips, penis, anus, foreskin, nipples.
• A duct open to the hair follicles (almost all over the body).

The predominant location of Glandulae sebacea is the face, followed in descending order by the neck, back, scalp, chest, pubis, abdomen, then the shoulders, forearms and shins.

The sebaceous glands are capable of producing up to 20 grams of lipid secretion daily; if the ducts are clogged with sebocyte cells and keratin, too much fatty secretion is released, the gland becomes overfilled and so-called “fat deposits” form in it – cystic tumor growths.

The causes of atheroma are determined by its localization and the characteristics of the cystic capsule. Currently, the following types of atheroma are well studied and quickly determined:

• Retention follicular cysts, which are usually classified as secondary neoplasms that form as a result of blockage of the glandulae sebacea (sebaceous gland) duct. Secondary atheromas are most often localized on the face, neck, back and can be a typical complication of acne, acne rash.
• Epidermoids are benign neoplasms of congenital etiology, often hereditary. Such cysts are formed directly from the epidermis. Hereditary, congenital atheromas are often defined as multiple and are predominantly localized in areas where there are hair follicles - head, groin (pubis, scrotum).

The causes of atheroma are also determined by the following factors:

• .Metabolism disorders and, in connection with this, changes in the consistency of sebum secretion.
• Damage to the hair follicle (often inflammation) and slow secretion flow, blockage of the bulb.
• Inflammation of the upper layer of the skin and damage to the sebaceous glands.
• Congenital anomalies of the structure of the sebaceous glands.
• Acne, blackheads and trauma to the skin when removing them on your own.
• Hyperhidrosis.
• Hormonal dysfunctions.
• Illiterate use of cosmetics, preparations, including decorative cosmetics.
• Violation of personal hygiene rules.
• Rare genetic diseases.

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Symptoms

Like most neoplasms of the sebaceous glands, atheroma does not manifest itself with pronounced clinical signs, the only signal, a visual indicator is its increase and the detection of an atypical, dense in structure "wen" on the body. The favorite localization of the retention cyst is the hairy parts of the body - the skin of the head, the lower part of the face, the ear area, the neck and back, the groin area.

The following symptoms of atheroma are distinguished:

• Formation on the surface of the skin.
• Dense elastic structure.
• Clear contours of the cyst.
• Mobility of the subcutaneous capsule.
• In the middle, in the center of the atheroma, there may be a visible excretory duct.
• When an atheroma becomes inflamed, suppuration occurs - hyperemia of the skin within the boundaries of the formation, painful sensations during palpation, slight swelling, and a possible breakthrough of purulent contents to the outside.

If we imagine the blockage of the sebaceous gland in the form of a structural diagram, we will get the following list:

• The skin itself (upper layers).
• Subcutaneous tissue.
• Atheroma cavity with detritus (contents of lipid elements, keratinized parts of the epidermis, fat and cholesterol crystals).
• Cyst capsule.
• Opening of the sebaceous gland duct.

In medical practice, secondary atheromas are most often encountered - retention cysts of the sebaceous glands. These neoplasms are typical for people with a specific skin type (oily, porous skin), suffering from hyperhidrosis, seborrhea. Also, atheroma often develops in those whose skin is covered with acne, blackheads, in such cases the cyst is very dense, quite painful and reaches large sizes (up to 3-4 centimeters).

Thus, the symptoms of atheroma are purely visual signs that are determined fairly quickly; a more accurate primary diagnosis is carried out by a dermatologist or cosmetologist using examination and palpation.

What does atheroma look like?

External signs of atheroma are its clinical manifestations, which such neoplasms in principle have very little of. Atheroma does not manifest itself with pain or discomfort, the only inconvenience is a cosmetic defect that is visible when a large cyst has developed. Atheroma can also cause inconvenience if it forms in an area that regularly comes into contact with some item of clothing, for example, an atheroma on the head can become inflamed when wearing a hat.

Atheroma is a tumor-like cyst that resembles a common lipoma, protruding above the skin as a painless seal. The skin above the cyst does not change, has a normal color and structure. An inflamed atheroma is more clinically evident, it often hurts, and can fester. The skin above the cyst is hyperemic, palpation of the neoplasm reveals a distinct fluctuation.

An atheroma always has a fairly clear outline; in its middle you can see the center of the excretory duct, which is considered a differential sign that allows you to distinguish a cyst from lipomas, fibromas, and hemangiomas that have similar symptoms.

The size of atheroma varies from small (from 1 centimeter) to large (the size of a walnut). A cyst that develops over a long period of time and is constantly irritated can become purulent and transform into a subcutaneous abscess with pain and an increase in body temperature. Quite often, a purulent atheroma opens on its own, in which case an inflammatory secretion of a thick consistency with a characteristic odor of a purulent process flows out.

What is the difference between atheroma and lipoma?

Differential diagnostics of atheroma is very important, since this cyst is very similar in appearance to a lipoma, and its symptoms can also be confused with fibroma or hygroma. What is the difference between atheroma and lipoma, the most common disease of the subcutaneous tissue?

1. Atheroma is indeed similar to lipoma in its clinical external manifestations, but it is formed in the duct of a blocked sebaceous gland. In addition, atheroma is not a true tumor formation, since its structure is typical of cysts. The etiology of atheromatous cysts is well studied - this is the closure of the excretory duct with a thick, fatty secretion, which gradually accumulates in the cyst capsule. Atheroma can become inflamed and suppurate, its main distinguishing feature is a clearly visible point of exit of the sebaceous gland to the outside, onto the skin. A retention cyst has a very characteristic consistency, dense, elastic, the formation is mobile and partially fused with the skin. Favorite areas of localization of atheromas are all hairy parts of the body, especially the head, groin, armpits.
2. Lipoma is a classic example of the so-called "fatty tumor" that forms under the skin in the fatty tissue. The etiology of lipomas is still unclear, it is believed that they arise as a result of metabolic disorders, and doctors do not deny the influence of a hereditary factor. In consistency, lipoma is much softer, more flexible than atheroma, lipoma can form on any part of the body, regardless of the presence of hair on it. The favorite localization of lipomas is the hips, shoulders, less often the head, abdominal area. Lipomas do not move when palpated and are not fused with the skin, they grow very slowly, over many years, practically without bothering a person. A characteristic feature of lipoma is its ability to grow into the deep layers of the dermis, right down to the muscles and periosteum. Fat deposits are removed in the same way as atheroma, surgically.

In summary, it can be noted that a lipoma is a benign dense tumor without a cavity, an atheroma is a benign cyst with a capsule and contents (detritus). It is quite difficult to find out on your own, it is much wiser to entrust this task to a specialist - a surgeon, dermatologist, cosmetologist, who have both the knowledge and experience in solving such diagnostic problems.

Recurrence of atheroma

During the operation, the atheroma is excised totally, i.e. completely. Recurrence of the atheroma is possible only in case of its incomplete removal, when the cyst tissue remains in the duct of the sebaceous gland, a capsule is formed again, which is subsequently filled with sebaceous, epithelial secretion and obturates the excretory duct. The atheroma must be excised completely, sometimes together with the infiltrated nearby tissues in case of suppuration and melting of the capsule. The reason that can provoke a relapse of the atheroma may also be associated not with the remaining particles of the capsule, but directly with the excretory duct, when a new cyst is formed very close, next to the postoperative scar. In addition, recurrence of the cyst is quite often a diagnostic error, when a dermoid cyst or lipoma is mistaken for an atheroma, these types of neoplasms are also treated surgically, but the technique of the operation can be specific, different from the excision of the atheroma.

Recurrence of atheroma according to statistics is about 15%, of which more than 10% are consequences of opening an abscessing cyst, when enucleation of the capsule, cavity is extremely difficult due to its filling with purulent contents. Such cysts should be sanitized, inflammation treated, and removed after 2-3 weeks. It is effective to remove atheroma in the so-called "cold" period, when the cyst has just begun to form, or does not show signs of inflammation, suppuration.

It should be noted that the recurrence of atheroma may be associated with the very cause of the cyst formation - hyperhidrosis, hereditary predisposition to obstruction of the sebaceous glands. In such cases, atheromas are formed not at the site of the operation, but nearby, in the nearby excretory ducts of the gland, such processes are especially characteristic of the scalp, groin area.

Recurrent atheroma

Atheroma can indeed recur, this happens in the following cases:

• Incomplete removal of the cyst (poor-quality enucleation, excision).
• Opening of the abscess in case of suppuration of the atheroma, but not removal of all components of the cyst.
• Use of ineffective conservative treatment methods.
• Self-medication on the part of the patient, when the purulent atheroma opens on its own, subsides and recurs again.

Many doctors believe that a recurrent atheroma is either a surgeon's mistake or the need for complex treatment, which includes observation and recommendations from a dermatologist, immunologist and other specialists depending on the identified etiology of the atheroma. This is explained by the fact that the surgeon's function is to open an abscess or excise a cyst, and treatment and prevention, that is, solving the problem so that a recurrent atheroma does not form again, is the work of a dermatologist, immunologist and other specialists.

In addition, in surgical practice, there is an opinion that a recurrent atheroma can develop if they try to remove it during the inflammation process, thus, it is not recommended to remove atheroma during the suppuration stage - the risk of poor-quality excision and recurrence of the cyst is very high. An abscess, abscess is usually opened, drained, the inflammation is treated and only after that the capsule is enucleated. If the operation is carried out carefully and the atheroma is excised totally, relapse is practically impossible, since there is simply nowhere else for the process to resume.

Multiple atheromas

Multiple atheromas are called atheromatosis. Atheromatosis is essentially an atherosclerotic process with the formation of a typical dendritic plaque in a narrow outflow duct, just like in classical atherosclerosis and blockage of blood vessels with cholesterol plaques.

Atheromatosis or multiple atheromas are most often detected in vulnerable areas of the body - in the armpit area, in the groin area - on the genitals, in the perineum, on the scrotum, penis. In addition, small atheromas are typical for the scalp, where cysts initially form as rashes, gradually increasing and reaching large sizes (up to 3-5 centimeters in diameter).

Causes of atheromatosis:

• Damage to the hair follicle by mechanical factors.
• Increased sweating and blockage of the excretory duct by breakdown products of the secretory fluid of the sweat glands.
• Incorrect depilation.
• Failure to comply with hygiene rules.
• Overheating or hypothermia.
• Endocrine, hormonal disorders.
• Puberty or menopause.
• Exposure to chemicals and synthetic substances (antiperspirants, cosmetics).
• Eating disorders, vitamin deficiency.
• Skin diseases.
• Allergy.
• Hereditary factor (Gardner syndrome).

Multiple atheromas should be differentiated from skin and subcutaneous tissue diseases with similar symptoms - lipomas, papillomas, whiteheads, comedones, fibromatosis. Unlike single atheromas, atheromatosis can be treated without surgery, sometimes regular cleansing procedures, baths, local antiseptic treatment are enough. Multiple subcutaneous cysts that cause discomfort or are a cosmetic defect are removed using a laser or electrocoagulation.

Is atheroma dangerous?

Subcutaneous tissue neoplasms are mostly considered benign, so the answer to the question of whether atheroma is dangerous is clear - no, atheroma does not pose any danger. All information about supposedly rare cases of malignancy of atheromas should be classified as misconceptions or incorrect diagnoses. The only possible complication of sebaceous gland blockage is a purulent process, when the cyst forms for a long time and is not treated. It should also be noted that atheroma is not able to resolve on its own, most often it is removed, and the so-called folk methods can only slow down the growth of the cyst, but not neutralize it completely. Independent attempts to squeeze out, cut a lipoma is an unsafe activity that can cause really serious complications, including sepsis, but such a method is unlikely to be used by a reasonable person who cares about his health.

There is also a risk of misdiagnosis, especially if the neoplasm is localized in the cranial area, in this part a hemangioma or hernia of the meninges can be mistaken for an atheroma - fundamentally different formations both in etiology and histology. It is for this reason that any, even the safest, painless and small-looking tumor should be entrusted to a specialist who can conduct differential diagnostics and prescribe adequate, effective treatment. Only then can anxiety about the danger of atheroma be completely eliminated, as well as the risk of suppuration or inflammation of this neoplasm.

Consequences

What is the danger of atheroma, and what are the possible consequences of a formed subcutaneous cyst?

The following consequences of atheroma are distinguished:

• Risk of inflammation and suppuration.
• Risk of transformation into a large abscess or phlegmon.
• Risk of recurrence in case of spontaneous opening or poorly performed surgery to remove the cyst.
• Postoperative scars that may occur in the case of removal of a large purulent atheroma.
• Inflammation at the site of the scar after surgery.
• Incorrect differential diagnosis and risk of complications in the course of the disease.

It should be noted that the consequences of atheroma are not as alarming as they may seem at first glance. The following facts can serve as an argument for this:

• Atheroma is considered a rare disease - only 7-10% of people on the planet suffer from this type of neoplasm.
• Despite the fact that atheroma does not manifest itself clinically, it is always visible to the naked eye, so it is most often diagnosed in a timely manner.
• Atheroma is successfully treated on an outpatient basis. The operation is classified as minor surgery and does not require inpatient treatment.
• Atheroma is not a tumor, it is a benign cyst that never becomes malignant.

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Complications

Atheroma, as a rule, develops painlessly and does not manifest itself with specific clinical symptoms. Complications of atheroma are inflammation and suppuration, as well as their consequences in the form of abscesses.

Complications after removal of atheroma cannot be called classic postoperative consequences, since excision of the retention cyst is performed under local anesthesia, quite quickly, usually on an outpatient basis. Such operations are classified as minor surgery and do not present any difficulties for an experienced surgeon.

However, for objectivity and to prevent possible risks, it is necessary to describe the possible consequences, complications and conditions after removal of the atheroma:

• Accumulation of tissue fluid in the cavity after cyst removal and risk of secondary wound infection. Drainage and a pressure bandage are indicated to prevent this phenomenon.
• A slight increase in body temperature if surgery is performed to remove a large atheroma or an inflamed, purulent atheroma.
• Swelling in the area of atheroma excision.
• For some time after excision of the cyst, cosmetic sutures and minor scars remain at the site of the operation. As a rule, scar tissue dissolves after six months. Large purulent atheromas cannot be removed without large incisions, so they may leave visible rough scars. But this is a less serious complication than a possible recurrence of the cyst in the case of a poor-quality, shallow operation.

In general, complications of atheroma are rare, the main thing is to diagnose the subcutaneous cyst in time, when it is not yet inflamed and does not contain purulent exudate. Timely detection of atheroma, adequate surgical treatment guarantees almost 100% cure and the absence of side effects, complications.

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Inflammation of atheroma

Atheroma differs from other benign skin neoplasms in that it is a classic cyst, with a cavity, capsule, contents and a characteristic feature - a small, visible outlet, most often obturated by lipid, fatty secretion. It is this property that can provoke inflammation of the atheroma, since pathogenic microorganisms can enter the skin layers through the outlet of the sebaceous gland duct. In addition, infection can be provoked by trauma, a mechanical factor, when the retention follicular cyst is located in the so-called collar or "trouser" zone (neck, shoulders, groin).

Atheroma is also specific for its frequent suppurations, which can be considered a consequence of the inflammatory process. A purulent cyst manifests itself with all the characteristic symptoms of an abscess - hyperemia of the skin in the atheroma area, swelling, local increase in temperature. Quite often, a purulent retention cyst hides on its own, while an exudate of a lard-like consistency with an unpleasant odor flows out through the opened passage. Infection can develop in nearby tissues and spread quite widely, in such cases we are talking about phlegmon as a complication of atheroma.

Inflammation of the atheroma requires conservative treatment, suppuration - emergency opening and drainage, after the symptoms of inflammation subside, the cyst is completely excised together with the capsule and contents. In cases where the inflammatory process is acute, with an increase in body temperature and symptoms of intoxication, the therapeutic plan includes the prescription of broad-spectrum antibiotics, both externally and in injection or tablet form.

Malignant atheroma

The question of whether atheroma is prone to malignancy in medicine is considered unreasonable and is allowed only from the mouths of patients, but not from fellow doctors. Malignant atheroma is nonsense or unprofessionalism of a doctor who mistakenly takes another disease, similar in symptoms, but more serious, for a retention cyst of the sebaceous gland.

Atheroma is a benign cyst of the subcutaneous tissue that forms exclusively in the ducts of the sebaceous glands. Such cysts are the result of a gradual accumulation of lipid secretion, fat, as well as obstruction of the gland's excretory duct. Atheroma is not a tumor and, like any other cyst, is successfully treated with total excision.

An atheromatous cyst can be congenital (true) and secondary, retention, however, both of these types are not capable of transforming into an oncoprocess and provoking cancer. The only possible complications of atheroma can be considered inflammation, suppuration, rarely the cyst as a result of secondary infection transforms into an extensive abscess.

Despite the fact that malignant atheroma is an erroneous concept, such cysts should be promptly diagnosed and removed, both routinely and possibly in an emergency, in the case of active inflammation or suppuration of the atheroma.

Diagnostics

Diagnosis of atheroma is a primary examination, when the cyst is determined visually, then it is palpated to determine the density and mobility. It is also important to identify the presence of an excretory duct, which is the leading differential sign in the diagnosis of neoplasms of the subcutaneous tissue and skin. If there are urgent indications for removal of the cyst, during the procedure the contents of the capsule, its tissue is taken for histological examination.

Differentiation of atheroma is important, since sebaceous gland cysts are very similar in clinical manifestations to hygroma, fibroma, hygroma, hemangioma, lipoma, this is especially true for tumors of the scalp, groin area and armpit area, that is, those places where any formation is considered potentially dangerous due to the possibility of malignancy. In addition, there are other neoplasms that are similar in visual signs, for example, syphilitic gumma, which is formed in the forehead area, on the shins. In the genital area, in addition to atheroma, bartholinitis can form, and lymphadenitis in the initial stage can be similar in symptoms to a sebaceous gland cyst. Histological examination helps to differentiate neoplasms of the subcutaneous tissue, sebaceous glands, which gives specific results that help to clarify the nature of the disease and the need for further therapy.

As a rule, diagnosing atheroma is not difficult for an experienced surgeon or dermatologist, and the possible minimal risk of incorrect differentiation is in any case eliminated by the only reliable method of treatment - surgical removal of the neoplasm.

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Treatment

Atheroma is not capable of resolving on its own, so the only reliable way to eliminate it is surgical removal. Treatment of atheroma is carried out by excision under local anesthesia in the following ways:

• Dissection of the skin in the area of the atheroma, opening the incision and enucleating the cyst using pressure.
• Dissection in the most protruding area of the cyst, squeezing out the contents, grasping the atheroma capsule with clamps, removing it and scraping out the cavity.
• Large atheromas are removed by double skin incision (border incisions), then enucleation of the cyst and suturing.

What other treatments are possible? A small atheroma is easily removed using laser technology or radio wave method. Standard removal with a scalpel is effective in cases of cyst suppuration, when the operation is performed urgently. In any case, atheroma treatment is minor surgery, it is quite painless, if cosmetic sutures are applied, they are removed or absorbed 10-12 days after the procedure.

What to do with atheroma?

If the diagnosis is already made - atheroma, what to do with it is decided by the doctor. The unconditional and only reliable method of treatment is the removal of atheroma by any available and adequate method for the patient's condition.

If the atheroma is defined as small, forming, one way or another, it is recommended to operate. Surgical removal of subcutaneous retention cysts of the sebaceous glands is possible at any stage of the neoplasm development. Treatment with folk methods can only slightly slow down the increase in fat, but not get rid of it completely and forever. In addition, there is a risk of inflammation and suppuration, this is due to the diagnostic difference between atheroma and lipoma and other benign tumors in skin structures. In an atheroma, there is always a so-called exit - the opening of the excretory duct of the sebaceous gland, which can be blocked. When bacteria get into it, inflammation and suppuration are possible, this is the reason that is decisive in prescribing the fastest surgical removal of the cyst. In addition, atheroma is not able to resolve on its own due to its specific structure and the presence of a characteristic secret, which consists of keratinized epidermal cells, fat, cholesterol crystals. Therefore, if the diagnosis is atheroma, the question of what to do has one answer - remove and as soon as possible. Operations are carried out using both traditional methods - excision of the cyst with a scalpel under local anesthesia, and laser, radio wave method, these technologies assume absolutely safe extraction of both the capsule and the contents of the atheroma. Relapses when using these technologies are reduced to a minimum, the result guarantee is 99.9%.

Conspiracies against atheroma

Let's make a reservation and agree right away - atheroma is not treated with spells. It is quite possible that suggestible individuals willingly believe in such methods and we admit that they use various occult methods to treat various diseases. In the case of lipomas, such methods in principle do not pose a serious danger, spells from atheroma are not capable of harming exactly the same as curing a sebaceous gland cyst.

However, the advanced state of the neoplasm, its inflammation and possible suppuration require normal, adequate treatment, and not exotic texts. In a psychological sense, atheroma is more of a cosmetic discomfort than a threat to health, however, its treatment from the point of view of common sense is, first of all, a timely visit to a dermatologist or cosmetologist, and not to old women who charm away illnesses.

In order not to be unfounded, as proof we provide one of the examples of text and a list of actions suggested for treating atheroma with the help of conspiracies:

• You need to take a blue thread, preferably cotton or wool.
• The thread is held opposite the wen, gradually tying nine knots on it.
• While tying knots, read the text: "Shish blue - kysh. Take off from the body, tie yourself in a knot. In the fire you will burn, on the body - not to get sick."
• The thread should be burned immediately.
• You need to tie the knots and read the spell over the course of three days during the waning moon.

The question immediately arises about how effective the blue color of the thread is, how it works without touching the skin. Of course, there are other, longer, more complex spells and rituals, but they are unlikely to have a truly effective effect on fat deposits and other formations of subcutaneous tissue.

Agree that tying with a thread, applying silver objects or rolling out with a chicken egg, spells against atheroma, burning branches, sprinkling cysts with ashes and other so-called folk methods are not only archaic, outdated methods, but also outright ignorance in our enlightened age of new modern and effective medical technologies.

Prevention

To prevent the formation of atheroma, as well as other neoplasms of the skin and subcutaneous tissue, first of all it is necessary to observe basic rules of personal hygiene. Most often in medical practice there are secondary cysts of the sebaceous glands, which are formed due to blockage of the excretory ducts, thus, regular skin care, its cleansing can become a reliable way to prevent the development of various diseases in this area.

In addition, prevention of atheroma includes the following recommendations:

• Maintaining a rational diet. Vitamin deficiency, lack of microelements, as well as excess sweets, fatty foods rich in cholesterol, can lead to dysfunction of the sebaceous glands, and, accordingly, to their blockage. By limiting the consumption of alcohol, cocoa products, coffee, salty and spicy foods, you can minimize the risk of atheroma and other neoplasms in the subcutaneous tissue.
• If a person has a specific skin type - oily skin, they should visit a dermatologist, cosmetologist, get advice on proper skin care and systematically cleanse the most vulnerable areas - face, neck, back, groin area, hair.
• Any formation on the skin, especially on the face, in the groin and in the armpit area, is potentially dangerous in terms of inflammation. Therefore, self-removal or squeezing of the lipoma is not allowed to avoid suppuration.

Atheroma is considered a benign sebaceous gland cyst, a neoplasm that never becomes malignant and is treated quite successfully and quickly by removal. Modern dermatology and cosmetology have a whole arsenal of methods, painless and effective technologies that can permanently rid a person of such a cosmetic defect as atheroma.