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Pilar Cysts

Pilar cysts are flesh-colored lumps that develop on the surface of the skin. They’re also called trichilemmal cysts and Wens. These are benign cysts, meaning they are non cancerous.

Characteristics of Pilar Cysts :

Pilar cysts grow on the surface of the skin. Majority of pilar cysts occur on the scalp, but can develop anywhere on the body. Other sites include the face and neck.

Pliar cysts can range in size. Some can be the od small size, and others can grow to the size of a small ball. This process happens gradually over a long period of time.

Pilar cysts are the same color as the skin. They’re also round in shape, sometimes creating a dome-like bump on the surface of the skin. The cysts are usually firm to the touch but smooth in texture. Although it’s not common, infection is possible. This can lead to pain and oozing of pus at the cyst site.

Causes of Pilar Cysts :

Pilar cysts gradually develop in the epithelial lining of  hair follicles. This lining contains keratin, which is a type of protein that helps create skin, hair, and nail cells.

Over time, the protein continues to build up in the hair follicle and creates the lump that’s characteristic of a pilar cyst.

Pilar cysts may be hereditary and familial. They are more common in middle-aged men and women.

Treatment of Pilar Cysts :

Treatment while not medically necessary for pilar cysts, but many people consider removal options for cosmetic reasons as they don’t like the look and feel of the cyst or due to general discomfort/pain caused by the cysts.

Surgical removal is the most effective treatment. In this procedure, the pilar cyst will be removed with both the cyst wall and with the epithelial lining from the underlying hair follicle. The specimen is sent for histological examination after removal. After surgery, there may be a small scar left where the cyst originally was which will improve over time.



Pilonidal Cyst and Pilonidal Sinus

A pilonidal cyst is a common skin condition that forms in the cleft at the top of the buttocks. It typically occurs after puberty.

It’s believed to be caused by a combination of changing hormones, hair growth, and friction from clothes or from spending a long time sitting.

It consists of a small hole or tunnel in the skin that may become infected and fill with fluid or pus.

Signs of an infection include:

1. pain when sitting or standing

2. red or sore skin around the area

3. pus or blood draining from the abscess, causing a foul odor

4. swelling of the cyst

5. hair protruding from the lesion


Conservative treatment

If diagnosed early on and you aren’t experiencing severe pain, and there’s no sign of inflammation, it’s likely that prescribing  a broad-spectrum antibiotic will cause relief. A broad-spectrum antibiotic is an antibiotic that treats a wide range of bacteria. It’s important to realize that this won’t heal the sinus tract, but it will give you relief from the infection and discomfort. You will be recommended for a follow-up examination, regularly remove hair or shave the site, and pay particular attention to hygiene.


Surgical Lancing

This procedure alleviates symptoms from an abscess, or a collection of pus inside the sinus. Before this procedure, you will be given local anesthetic. Thereafter a scalpel is used to open the abscess. The abscess will be cleaned away of any hair, blood, and pus from inside and drained thoroughly.

The wound with then be packed with sterile dressing and allow it to heal from the inside out i.e. the base. The wound usually heals within four weeks, and many people don’t require any further treatment.


Open Surgery

If you have a recurring pilonidal sinus/cyst or if you have more than one sinus tract, a open surgical procedure is recommended.

You will first be given a local anesthetic. Then, the lesions with be opened, removing all of the pus and debris. Once this process is complete, the wound will be stitched and closed.

After surgery, it will be explained as to how to change the dressings and it is recommended to shave the site to prevent hair from growing into the wound.

Depending on the severity of the Pilobidal sinus/cyst and the type of treatment, it will usually clear up within 4 to 10 weeks.

Sebaceous Cyst

These lumps just beneath the skin, more appropriately called epidermal cysts, are common and harmless. The most important thing is to check with a doctor to properly identify them.

They are non-cancerous and not life-threatening, but they can be uncomfortable.

Skin cysts do not usually cause any problems, apart from their appearance. They are not usually tender, but their presence can be obvious to the touch.

If a cyst on the scalp catches on a brush or comb, for example, this may cause pain, but cysts are normally only painful if they become inflamed or infected.

Typically located on the head, neck, or torso, the cysts are firm, round, and sometimes movable, and grow slowly, sometimes to a few centimeters or more in diameter. They may be caused by injury to a hair follicle or other damage to skin. They are filled with a greasy material made of fat and keratin. There can be a familial tendency to developing sebaecous cysts.

If a cyst becomes infected or if you are bothered by it for any other reason, it can be surgically removed. This is a simple procedure, and usually requires stitches which are then removed in a few days. If it is only drained, it will probably quickly grow back again.

Lipomas can look like cysts, but are benign fatty tumors. They seem to run in families and also grow slowly. A doctor will often be able to tell you whether you have a cyst or lipoma by its look and feel, though you may need an ultrasound or other tests for a definite diagnosis. Lipomas can be removed if they are bothersome by being unsightly or uncomfortable.

While skin cysts can look bad, doing anything to them can make them worse. Picking, rubbing, or squeezing cysts is likely to cause damage and make any infection worse. It is also likely to increase the pain and worsen its appearance.

Dealing with skin cysts that are causing concern or producing symptoms means getting them seen by a doctor.

No Scalpel Vasectomy

Sperms are made in the testicles. Sperm leaves the testicles through two tubes called the vas deferens, and mixes with other fluids to make semen. The sperm in semen can cause pregnancy if it fertilises with a female egg.

A vasectomy blocks or cuts each vas deferens tube, keeping sperm out of the semen. Sperm cells stay in the testicles and are absorbed by the body. Starting about 3 months after a vasectomy, the semen won’t contain any sperm, so it can’t cause pregnancy. But a male will still have the same amount of semen he did before. Semen just won’t have any sperm in it.


Vasectomies don’t change the way of having an orgasm or how ejaculating feels. The semen will still look and feel the same after a vasectomy — it just won’t be able to get anybody pregnant.


What is a No Scapel Vasectomy?

Vasectomy is a simple surgical procedure performed under local anesthesia. The small tubes in the scrotum that carry sperm are cut and blocked off, so sperm can not leave your body and cause pregnancy. The procedure is quick, and a patient can go home after the procedure. Vasectomy is very effective for birth control.

Vasectomies are meant to be permanent — so they mostly can’t be reversed. You should only get a vasectomy if you’re 100% positive you don’t want to be able to get someone pregnant for the rest of your life.

The term “vasectomy” comes from the name of the tubes in your scrotum that are blocked during the procedure: vas deferens.

If you have decided you are done having children or do not want to have children you may consider having a vasectomy.


Advantages of No Scalpel Vasectomy

  • Vasectomy is a safe and highly effective approach to preventing pregnancy.
  • It is permanent, so there is no need to worry about birth control again.
  • The procedure is simple to do and usually involves only a small amount of discomfort.
  • There is a short recovery time after the procedure.
  • It is the most cost-effective of all birth control methods.
  • It is private. It is your choice if your partner knows about it.

New Trends in Dermal Filler Treatments

Lips and cheeks are are most popular dermal filler areas without question. Dermal Filler injections in the cheeks can transform the structure of the face and make it appear not only more youthful, refreshed but also lift the face due to the volume restoration effect of the dermal fillers for the cheeks. 

Lip injections performed skill fully for the right indication, can be confidence booster and can help balance out the profile and features. But aside from these popular dermal filler injection areas a few lesser known facial dermal filler injection areas you may have not been aware of are as follows:


Getting dermal filler in the temple area may not be seem as being in need, but it can make a huge difference in the appearance of the face. With age the temples loose volume and become concave. This concavity gives an older look as the light shines and reflects at different angle as compared to a younger face. Hence, over time, women and men start hollowing in the temple area, creating a more skeletal look. The loss of volume is overlooked in this area and don’t realise the difference a dermal filler volume restoration in their temples can make.

Temple fillers also have the secondary advantage of a natural-looking lateral brow-lift by supporting the eye brow!


Nose dermal filler has gained in popularity over the recent years. Many women and men are coming in to balance out certain features of their nose with a dermal filler. This is an amazing option for those who don’t want to go under the scalpel for a nose job.

There are a number of indications nose dermal filler can help correct.  The ideal candidate for a non-surgical nose job is someone who has a pronounced bump on the bridge of their nose. By filling the area around the bump, you can create the illusion of a perfectly straight nose. Nose filler can also be used to correct a droopy nasal tip, helping turn the tip upwards, and can even help correct mildly crooked noses or some asymmetry in certain locations.

Dermal filler injections to the nose only takes about 20-30 minutes to complete and the results can last a long time!


For most beautiful women experts have found that most had beautiful, round foreheads. If you think about a younger person’s face, they actually have a more curved, round, forehead. Bony or flat foreheads can be subtly enhanced with forehead dermal fillers. Fillers can be used to help smooth, refresh and add a youthful appearance.


You’d be surprised to know that hollowed upper eyelids can make a person appear older. Most people attribute deep set eyes to beauty but don’t realise that the loss of volume in the upper eyelid, along the brow bone, can make a person look tired and older. Dermal filler injection  to the brow bone can make a person look a younger.

Look back at old photos of yourself and pay attention to your upper eyelids along the brow bone… now you may see it!


Like the hands, the ears (specifically the ear lobes) are a dead giveaway of your age. Even if you have a solid skincare regimen, there’s not much you can do to keep your ear lobes looking young.

Over time the ear lobes will lose volume, and if you are an earring wearer, this can be made worse by stretching of the skin. This causes the ear lobes to look wrinkled and saggy. The ear lobes are an extension of the face, you may not think they make a difference but patients who have received earlobe filler love the subtle results this treatment can achieve. Adding a little volume back to their ear lobes makes them look more youthful and less wrinkly!


Unfortunately with the never-ending waiting lists to see a doctor in the hospital setting for minor operative procedures, patients are often very frustrated and anxious. On the positive side, it is still possible to have your problem addressed privately. Most minor operations especially on the face and neck, are cosmetically undesirable for patients and minor surgical removal is requested.

The most common forms of minor surgery we undertake include the following, but are not limited to :

1. Skin Tags – These benign skin growths that project over the surrounding skin from a small, narrow stalk. They are commonly found on the eyelids, under the breasts, on the neck and underarms. They can be irritating as skin tags become caught in clothes or jewellery. They are painlessly removed under local anaesthesia.

2. Moles — Firstly an assessment of your mole is done to access that it is not malignant. They are easily removed painlessly under local anaesthesia.

3. Cyst Removal – Cysts may commonly develop on the trunk, face, neck and scalp. Caused normally by swollen oil producing glands, they take the form of a globular sac under the skin. Generally, they are painless slow-growing lumps, but occasionally may become inflamed or infected. This is best avoided and cysts removed painlessly under local anaesthetic.

4. Lipoma – Lipomas or fatty growths are movable round lumps under the skin which range in size. They are benign tumours made up of fat cells and are normally slow-growing lumps in the subcutaneous tissue. Again their removal is a simple procedure, performed painlessly under local anaesthesia.

5. Ganglion Treatment – These are sac-like swellings or cysts within a tendon that are formed from degeneration of tendon, commonly due to excess friction. They are very often found on the wrist.

6. Scars Treatment – Scar revision and subcision is minor surgery under local anaesthesia to improve the appearance of scars. It also improves skin disfigurement caused by scar secondary to an injury, wound, or previous surgery. Each scar is assessed on its own merits and the most appropriate treatments are discussed in detail.

6 Things to Consider When Researching Your Cosmetic Procedure


6 things to consider when researching and choosing a cosmetic clinic

Thankfully with the advances in medicine, our lifestyle, awareness of the importance of appropriate food and exercise etc. the previously 40 year mark is now 60 years. Hence the new ‘old age’(if there is such a thing) is now 70 plus plus. The awareness that medical treatments now available that can make you look fresher, younger and more youthful, and cosmetically delay ageing process is great. These popular medical treatments can range from being non surgical to minimally invasive minor surgical with little or no downtime to recovery.

There is a significant demand for anti ageing and beautification medical treatments. These medical treatments not only treat ageing factors such as facial volume loss, looseness of skin with decreasing skin elasticity and collagen, hyperactivity of certain muscles that give rise to movement lines but also have a preventative effect to delay the cosmetic signs of ageing.

Important considerations you must consider when booking your Aesthetic treatment.

  1. Be confident that you have found a qualified and skilled Doctor in whom you can put your TRUST in. They are trained to carry out treatments /procedures in a very skilled and knowledgeable way that give you pleasing results with your safety at the forefront.
  2. If you follow the above, you will be provided with an in-depth medical consultation to not only go through your medical history which includes any medications that you may be on and drug allergies but ultimately to under-stand exactly what your needs are and what the corresponding realistic expectations should you expect
  3. After going through your medical history, they will give you the best ad-vise on available treatments and will explain their advantages and disadvantages. They will provide an appropriate standard of care expected of a medical treatment.
  4. Of most importance is the fact that while the treatments are generally safe, there is a small possibility of different complications. These complications would be as minimum in expert hands of a trained Doctor.
  5. If in the unlikely event that there is a complication, it will be dealt with promptly and competently. An aesthetic practitioner who is not a doctor/surgeon would be referring you to a doctor or would just experiment on you, often with time delay and disastrous outcomes.
  6. Don’t be persuaded by marketing, price war and too good to be true unrealistic expectations.

The fact is that it is the expert Doctors/Surgeons who eventually take care of complications that would have happened in the hands of unqualified/minimally qualified practitioners carrying out the treatment.

Remember that it is your face and your body you are having treated. You should make a careful and logical decision as to who treats you to minimise risks and complications.

Be safe and don’t let yourself be persuaded by marketing and price war. You may be paying more for the skill and qualifications of a Doctor/Surgeon but your safety, your face and your well being is well worth it.


EXCELLENCE MEDICAL located at 12 Morehampton Road, Donnybrook, Dublin 4, Ireland has been recognised with an annual award based on patient service excellence ratings from healthcare search engine WhatClinic.


WhatClinic Award for excellence medical for best customer care

WhatClinic looked at 12 months of data from users of its site, in relation to Excellence Medical including patient review scores, feedback data, and clinic contact rates. In 2017 over 15 million people visited the comparison site to find and compare clinics.

EXCELLENCE MEDICAL located at 12 Morehampton Road, Donnybrook, Dublin 4 was only one of a small number of clinics on the site that met the exacting standards needed to qualify for the award. Not only must the clinic have a consistently high ServiceScore™ rating to qualify, the rating measures the clinic’s commitment to customer service over a whole year, and so represents long-term commitment dealing with patients. Less than 2% of clinics on the site qualified for the award this year.

Dr. Shunil Roy today said; “We are delighted to be recognised for our commitment to patient customer service. Our practice Excellence Medical is something we focus on in everything we do and to receive such positive feedback from our patients is simply fantastic but mostly, very appreciated”

WhatClinic CEO David Roe congratulated Excellence Medical and said “The WhatClinic Customer Service awards have now run for nine years.  In 2018 we are now including tens of thousands of ratings of patient to clinic phone calls, rating clinics on their politeness, helpfulness and customer service over the phone, as well as through email, online and in person.

Ratings are useful to both consumers and clinics. Consumers can see which clinics have rated well with lots of other users, and Clinics can evaluate their own performance against others in their market, ideally with the goal of getting better and better at serving their patients, which is ultimately good for everybody. “

Please contact Excellence Medical on + 353 (0)1 232 5528 to get more information on our available treatments but also to arrange a consultation

Diary of a Silhouette Soft Lift Treatment Patient

Are you desperate to improve your ‘Jowls’ and/or ‘turkey neck’?

Diary of a Silhouette Soft lift treatment Patient

Lifting of saggy skin

Lifting of saggy skin with dermal fillers and silhouette soft thread lift

Since turning fifty I’ve noticed how different I look in the mirror these last number of months. It verifies the fact that time is catching up with me where a weird jowly crone is starring back at me.’

I started to feel really self-conscious. I thought I was getting to that stage where I looked haggard. My self-esteem gradually took a dramatic knock – I felt like people were judging me and I became less sociable.

When you think you look haggard you don’t make as much eye contact with people. You probably make it worse for yourself because you feel like no one wants to look at you so you go more introvert.’

With Valentine’s season fast approaching, I had experimented with Botox in the past, and wanted to transform my look so that people didn’t think I ‘looked a mess’.

After reading about the innovative Silhouette Soft lift treatment, I decided to give it a go and had a thorough consultation.

Performed at Excellence Medical, Donnybrook, Dublin 4 by Mr. Roy, the method (also known as a ‘one stitch facelift’) uses an absorbable thread with cones to lift the facial skin and encourage collagen production. The excess skin is pulled back by the sutures.

The threads are ‘stitched’ on to the neck, brow or mid-face and are intended to create a fresher, more youthful appearance.

It was invasive but not as invasive as I had thought. It was done very gently and skilfully by Mr.Roy. It’s not painful but you feel the sensation of pressure and pulling at times.

The procedure took approximately an hour to perform under local anaesthesia. This procedure needed no hospital stay or general anaesthetic, there was no incision involved and hence no unwanted scars are associated. Recovery time was minimal as well.

My skin did pleat a little bit at the sides but, lucky me, I didn’t bruise at all. ‘I don’t smoke and I don’t drink to excess. I think if you smoke you’ll suffer more bruising. I was advised not to do heavy exercises for two weeks as the threads have to seal in and you don’t want to disturb them. I was able to do my routine everyday things with ease.

I believe the results last between 12 to 24 months with an average period of 18 months. Eventually, the threads slowly get absorbed by the body. As you get older skin starts to sag, and it’s just pulling it up and then producing the much needed collagen to tighten the skin with the added anti-gravitational support of the sutures.

That’s why it’s only temporary because it’s not like a surgery where you’re getting it skin cut and removed.’ I have been told that even major surgery is not long-term as the process of aging is ongoing and does not stop.

I am extremely pleased with the results – and am being complimented with nice comments.

‘You can see the difference,’. ‘I think you can see my renewed profile is a lot better.’

Since having Silhouette Soft I have even been told by several people that I look around 38 i.e. 12 years younger than my actual age.

‘So having the treatment, even though it’s subtle has helped me feel confident again, and now people say it has knocked 10 years off me.’

I would definitely recommend it to others.

It’s a great treatment. I definitely felt fresher and the good thing is that it’s subtle and enhances your own facial features without changing them. My children couldn’t even tell as to what I had done, you just look fresh, younger and well rested.

What I would like to say in the end is that,

If you would like to reverse the signs of an aging face and neck, a Silhouette Soft thread lift is a newer minor surgical option.

This innovative treatment uses bi-directional absorbable thread with cones to lift and rejuvenate your facial skin, resulting in a fresher, more youthful appearance.

The treatment can be used to tackle lax skin on the neck, brow or mid and lower face area. Your face will look natural, expressive and mobile.


I was told that I may notice some bruising or have some swelling after the Silhouette Soft procedure, but this subsides spontaneously afterward and, in the meantime, can easily be covered with make-up.


Silhouette Soft is the only thread lift that provides an immediate mechanical lifting effect as well as a biological lift by stimulating the natural production of collagen in the four months and onwards that follow. Silhouette Soft sutures are FDA approved.

Silhouette Soft thread lift-before and after

Silhouette face and neck lift treatments showing how the threads work

You’ll notice your skin looks lifted right away. But what’s even better is that the treatment induces a process of ‘collagenasis’ – a process by which the body produces fresh new collagen (which diminishes as we age) and in turn produces skin tightening.

The biological lift means you will notice your skin feels plumper, firmer and above all tighter.

To get further details about the different Silhouette Soft lift treatments provided at Excellence Medical please visit this here

Spring Promotion

Lip rejuvenation with Dermal Filler- before and after photo 2

Lip rejuvenation with Dermal Filler- before and after photo at excellence medical dublin 2

The team in Excellence Medical is delighted to announce our Spring Promotion running from Tuesday 14th February to Friday 3rd March 2017.
When you book a Dermal Filler treatment or Antiwrinkle injections, you can choose €50 off the cost of your treatment OR receive a free treatment of a Professional new non-invasive facial peel worth €120. This mask is for use on face, neck, cleavage and hands and is for the treatment of ACNE, Melasma, Photo-aging. It is a 30-minute treatment, simple application and peel off with no down time.
Please phone today for your appointment on 01 232 5528 or email Excellence Medical on Visit our website on for further details.

Non Surgical Facelift Treatment become more popular



Enquiries for non-surgical facelift treatments rise:
Collated data indicate that enquiries for non-surgical facelift treatments increased by 91% in the last quarter of 2016.
Non-surgical facelift treatments are said to include everything from thread lifts to chemical peels, fillers, antiwrinkle injections and platelet rich plasma (PRP) procedures.
Please phone Excellence Medical on 01 232 5528 or email You can also visit our website on

7 Advantages to have a Silhouette Soft Lift treatment

Silhouette Soft lift of face-before and after photos

silhouette soft face lift before and after treatment

7 Advantages to have a Silhouette Soft Lift treatment – a minor operative procedure under local anaesthesia:
1. Immediate natural lift effect
2. Progressive restoration of your lost collagen
3. Entirely re-absorbable suture components
4. 30-45 minutes procedure
5. No incision involved or cutting involved
6. Long lasting effect for up to 18 months on average
7. Tailor-made treatment for flabbiness of various areas:
e.g. neck, eyebrow, cheek area, Jowls(a highly effective treatment for same)

Please phone Excellence Medical on 01 232 5528.

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