Dermatologic Center for Excellence
9276 Main Street, Ste 1A / Clarence, NY 14031

Monday - Thursday 7:00 am - 5:00 pm

(716) 636-DERM (3376)

Lumps, Bumps, and Cysts

Our team of professionals and staff believe that informed patients are better equipped to make decisions regarding their health and well-being. For your personal use, we have created an extensive patient library covering an array of educational topics, which can be found on the side of each page. Browse through these diagnoses and treatments to learn more about topics of interest to you.

Patient General Forms

Please note there has been a recent change to our Financial Policy (effective 1/13/2020).

We now require a Credit Card to be kept on file for all patients. If you have questions in regards to this policy, please take the time to read the FAQs Regarding the Credit Card on File Agreement found below as to why we have made this change.

Patient Care Instructions Forms

 

Frequently Asked Questions Regarding the Credit Card on File Agreement

Do I have to leave my credit card information to be a patient at this practice?

Yes. This is our policy and it is a growing trend in the healthcare industry. Insurance reimbursements are declining and there has been a large increase in patient deductibles. These factors are driving offices to either squeeze more patients into shorter periods of time or to stop accepting insurance. We have decided to focus on becoming more efficient in our billing and collections processes instead.

How much and when will money be taken from my account?

The insurance companies on average take approximately 2-4 weeks to process submitted claims. Whatever the allowed amount is, your copay, coinsurance, and deductible are taken into consideration. It simply depends on your individual policy what you may owe. Once the insurance explanation of benefits is received and posted to your account, you will be sent a statement showing your portion. You will have 30 days to send an alternative form of payment if you prefer. If no alternative payment is received, your patient financial responsibility will be processed. Please Note: If your card is denied, a $10 late fee will be added each month following, until the balance is paid, as noted in our financial policy.

How do you safeguard the credit information you keep on file?

We use the same methods to guard your credit card information as we do for your medical information. The card information is securely protected by the credit card processing component of our HIPAA compliant practice management system and credit card manager. This system stores the card information for future transactions using the same sort of technology that any online retailer would. We can’t see the card number – only the last four numbers, giving us no way to use the card outside of the billing system. There is no way to export the card information out of our system.

What are the benefits?

It saves you time and eliminates the need to write checks, buy stamps or worry about delays in the mail. It also drives our administrative costs down because our staff sends out fewer statements and spends less time taking credit card information over the phone or entering it from the billing slips sent in the mail, which are less secure methods than us storing the information. The extra time the staff has can now be spent on directly helping the patients, either over the phone, with insurance claims or in person.

I always pay my bills on time. Why do I have to do this?

The entire billing process is time consuming and wasteful, and the few patients that we do have to send to a collection agency end up costing a lot of money. Reducing unnecessary costs are essential to allowing us to continue to be an in-network provider with most insurance companies. Nothing is changing about how much you end up paying.

What if there is a payment discrepancy or I have other payment questions?

Please contact our billing department directly to settle payment discrepancies or for other payment questions. This policy in no way compromises your ability to dispute a charge or questions your insurance company’s explanation of benefits.

Will I still receive a paper bill by mail?

Yes. You will receive one bill which will show what will be charged to your card in 30 days. If you prefer to pay by an alternative method, you may do so during that period. If you do not wish to make any payment method changes, just hold onto the statement for your records and your card will be charged.

 

 

As always, you can contact our office to answer any questions or concerns.

There are literally hundreds of different kinds of lumps, bumps and cysts associated with the skin. Fortunately, the vast majority of these are harmless and painless. The chart below provides a guide for some of the most common forms of skin lumps, bumps and cysts.

Dermatofibromas

Characteristics

  • Red, brown or purple growth; generally benign
  • Usually found on arms and legs
  • Feels like a hard lump
  • Can be itchy, tender to the touch and sometimes painful

Treatment

  • Usually does not require treatment
  • Most common removal by surgical excision or cryotherapy (freezing it off with liquid nitrogen)

Epidermoid Cysts (Sebaceous Cysts)

Characteristics

  • Round small bumps, usually white or yellow
  • Forms from blocked oil glands in the skin
  • Most commonly appear on the face, back, neck, trunk and genitals
  • Usually benign; occasionally leads to basal or squamous cell skin cancers
  • If infected, will become red and tender
  • Can produce a thick yellow, cheese-like discharge when squeezed

Treatment

  • Antibiotics might be prescribed if there is an underlying infection
  • Dermatologist removes the discharge and the sac (capsule) that make up the walls of the cyst to prevent recurrence
  • Laser surgery may be used for sensitive areas of the skin, like the face

Folliculitis

Characteristics

  • Red pimples around areas having hair
  • Inflammation of the hair follicles
  • Caused by infection or chemical or physical irritation (e.g., shaving, fabrics)
  • Higher incidence among people with diabetes, the obese or those with compromised immune systems

Treatment

  • Topical antibiotics
  • Oral antibiotics
  • Antifungal medications
  • Eliminating the cause

Keratoacanthoma

Characteristics

  • Red, dome-shaped, thick bumps with craters in the center
  • Abnormal growth of hair cells
  • Triggered by minor skin injury such as a cut or bug bite
  • Ultraviolet radiation from sun exposure is the most common risk factor

Treatment

  • Cryotherapy (freezing off the bump with liquid nitrogen
  • Curettage (surgically cutting out or scraping off)

Keratosis Pilaris

Characteristics

  • Small, rough white or red bumps that neither itch nor hurt
  • Usually worse during winter months or when there is low humidity and the skin gets dry

Treatment

  • Usually does not require treatment
  • In most cases disappears on its own by age 30
  • Intensive moisturizing is the first line of treatment
  • For more difficult cases, use of medicated creams with urea or alpha-hydroxy acids

Lipomas

Characteristics

  • Soft fatty tissue tumors or nodules below the skin's surface
  • Usually slow growing and benign
  • Appear most commonly on the trunk, shoulders and neck
  • May be single or multiple
  • Usually painless unless putting pressure on a nerve

Treatment

  • Usually does not require treatment unless it is compressing on the surrounding tissue
  • Easy to remove via excision

Neurofibromas

Characteristics

  • Soft fleshy growths under the skin
  • Slow growing and generally benign and painless
  • Pain may indicate a need for medical attention
  • May experience an electrical shock at the touch

Treatment

  • Usually does not require treatment, particularly if it does not cause any symptoms
  • If it affects a nerve, it may be removed surgically

Skin Cysts

Characteristics

  • Closed pockets of tissue that can be filled with fluid or pus
  • Can appear anywhere on the skin
  • Smooth to the touch; feels like a pea underneath the surface
  • Slow growing and generally is painless and benign
  • Only needs attention if it becomes infected or inflamed

Treatment

  • Usually does not require treatment; often disappears on its own
  • May need to be drained by a physician
  • Inflamed cysts respond to an injection of cortisone, which causes it to shrivel