Dr Anne Collins Cosmetic Surgeon

Ganglion Cyst

A ganglion is a type of cyst that contains jelly-like material and is surrounded by a capsule. It often has a connection to the lining of your joint or the covering of your tendon. If a ganglion enlarges, it can restrict your range of movement and/or put pressure on nearby structures causing pain and discomfort.
A mucous or myxoid cyst forms between the end joint of your finger or toe and your nail. If it overlies the area where your nail is formed, it can cause a groove of variable width to form along the length of your nail.


Both types of cysts can be managed definitively with surgery. The site and size of the cyst will determine whether local or general anaesthesia is required.

Ganglion surgery involves removing the cystic lesion in its entirety down to the underlying joint capsule or tendon sheath.

Mucous cysts are often closely adherent to the overlying skin. If this is the case, you may require a local flap to close the wound. A local flap involves moving the skin from an area adjacent to the surgical site into the defect created from excising the cyst.

Once injected, the hyaluronic acid attracts water and adds volume to the target area. Dermal fillers are commonly used to volumize the face, restructure the jawline, improve the contour of the neck and enhance the nose, lips, cheeks and chin. They can also improve the appearance of  ageing hands by replacing volume loss, reducing wrinkling and enhancing the skin quality. The results are instant and the effects last up to 18 months.

Some discomfort is to be expected after the surgery and Dr Collins will ensure you have adequate pain relief to deal with this. Depending on the complexity of your surgery, you may not be able to drive for 1-2 weeks afterwards. Dr Collins may refer you to a hand therapist to ensure you get the best possible functional outcome. This can take up to six weeks.

Your return to work will be determined by the type of job that you do. Patients in a supervisory or managerial role are often able to return to work after 1-2 weeks. However, if your work is more physically demanding, you may require up to 6 weeks of leave.

Both ganglions and mucous cysts are benign and slowly growing in nature. If your lesion is not causing you any problems, no treatment is required. Some ganglions may even disappear on their own. Aspiration of such cysts is associated with a high rate of recurrence, as is injecting them with steroid.

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