Episode 33: Lumps, Bumps & Pops — Cysts, Lipomas, Milia and What's Actually Going On
Description
From viral pimple popping videos to mysterious bumps that show up out of nowhere, this episode breaks down the most common lumps and bumps people find on their skin. Dr. Dustin Portela and PA Austin Lee walk through what these growths actually are, where they come from, and when they are completely harmless versus when they need medical attention.
They cover epidermal cysts, pilar cysts, lipomas, dermatofibromas, milia, and sebaceous hyperplasia, explaining how each one forms, why some smell worse than others, and why squeezing them at home often makes things much worse. You will hear real clinic stories, including rare cases where something that looked like a simple cyst turned out to be cancer, and why sending everything to pathology is non negotiable in dermatology.
The episode also covers treatment options, what removal looks like, when to wait versus when to act, and how inflammation or infection can change outcomes. Plus, a fun but informative Did You Know segment dives into lipoma statistics and the rise of Dr. Pimple Popper, along with behind the scenes insight into what dermatologists actually think about popping culture.
If you have ever wondered whether a bump is normal, whether it is safe to pop, or when it is time to see a dermatologist, this episode gives you clarity, reassurance, and practical guidance.
Follow Us:
Dr. Portela
TikTok: @drdustinportela
Instagram: @drdustinportela
YouTube (Reactions): @208SkinDoc
YouTube (Educational): @drdustinportela
Pinterest: @DrDustinPortela
Austin Lee
TikTok: @austinleepac
Instagram: @austinleepac
Product of the Week: Shark CryoGlow and Facial Pro Glow System
This at home facial device is designed to mimic professional treatments like a HydraFacial by using suction, heat, cooling, and serum infusion to deep clean pores and improve skin texture. Dr. Portela shares his firsthand experience using the device and was impressed by how much buildup it removed, even with a consistent skincare routine. The system is designed for weekly use, takes under fifteen minutes, and can pay for itself quickly compared to in office facials.
United States
