Lump on my face

I have had this lump on my face for almost 4 years now and i still dont know what it is. It is kinda hard but a little squishy at the same time. I have done a little research on it and the only thing that seems close is a cyst but i have no clue! If anyone has anything like this i would appreciate any info!

thanks

[Bhupinder Kaur, MD]

Hello,
The painless lump that you are having seems like a sebaceous cyst. A sebaceous cyst is a closed sac occurring just under the skin which contains a "pasty" or "cheesy" looking substance called keratin.They may occur anywhere on body but scalp, ears, back, face, and upper arm, are common sites for sebaceous cysts. Blocked sebaceous glands, swollen hair follicles and excessive testosterone production will cause such cysts.

Generally no treatment is required but they become painful then it means they are infected,Then surgical excision by traditional wide excision, minimal excision, and punch biopsy excision may be required.
Hope it helps.Take care and pls do keep me posted on how you are doing or if you have any additional queries. Kind regards.