Wen on the face of a newborn baby - photo, treatment, reasons, how to get rid of it?

What is a wen?

Wen (lipoma or milium) is a benign formation that does not pose any threat to human health. This is just an unpleasant cosmetic flaw. Wen differs from other formations in its mobility and softness.

Last time we discussed another benign neoplasm - fibroma. Read more about fibroid removal here.

They do not cause any discomfort or pain, as they represent overgrown adipose tissue. Wen can appear in any part of the body. As a rule, on the face they are observed mainly in the upper part.

Very often, wen appears on the face of newborn children. This problem bothers adults, causing many problems. Parents should know that this phenomenon is not considered a pathology and does not pose a danger to the baby’s health.

Externally, wen resemble small closed white pimples. They appear in groups of several formations on the forehead, near the eyes, as well as on the nose and chin. Typically, wen disappears on its own a few weeks after the baby is born.

What do wen look like in children, their causes and methods of removal?

Thickening of the skin occurs, which is extensive and very common in different age groups.

Fats can form absolutely everywhere on the body in children. The causes of this problem can be very different and numerous. However, when the first symptoms appear, treatment is necessary.

What is a wen?

Lipo (fats) is the accumulation of adipose tissue under the skin, enclosed in a capsule of connective tissue fibers. The formation is benign and can appear in various sizes up to 7 cm in diameter.

What education looks like, photo

Externally, the tumor has clear boundaries. The formation is elastic and can change its shape under pressure, but then returns to its original size.

Appears on the skin where the fat layer and sebaceous glands are located. In rare cases, a tumor may form on the internal organs of the human body.

The mass, if it does not affect soft tissue, does not cause pain, but the child may feel uncomfortable, especially if it presses on the calcium.

Why do wen appear in children?

In childhood, a benign formation can manifest itself for the following reasons:

metabolic disorders;
breakdown of adipose tissue in the body;
lack of hygiene;
disruption of the sebaceous glands;
disruption of the endocrine system;
genetic predisposition to problems;
hormonal disorders in children;
insufficient intake of vitamins.

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In some parts of the body, fats can arise as a result of lack of mobility and long periods of time spent in one position.

Locations of wen

Lipomas in children can occur in absolutely any part of the body, but most often:

face - most often formed in infancy;
legs;
breast;
gums;
area behind the ears;
Hair on one's head;
axillary region;
back.

Small masses are mostly on their own, but there are masses that need to be removed or specially treated.

Diagnostics of education

Before starting treatment for a tumor on a child’s body, it is necessary to determine the type of tumor and the reasons that caused the problem.
In most cases, it is enough for a specialist to conduct an external examination of the damaged area and palpation.
However, there may be cases where additional diagnostic measures may be used:

Examination of tissues in the developmental stage to identify malignant cells;
X-ray of the tumor if the fat is in difficult places.

After the examination, the specialist prescribes treatment, which can be done at home if there is no danger to the child’s health.

When should a lipoma be removed from a child?

The child's body is removed in the following cases:

when the tumor is placed on the child’s neck and there is a danger of squeezing the blood vessels;
fats grow quickly and cause pain to the child;
education is disrupted by internal organs;
lipomas are red and itchy;
the fat is exposed and should be removed as a cosmetic target.

Fat removal in children is performed at the age of 5 years, with the exception of complex cases requiring urgent intervention on the recommendation of a doctor.

How is a lipoma removed from a child?

Lipoma removal can be performed using various techniques.

among them:

surgical method - a specialist makes a small incision with a scalpel and removes the lipoma along with the capsule. Used for large areas of fat. The disadvantage of this method is the scar after the procedure;
endoscopic method - using surgical instruments, a small incision is made, through which the fat capsule is destroyed and the contents are brought out. This method leaves virtually no residue, but may reintroduce the problem;
laser surgery - using a laser beam, fatty tissue is destroyed. The advantage is the almost complete absence of bleeding and possible complications. Disadvantages include scars and scratches;
cryodestruction - liquid nitrogen is used to freeze fats. The lesion disappears on its own without scarring, but this method is only used for small lesions. Very often, one procedure is not enough and complex treatment is required;
punching method - involves breaking through the formation and pumping out its contents. It is performed by a specialist under completely sterile conditions; this procedure cannot be performed independently.

Only a specialist can correctly determine the method of intervention. In children, removal should be performed under local anesthesia.

Skin care after wen removal

After the operation, a suture remains, onto which a sterile bandage is applied. The intervention site must be treated with a special antiseptic prescribed by the doctor.

The child should not touch the lipoma removal site, otherwise infection may occur. It is also not recommended to rinse the wound with water before removing the suture.

With normal healing, the suture is removed after 7-10 days. You should also avoid regularly wiping clothing in the area where grease is removed. If laser removal is not recommended, you should remain in direct sunlight for the first few days.

Why is wen dangerous for children?

Fat formation is not dangerous for the child and should be treated quickly. However, in some cases, harmless fat formation can lead to damage.

These cases should be noted:

fats are placed in a place where blood vessels accumulate and there is a risk of transmission and circulation problems;
fats are located in the head area and increase in size. This can lead to thrombosis of blood vessels in the brain area;
fat appeared on the eyelids, such formations can negatively affect the child’s future vision and require urgent intervention;
after damage to fats, inflammation and purulent process.

In some cases, fats can become cancerous. Therefore, when the first symptoms appear, it is necessary to consult a specialist to make a diagnosis.

Prevention measures

Almost anyone can become fat, even a child.
To reduce the risk of a problem occurring, it is necessary to use the following prevention methods:

to reduce the risk of hypothermia;
for timely treatment of all chronic diseases;
to perform regular personal hygiene to reduce the risk of clogged pores;
to control the quality of products used for food;
to ensure that the child is regularly active and sleeps healthy.

Fever can have various symptoms, but self-clearance can lead to complications and further development of lipoma.
During childhood, a child's skin is very sensitive to external and internal changes, so dysfunction can manifest itself through a rash or mass; fats can also indicate a serious illness.
Therefore, before starting treatment, it is necessary to find out the factor that provoked the appearance of lipoma and seek advice from a specialist.

Causes of wen on the face of a newborn

Most parents perceive wen on the face of a newborn baby as a fairly serious danger to his life. Therefore, they begin to actively fight them, not realizing that they are only aggravating the situation and preventing the child’s skin from cleansing.

The appearance of wen on the face of newborns has not yet been fully studied, so identifying the true cause of this phenomenon can be very difficult.

Today we have only a few assumptions:

The main cause of wen in young children is associated with immaturity of the skin tissue, which causes blockage of the sebaceous glands. Such formations do not require any treatment and disappear on their own after a month from the date of birth of the child.
Active release of hormones in a pregnant woman immediately before childbirth.
Artificial feeding.
Improper metabolism.
Genetic predisposition (if one of the parents has similar rashes).
Improper skin care for a newborn, use of linen and clothing made from non-natural materials.

Do I need to treat?

Radical treatment of lumps in newborns should be undertaken only when they grow.
Wen in babies is not dangerous if it does not have the property of growing. It should not be equated to a tumor with possible metastases; wen on the face is purely a cosmetic defect. So, according to pediatricians, the skin of infants tries to adapt to the conditions and influences of the aggressive environment that surrounds it.

A baby has delicate skin and it is not recommended to perform the following actions if wen appears on the nose, head and other places:

wipe them with alcohol solutions or apply medicinal plants;
treat affected areas with lotions, gels, creams;
squeeze out fat globules.

If these recommendations are not followed in children, infectious agents may penetrate under the skin, causing infiltration of the body. In this case, a wen in a child sometimes provokes the formation of scars. Only after consulting a pediatrician or dermatologist, who will examine the little patient and prescribe tests, should any measures be taken to effectively get rid of lipomas.

Types of wen on the face

There are diseases that pose a danger to the health of children, which in appearance are very similar to wen:

Milia are small white formations that protrude above the skin. Another name for them is whiteheads that do not have a duct. Milia are filled with sebum and can appear on any part of the facial skin, either singly or in groups. Typical locations are cheekbones, forehead, nasolabial folds and wings of the nose. These formations are held quite firmly on the skin, so they are practically motionless. In case of multiple milia rash, the skin looks bumpy and uneven.
Xanthelasmas . Their main difference from milia is their larger sizes and shades. As a rule, they have yellow tints. In addition, xanthelasmas have the ability to actively grow, increase in size and connect with each other. This type of wen is a mobile formation and requires fixation during removal. Location: upper and lower eyelids.

Usually, wen on the face does not have any clinical picture. If you press on it, there is a sensation under the skin of a foreign round movable formation.

Symptoms of a wen on a child’s face

In most cases, wen on the face develops without any symptoms. A characteristic feature of wen is that it appears on areas of the body with minimal fat. On the face they appear in the form of a protruding tubercle.

Lipomas on the face of newborn children are a completely natural phenomenon. They are rashes of small diameter. Their location is the forehead, nose and chin.

Xanthelasmas can be seen through thin skin in the form of yellow plaques of various shapes and sizes with blurred contours. Over time, their diameter may increase, but usually this happens for a very long time.

Xanthelasmas have a soft consistency and begin to move upon palpation. Unlike a subcutaneous pimple, it is impossible to squeeze out a wen. Due to the close location of the wen to the nerve endings, pain may occur when pressed.

Wen are often confused with other types of formations (atheroma or cyst) that require surgical intervention due to rapid growth.

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Why does a wen appear in a child?

Children's lipogens are not unusual. Any new formation or thickening of the child’s skin bothers parents and is a reason to contact a surgeon. In what cases is it necessary to remove baby fat and why does this happen?

Reasons for the growth of wen in children

Photo of a child's face with fat

The appearance of fat in children occurs from the age of 3 months. The early growth of such neoplasms is usually congenital. If the tumor began in the womb, then its growth is observed in the first 5 years of the child’s life.

The cause of fat growth is considered to be a general disorder of metabolic processes in adipose tissue. Experts believe that diseases of the liver, pancreas and thyroid gland are the cause of lipoma in older children.

Possible factors for fat growth in children:

Hypothyroidism.
Autoimmune thyroiditis.
Diabetes mellitus, type 1.
Obesity.
Gilbert's syndrome.
Dyskinesia of the bile ducts.
Inherited liver disease.
Autoimmune hepatitis.
Chronic gastroduodenitis.
Inheritance.

Lipomas are more common in children than in adults. Among them there are benign tumors - lipids and malignant ones - liposarcoma. The latter are extremely rare.

Fats most often found in children are on the following sites:

spine.
hips.
shoulders.
Neck.
Shin.

In the skin and internal organs, lipomas appear in various structures:

Fat grows in subcutaneous fat in 90% of cases in children.
Less common between muscles and under the muscular fascia.
Very rarely in the mediastinum, retroperitoneum, abdominal cavity.

The localization of linden in cavities and internal organs is due to a congenital cause.

What does a wen look like?

External baby fat can be diagnosed without problems.

Characteristics of external lipoma:

Movable.
Elastic and soft.
Not compressed by skin.
Large fats may have a long structure.
The lipoma size ranges from 1.5 to 10 cm.
Painless.
A small lipoma has a round or oval shape.

The internal structure of the lipoma is represented by mature fat cells - similar to the surrounding fatty tissues. The cells are grouped into small slices, and the slices are covered with a dense capsule.

Lipomas do not only occur where adipose tissue is present. If a child's tumors grow in places where there is no fatty tissue, then this is ectopia. Thus, most often, congenital lipomas arise when fat cells are left in an unusual place during fetal development during tissue differentiation.

Differential diagnosis is carried out both for harmless formations - dermoid cyst, myoma and fibroma, and for malignant tumors - liposarcoma.

Ultrasound and CT are used to verify the diagnosis:

On ultrasound, fats in children appear as hypoechoic formations with a delicate capsule located in the thickness of the subcutaneous adipose tissue or between the muscles.
CT clearly shows the typical structure of adipose tissue (low X-ray absorption compared to the surrounding denser soft tissue).

When is it necessary to remove a lipoma from a child?

Photoremoval of atheroma

To remove fat, you must consult a pediatric surgeon.

Removal of a fatty tissue tumor is performed in the following cases:

When a child’s lipoma reaches a large size (more than 5-7 cm).
When the tumor is growing rapidly: If 3 months have passed since the first dose and during this time the fat has grown by more than 5 mm, it must be removed.
In children under one year of age, fats often attract the attention of doctors, as these lipomas tend to grow. In young children, the fatty tumor should be removed most often.
Facial lipoma also requires closer monitoring. Removing the fatty little face will minimize the likelihood of gross scarring in the future.

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Lipo in children should only be removed surgically. Anesthesia in older children is treated with a local subcutaneous injection of anesthetic. In children, the operation is performed under general anesthesia. General anesthesia is also used to remove facial lipomas.

The operation is performed in an outpatient clinic when the tumor is small. In infants or in the case of a significant number of lipomas, in the hospital.

The following checks must be performed before surgery:

General blood analysis.
Urinalysis: General urine analysis.
Blood for coagulation.
Blood group research.

Additional allocations can be made according to the doctor’s decision: Blood for syphilis and HIV, biochemical blood test, Zimnitsky’s urine.

How to remove a lipoma from a child

Photo of the result of removing several lime trees

There are three types of operations:

A radical surgical procedure in which an incision in the skin and removal of fat are performed along with the capsule. After removal, a visible scar remains on the skin. Depending on the individual characteristics of the child’s body, the healing and appearance of the scar varies. If a child is prone to keloid scars, the scar will be purple-blue or red. If a child's fat is removed during a period of rapid growth (puberty), the scar may stretch. Usually, after removal, the scar eventually turns into a thin strip of body color. The advantage of removing a radical lipoma is the low likelihood of the process repeating.
Lipoma liposuction is a minimally invasive procedure. With this type of operation, the contents of the tumor are removed without an incision on the skin, the capsule is preserved. After liposuction, there is a risk of new growth, but the cosmetic result is high.
The laser scalpel is used only for small lipomas. Vaporization of a child's adipose tissue with a laser ensures a highly effective procedure. Healing occurs in less time than with surgical sutures. The scar is thinner and less noticeable in structure. During surgery, the blood vessels are closed so that the risk of bleeding is minimized. The likelihood of a bacterial infection being associated with the wound is also minimal, since healing occurs under the bark.

The laser method is quite expensive and requires a well-equipped clinic and highly qualified personnel.

All operations to remove small linden trees take 30-60 minutes.

The fat should be removed in the morning so that the painful sensation will stop at night.

Children have a favorable prognosis for lipoma after removal. In some cases, growth may resume at the site of the removed tumor. In a child who is prone to fat, growth may occur in different places.

After fat removal, a histological examination is usually performed. In the vast majority of cases, the neoplasm is a fibrolipoid tumor, a mixed tumor.

After surgery, the following medical recommendations must be followed:

Avoid lifting weights for one month and avoid physical activity.
It is forbidden to urinate in the first 2 days after removal at the surgical site.
In the first 3 days after removal of a fatty baby, the urine should be changed daily. Use only sterile soft instruments (gauze pads, cotton wool, bandages). The postoperative wound is treated with pharmaceutical antiseptics: chlorhexidine, miramist, fucilin, and the area around the wound is lubricated with herbs or fucortin. The wound is placed on a sterile gauze cloth, onto which plaster is applied. When the bandage is stuck to the wound, it is removed with hydrogen peroxide or saline solution.
In the following days, the wound is bandaged every two days.
stitches (if any) are removed after 5-7 days.
The seam can be lubricated with Contrubex ointment to prevent the formation of a large seam.

A child's real lipoma or fatty tissue does not pose a risk to the child's health. However, multiple neoplasms should warn parents, as they may be a manifestation of more serious internal diseases.

Diagnostics

Apart from external manifestations, there are no other symptoms of the appearance of wen in children. They are diagnosed by a surgeon or dermatologist through external examination of the skin and palpation. The doctor will also find out from the parents all the necessary information: the time of appearance and the intensity of growth of the wen. After receiving the data, the doctor makes a diagnosis.

If a serious disease (malignant neoplasm) is suspected, the doctor may prescribe a histological examination. Sometimes, in order to avoid the spread of wen to other parts of the newborn’s body, additional procedures (MRI, computed tomography) are performed.

What you need to know about removing molluscum contagiosum

Molluscum contagiosum is a viral infectious disease characterized by nodular rashes on the skin and mucous membranes.
The infection is transmitted by contact and most often occurs in children under 10 years of age. Molluscum contagiosum does not pose a threat to health, but creates a visible cosmetic defect. Removal of molluscum contagiosum is carried out in several ways: mechanically, using a laser, low temperatures (cryodestruction) and electric current (cauterization). Treatment is carried out on an outpatient basis. The immediate causes of infection with molluscum contagiosum are contact with a sick person or the use of contaminated utensils.

Factors contributing to the development of the disease:

skin damage;
decreased general immunity;
non-compliance with sanitary standards;
tendency to allergies;
taking hormones and cytostatics;
visiting public places.

The symptoms and treatment of molluscum contagiosum in children will be discussed further.

How to get rid of wen?

We have already covered in detail how to get rid of wen on the face, here we will talk about the features of getting rid of them for children.

Many parents, having noticed wen on their baby’s face, think that they can simply be squeezed out. This cannot be done, if only because, in this way, an infection can be introduced into the child’s body. As a result, a serious inflammatory process may begin, which will be very difficult to cure. There are other methods of getting rid of wen in newborns.

Treatment methods:

Conservative treatment. This method involves the use of special medications that are administered inside the formation. Thanks to their absorbable action, they help to get rid of the wen easily and quickly. The only drawback of the conservative method is that one session will not help solve this problem. It is necessary to carry out a full course of treatment, which is very difficult for a newborn baby.
Surgical method. There are cases when a wen can be dangerous to the child's health and must be removed through surgery. This method involves the use of local or general anesthesia, depending on the volume of formations and the individual characteristics of the child’s body. During the operation, the doctor makes an incision and squeezes out the contents of the wen. After this, he cleans the lipoma capsule itself.
Laser method. This is the most effective and gentle method, since the laser beam has a positive effect on the regeneration process. It has coagulating and antibacterial characteristics, thanks to which wen removal is achieved without blood loss, scarring and side effects. The laser method is most suitable for eliminating formations on the face, since after a week not a trace remains of the wounds. After such an operation, the specimen is sent for a special histological examination.
Puncture-aspiration method. This procedure is reminiscent of cosmetic surgery using a needle. The surgeon injects it into the tumor and sucks out the contents of the wen, preserving the membrane. The disadvantage of the puncture-aspiration method is the possibility of reappearance of the wen.

What it is

Fats in a child are neoplasms of benign etiology that develop in the layers of connective tissue, but given the rapid growth and increase in the volume of pathogenic contents, they can penetrate into the muscle space. Lipomas cannot be selectively localized and can occur on the face, neck, chest, and extremities.

The number of physiological phenomena caused by insufficient maturity of the sebaceous glands includes white fats in the breasts. The formation of fats immediately after birth is observed in every second baby.

Newborn lipomas do not require treatment and disappear completely in the first weeks of life.

Video

Fats in the face of causes and how to get rid of them

Reasons for appearance

The appearance of fat on a baby's face can be due to various reasons, which can be both physiological and pathological. Etiological factors can vary significantly depending on the sex and age of the child.

In older children, the appearance of a lime flower may be due to a number of the following reasons:

Maintaining a sedentary lifestyle, little physical activity.
Diseases of the urinary or reproductive organs.
Early onset of puberty.
Excessive body weight.

A healthy diet can also lead to the formation of tumors, with large amounts of fatty, sweet and sweetened foods rich in chemical additives.

In newborns

Neonatal fats, which are most often located on the skin of the nose and cheeks, are often the result of improper functioning or insufficient maturity of the sebaceous glands.

Neoplasia of this type does not require therapeutic procedures and is completely eliminated within a few weeks after birth. If this does not happen or if the amount of lime is increased, it is necessary to consult a specialist.

Such signs may be the first symptoms of pathologies and diseases of the endocrine system.

what is the danger

Most often, lipomas are not dangerous in newborns and older children and do not need to be removed.

However, with a certain localization of fats, some problems are still possible.

For example, a significant increase in the size of tumors can lead to compression of large vessels, disturbances in the nutrition of tissues, organs, and skin pigmentation.

Localization of fats in areas subject to constant friction with clothing can lead to the formation of pus, neoplasm injuries, sepsis, and inflammatory processes. Excessive enlargement of the lipoma can also lead to decreased physical activity.

This happens more often if the fat is more than five centimeters in diameter.

When is it necessary to remove a lipoma from a child?

As mentioned above, in children a lipoma does not need to be removed unless it is small and the tumor tends to develop inflammatory or other pathological processes.

Invasive or conservative procedures to suppress fat growth or remove it are necessary if there is a tendency to grow, there are a large number of formations, there is pus or inflammation.

Treatment methods

The method of removing fat from the face of a newborn or older child is selected individually, taking into account age characteristics, as well as the location and size of the tumor. Conservative methods are most often used to remove small linden from a child, including normalization of nutrition and the use of various medicinal ointments.

If your child has large amounts of fat or too much fat, invasive therapy may be required.

If the appearance of fat in a child is constant, i.e. tends to systematically relapse, it is necessary to identify the factors causing the development of the tumor and carry out complex therapy.

Medicinal ointments

To remove fat from a child, drugs with resorption, anti-inflammatory and regenerative properties are used. The most effective of them are the following:

Gistan. It is mainly used against the background of the development of inflammatory processes, helps remove purulent masses, and restores tissue.
Vishnevskaya ointment. This means that it has a specific odor, helps to disrupt the integrity of fats, removes the pathogenic contents of tumors, and accelerates regenerative processes in tissues.
We see. It has highly effective absorbent properties and promotes the gradual absorption of fats by the child.

Use the drugs from the list above, you must use a similar regimen. First, you need to apply a small amount of the selected drug to the surface of the fat. The neoplasm thus treated should then be covered with a cotton pad or clean cloth and secured with a bandage. The compressor must be changed once a day.

Diet

One of the most common reasons for the development of adipose tissue in a child is an unstable diet.

To normalize metabolic processes, cleanse the body, eliminate dermatological problems, it is necessary to exclude flour, sweets, tea, confectionery, smoked meat, sausages, canned food, marinades, pickles, and spices from the child’s diet.

Food should be as natural and healthy as possible. The child's diet should consist of meat and vegetable soups, paps, vegetable dishes, dairy products, dairy products, fruits, herbs.

Folk remedies

The use of folk remedies to remove fat from a child is allowed only if the tumor is small. Lime can be reduced and completely removed using products such as Kalanhu juice, aloe or celandine.

Each selected product should be applied to the surface of the fatty liver, fixed with a bandage and stored for at least two hours.

Surgical methods

Invasive therapy may be required to remove large fats. Most often, linden removal is performed on a child under general anesthesia using one of the methods listed below:

Laser lipoma removal in children is a gentle method, but is not recommended if the child is under ten years old. The use of laser therapy almost completely eliminates the risk of relapse of the pathology.
Electrocoagulation. The method involves etching the growth with high frequency current. The method is very effective only when removing small limescale.
Aspiration method. During this procedure, a small incision or puncture is made in the fat and its contents are then removed. It should be noted that when using this method, the relapse rate is more than 50%.

The use of invasive removal methods is recommended only against the background of the lack of positive dynamics with long-term use of conservative therapy, with a significant increase in redundancy and the development of inflammatory processes. If the above instructions are not available, it is sufficient to use conservative methods.

Prevention

There are no special recommendations for the prevention of wen in children, since their occurrence has not yet been fully studied.

It is only known that in order to avoid their occurrence it is necessary:

carefully choose baby care products;
make changes to the baby’s diet: eliminate sweets and fatty foods, add more vitamins and healthy quality foods;
Maintain child hygiene and monitor the condition of facial skin;
An equally important condition is the timely passage of medical examinations, as well as treatment and removal of formations in order to eliminate consequences dangerous to the child’s health;
never self-medicate.

If wen does not need to be treated, it is good to wipe the child’s face with decoctions of string and chamomile. It is also necessary to carefully ensure that the baby does not scratch his own face and cause an infection. Therefore, cut his nails more often and wear special gloves.

If an infection occurs, contact your pediatrician, who will prescribe you the most effective antibacterial agent.

Causes of wen appearance in newborns

The appearance of tumors on a baby’s skin can be caused by several factors:

hereditary predisposition to the disease;
hormonal disorders in the mother;
metabolic problems;
low activity of lipolytic enzymes (triglycerides), which are secreted by the pancreas and break down fats;
waste in the body.

Doctors are inclined to believe that the majority of the reasons for the formation of this pathology in infants are genetic in nature. If someone in the family had a similar problem, then it is likely that the baby inherited the wen.

Wen does not pose a great danger to the health and life of a child. Lipoma is not accompanied by any symptoms. The formation does not hurt or itch, the skin on the wen does not change color. Lipomas, to a greater extent, develop slowly. Sometimes the patient may not remove it for several decades. In rare cases, this tumor may begin to grow rapidly or become inflamed. Then the wen must be removed immediately.