We got a little cyst here, announces Dr. Pimple Popper in a new Instagram video . Its a little wetter because I put numbing in there, so it got a little mixed with water, so its like mashed potatoes.

In the clip, Sandra Lee MD cuts into the cyst with scissors and then pushes on it with her gloved hands to extract a few dollops of sheer white lumpy goo from her patients back.

Its only a small part of the procedure for this particular patient, whose surgery is detailed in a 22-minute on the TLC stars website and YouTube channel. The Northern California woman has an extensive case of lipoma , benign, slow-growing, movable fat growths that develop beneath the skin.

In the full version, Lee makes a large incision in the womans back and pulls out of chicken breast-sized mass of fatall while talking about shooting the Christmas special of her TLC show. (She did produce the 12 Pops of Christmas in 2018.) The Kardashians film theirs in mid-summer, Lee says. (Theres no indication when this video was shot.) Dr. Pimple Popper has always been a Kylie, but with an MD and her hands covered in bodily fluids.

Speaking of which: In the longer video, we also get to see more of the prep work for the mashed potato cyst. Lee cuts it open to lessen the chance of getting sprayed when she pops it. Ive opened the sac so it isnt under pressure anymore so it wont get us, allegedly, she said. Sometimes it will still get us.