• In a new Instagram video, Dr. Pimple Popper uses a "hole punch" to pop out a man's cysts.
  • The tool breaks through skin by punching out a circle, which makes excising deeply embedded cysts easier.
  • The pair of cysts are likely epidermoid cysts, which are often filled with dead skin cells and keratin.

Dr. Pimple Popper just "punched" a patient in the neckbut it was for his own good. In a new Instagram video, Dr. Pimple Popper aka, dermatologist and TLC host Dr. Sandra Lee, MD uses a surgical punch to extract two cysts from a patient's neck. And, frankly, it's reminiscent of the hole punches you used in grade school to organize your copious amounts of handouts. In the quick clip, Dr. Lee uses a surgical punch tool to remove a circle of a patient's skin in the center of the cysts. The tool breaks through skin by punching out a circle, which makes excising deeply embedded cysts easier. Once the skin is removed, Dr. Lee pinches the the cysts to pop out its already oozing contents. The result is a snake of white gunk winding its way out of the growths. These two gunky growths are likely epidermoid cysts , which are often filled with skin cells and keratin . They commonly occurs on the face, neck, and back. Besides often being cosmetically undesirable, epidermoid cysts can be easily irritated and tender, making removal an appealing option. "Taking a punch to the neck," Dr. Lee writes in the videos caption. But unlike boxing pros taking a painful punch to the throat, this patient will be a lot happier for it. Watch the cyst brawl below. We're all rooting for a knockout, Dr. PP.