DR PIMPLE Popper had to use a spoon to scoop the pus out of man’s giant cyst in the latest hit TV show episode.
Marty had been living with the gruesome lump on his shoulder, which started as a small bump, for 30 years.
Dr Pimple Popper, AKA Dr Sandra Lee, described the lump as a “big mess”, while her assistant said the gooey contents reminded her of “Crème Brûlée”.
In the concluding episode of this series, Marty explained his huge cyst had slowly grown over the decades to the size of a softball.
It protrudes from his shoulder and is bright purple.
Marty, who lives in Texas, said: “My bump is soft in the middle and it’s hard around the outside and it’s tender to the touch.
“It’s about the size of half a softball glued onto your shoulder.”
Round, red and painful, Marty compared the lump to feeling like sunburn, and that it’s grown so large in size that it even causes his hand to fall asleep.
He said: “About 10 years ago, it did burst. I was amazed at how much come out of it, it looked like cottage cheese. It didn’t smell or anything, but it didn’t look too good.
“I’ve seen a doctor three times over, they just take a knife and just put a little bitty cut down below it. They got not even a third of what I got out of it.
“It was back within a week. I’ve lost hope in the doctors trying to do anything, and I’ve thought about just taking care of it myself.”
Marty flew to see Dr Pimple Popper, AKA Dr Sandra Lee, at her clinic in California.
She diagnosed it as an epidermoid cyst. These grow under the skin and are filled with cheese-like pus.
Dr Lee said: “Sometimes they get so big that maybe the skin on the surface breaks down, and if it’s real close to the edge it could burst through.”
Marty hoped he could be treated before the cyst burst itself. But just days before the procedure, it popped.
He said: “When I moved my arm just right it made a popping noise and it blew a half a dollar size hole in my arm!”
Dr Lee said she was a “little concerned” the cyst had gotten infected.
She peeled back the bandage to find a gaping hole in Marty’s soldier that was leaking some gooey contents.
She said: “Whenever I find out that a cyst has exploded right before I’m going to see them, it’s a little concerning.
“I don’t know what to expect now, is this something I can even remove? If there is inflammation and it’s angry, I cannot do anything at all.”
Thankfully, Dr Lee was happy to carry out the procedure and remove the lump – but admitted it would be tough.
What is an epidermoid cyst?
Epidermoid cysts grow under the skin and can become so big the skin breaks.
They can appear on the neck, back, head or even genitals, usually as a result of trauma to the skin.
The cysts are filled with cheese-like pus, called “keratin debris”. Keratin is a natural protein in skin cells, but it can build up and get trapped below the skin.
She said: “The bad news is that this is a really big mess. I can imagine that some of this has liquified so I can’t even find the edges. This looks like a lot of work.”
Before numbing the area, Dr Lee cut into the open wound and began working to remove the infection.
“Marty’s cyst is partially thickened, partially liquified,” she said. “It’s almost like cartilage in some areas.”
Dr Lee asked her assistant to fetch her a sterilised spoon so she could scoop out the sticky cyst contents.
After, the assistant said: “It kind of looked like Crème Brûlée when you were scooping it out with a spoon.”
Marty had become increasingly agitated, and his constant fidgeting endangered the operation.
Dr Lee said: “What makes this even worse is the fact that Marty cannot sit still.
“If Marty doesn’t calm down, I don’t know how I’m going to finish this procedure.”
Marty ended up taking a fag break to calm down after Dr Lee realised how troubled Marty had become, joking that he needed “a cigarette and about half a bottle of tequila”.
“I’ve never given anyone a cigarette break before in the middle of a procedure, but Marty can’t sit still,” Dr Lee said.
Marty called his mum for some words of encouragement before getting back in the chair to finish the job.
A while later, Dr Lee stitched the wound back up.
Leaving the clinic, Marty said: “I’ve had that thing for 30 years, it’s kind of sore right now but I’m looking forward to getting out and around people again.”
Dr Pimple Popper airs at 10pm on Thursdays exclusively on TLC, and stream on discovery+