I want to know the same thing! Can anyone who has had a long term cyst talk about what they did.......I had one that started almost 2 months ago and have had it injected 3 times with cortisone and it won't go away and now it's firm too. I can feel the "sac" in there but when poked there isn't any puss, it's just blood that comes out. It's deflated it a bit since the cortisone shots but I'm still completely distraught because it's ruined my face. It's pulling the skin in around it too so I have 2 dent like scars in my face above and below it and I'm worried the longer it sits here the worse the damage will be. My derm said he could inject it again with cortisone again after another month goes by but I know that cortisone inhibits healing so I don't know if I should do that again. I'm afraid too much cortisione will inhibit collegen growth and I'll be left with a bunch of atrophy there. I'm guessing that even if it takes the lump down the "sac" will still be there pulling the skin down around it.

What do I do?

Do I have to get surgery to get the sac out? Has anyone ever had this where it finally healed and went away on its own?

I've been applying castor oil packs and heat to it and that seems to help and every morning it looks better but later on in the day it seems to be more swollen again.

I really want it to just heal though. I've read several stories about castor oil over several weeks healing stuff; I'm just not sure if I'm making any progress or not with my current treatment.

Please anyone who has experience post what to do. Surgery?

Should I try and needle the sac myself? I'm about to do that because I know surgery will leave a scar and I honestly trust myself more with a needle than a surgeon at this point.

I've never had a cortisone shot, but I've had a couple of cysts before and they've always gone away. Sometimes it takes a while for it to completely go away (you can still feel a tiny bump under the skin but can barely see it), but they always do. Just be patient and don't play with it, it'll go away