This patient came in with a painful cyst over the spine that had already swelled up and we reduced it with antibiotics, this is the video of the removal. I also found a few blackheads when I snooped around. I started with a blackhead and ended with a blackhead, with the excision in between, hence the name “blackhead sandwich cyst”. Thanks to my patient for sharing his procedure. Blackhead removal. Blackhead extractions. Cyst pop. Cyst excision. Running suture. Dermatology procedure. MrPopZit.