Original procedure link above. This was a large difficult removal from an elbow full of gout. This is the patients 2 month follow up. You can see his scar is minimal and the large mass and creamy fluid is completely resolved. Patient is extremely happy with results. Two surgeons told this patient they would not remove this for him because it would be difficult and it would just grow back. I was happy to help him and glad he is feeling much better with no pain or discomfort when he drives his car. Gouty tophi. Calcified cyst. Dermatology Physician Assistant. Dermatology procedure. Creamy cyst pop. MrPopZit.