A dermoid cyst is a common condition that we often see in pediatric patients. Usually the parent notices a deep bump in the upper eyelid or under the eyebrow. The dermoid cyst is present at birth. It is usually seen by the parents in the first six months of life, but can occasionally be found at a later age. A dermoid cyst is a non-cancerous mass that usually contains structures found in skin including epidermis, keratin, hair, and other structures. Because a dermoid cyst can cause severe inflammation if it ruptures, it is recommended to remove them with surgery. As with almost all our surgeries on children, Dr. Paul performs this procedure under general anesthesia for the child’s comfort and safety. He prefers to wait until the child is about two years of age to do the surgery, but it can be done sooner on a case-by-case basis.