Oh, Dr. Pimple Popper—how you fill our lives with cyst-popping videos that cause…joy?…disgust?…both? If you’re unfamiliar with the famous Dr. Pimple Popper, she’s Sandra Lee, M.D., a board-certified dermatologist based in Upland, California. Lee films her most exciting—and often graphic—pimple and cyst poppings (with the consent of her patients, of course), and she shares them with her 2.5 million Instagram followers and 2.4 million YouTube subscribers. Watching one of her videos is a grotesque but weirdly mesmerizing experience—and her latest video doesn’t disappoint.

Lee uploaded a video to YouTube this week that shows her removing an epidermoid cyst from a patient’s back. In the video caption, Lee explains that these types of cysts are typically harmless, and people usually get them removed for cosmetic reasons or because the cyst has ruptured and/or become infected. She calls this particular cyst she’s removing “deceptively deep.” Lee and her team first cut open the top of the cyst—then they start digging. Lee starts to pull out the wet skin cells that fill up the cyst (technically called “macerated keratin,” she explains in the caption). Then, things get gross. She starts squeezing the cyst, trying to get the “cheesy” insides of it out—but it’s stuck. “I got to get my knees in this!” she says as she puts pressure on the cyst, as if she’s trying to reel in a fish.

Lo and behold, the cyst gives way to produce a disgustingly perfect string of “cheesy” skin. “She’s having a baby!” Lee jokes when she’s removing the cyst.

You’ll have to see it to believe it for yourself. Over 360,000 people have watched the video in just the past two days! But fair warning: Do not watch this if you’ve just eaten or plan to eat within the next two to four hours. The image of the cyst’s “cheesy” goodness might be burned in your mind for a while.

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