A throbbing, swollen lump can make it hard to sit, sleep or get through the day. Our doctors can remove it under local anaesthetic, often on the same day, so your discomfort can start to ease.
Incision and drainage (I&D) is a minor procedure to treat a skin abscess, which is a painful collection of pus under the skin. The doctor makes a small cut to drain the pus. This relieves the pressure and lets the wound heal.
At DR+ Medical & Paincare, I&D is done in the clinic under local anaesthetic. It is often available on the same day, and MediSave may be used.
An abscess is a pocket of pus under the skin. It forms when the body fights a bacterial infection. It is often caused by a germ called Staphylococcus aureus (staph). The body builds a wall around the pus, so antibiotics alone often cannot clear it.
In incision and drainage, the doctor makes a small cut over the abscess to let the pus out, then cleans the space inside and covers it with a dressing. For most skin abscesses, drainage is the main treatment.
See a doctor if you notice any of these:
If the lump is still hard and has no soft centre, it may not be ready to drain yet. The doctor may start with antibiotics and warm compresses, then review it in a day or two.
Many skin abscesses can be treated safely at your family clinic. Some need specialist intervention, and if this is the case, we will make prompt referral.
| Location | Notes |
|---|---|
| Armpit (Axillary Abscess) | Common with shaving and sweating. If it keeps coming back, it may be a skin condition called hidradenitis suppurativa. A referral to a skin specialist may help. |
| Buttock or Thigh (Gluteal Abscess) | Often linked to friction and sitting for long periods. |
| Back, Neck, Arms or Legs | Carbuncles are common on the back of the neck. |
| Groin | The doctor first checks how deep it is and if there are surrounding critical structures. |
| Face | Depends on the exact location. Abscesses near the nose and eyes need extra care. Some need a same-day referral. |
Some abscesses need specialist care, such as those around the anus, tailbone or breast, or very deep ones. If so, the doctor will arrange a referral. Tooth and gum abscesses should be seen by a dentist.
Go to the nearest emergency department, or call 995, if you have any of these:
The doctor examines the lump and asks about your health, including diabetes, allergies and any blood thinners you take. The doctor then confirms if I&D is suitable, or if another option is better.
The skin is cleaned with antiseptic. Local anaesthetic is injected around the lump. You stay awake throughout.
Once the area is numb, the doctor makes a small cut over the softest part of the abscess.
The pus is drained and the space/ cavity inside is gently rinsed. If the infection is large or keeps coming back, a wound swab may be sent to the lab to help select the appropriate
A small abscess may only need a dressing. A deeper one may be lightly packed with gauze to help it keep draining as it heals.
You go home the same day with wound-care instructions, medicine if needed, and a date for your first wound check. Wound checks can be done at the DR+ clinic nearest to your home or workplace.
Not always. For a small, simple abscess, drainage alone often clears the infection. In clinical trials, adding antibiotics helped a little. Out of every 100 people, about 5 fewer had the treatment fail within a month. About 8 fewer had the abscess come back within three months. Antibiotics can also cause side effects, such as nausea and diarrhoea.
The doctor is more likely to prescribe antibiotics if:
If you are given antibiotics, finish the full course, even if you feel better.
Incision and drainage is a common, low-risk procedure. As with any procedure, there are some risks:
The doctor will explain the risks that apply to you before starting.
Not sure if your boil needs draining? Our doctor can examine it and advise whether drainage, antibiotics or home care is right for you.
These terms are often used to mean the same thing, but they are slightly different. The treatment can also differ.
| Condition | What It Is | Usual Treatment |
|---|---|---|
| Boil (Furuncle) | An infected hair root that forms a red, sore bump with a pus-filled head | Small boils may drain on their own with warm compresses. Large or painful boils may need I&D. |
| Carbuncle | A group of boils joined under the skin. It is common on the back of the neck, the back or the thighs. | Usually needs I&D. Antibiotics are more likely to be needed. |
| Skin Abscess | A bigger, deeper pocket of pus, often more than 1 cm across. It may feel soft or squishy when pressed. | I&D |
| Infected Cyst (Sebaceous or Epidermoid Cyst) | An existing cyst that has become infected and swollen | I&D first to clear the infection. The cyst can be removed a few weeks later, once it has settled, to lower the rate of recurrence. |
Repeated boils or abscesses may have an underlying cause. Common causes include:
Once the abscess has healed, we can check for these causes through chronic disease care, health screening and Healthier SG follow-ups.
At DR+, incision and drainage of an abscess starts from S$250.
Note: This includes the local anaesthetic, dressings and other supplies. The fee is based on DR+ Telok Blangah rates and may differ at other clinics. The location and complexity of the abscess also affect pricing. Consultation, medicine and follow-up dressings are charged separately.
MOH groups surgical procedures by code. Each code has a MediSave withdrawal limit set by CPF:
| Abscess Size | MOH Procedure Code (TOSP) | MediSave Limit |
|---|---|---|
| Under 3 cm | SA840S (Table 1A) | Up to S$240 |
| Over 3 cm | SA841S (Table 1B) | Up to S$420 |
Our clinic team can check if you can use MediSave and help with the claim. If you have company or personal insurance, check with your insurer. Some plans cover minor outpatient procedures.
At DR+, incision and drainage starts from S$250, including local anaesthetic and dressings. Consultation and medicine are charged separately. MediSave can be used up to S$240 for abscesses under 3 cm (MOH code SA840S) and up to S$420 for abscesses over 3 cm (SA841S).
Yes. Many skin abscesses on the arms, legs, back, armpits and buttocks can be drained safely by a GP under local anaesthetic. Deep or very large abscesses, and those around the anus, breast or tailbone, are usually referred to a specialist surgeon.
Yes. All DR+ clinics accept walk-ins during opening hours, and drainage can often be done on the same day. You can WhatsApp +65 8777 9500 to check the queue first.
No. Incision and drainage of a skin abscess is a minor procedure done under local anaesthetic. The procedure takes about 10–20 minutes, and you go home the same day.
The local anaesthetic injection stings for a few seconds. Infected skin does not numb as well as normal skin, so you may feel some pressure or discomfort during drainage. Tell the doctor if you do, as more anaesthetic can be given. The throbbing usually eases once the pus is released.
Most wounds heal in 1–3 weeks. Small abscesses heal faster. Larger or packed wounds may take longer, as they heal from the bottom up.
A small boil may drain and heal on its own with warm compresses. A larger abscess usually needs to be drained, because antibiotics alone often cannot reach the pus inside
Usually not. The wound is normally left open so that any remaining pus can drain and the wound can heal from the inside out.
Most abscesses heal fully after drainage. Some come back, especially infected cysts, pilonidal abscesses, and abscesses in people with diabetes or hidradenitis suppurativa. Treating the underlying cause lowers the risk.
Keep the dressing dry for the first 24–48 hours, or until your first wound check. After that, a quick shower is usually fine. Pat the area dry and put on a fresh dressing as advised.
Updated on 23 Sept 2026; Medically reviewed by Dr. Farah Khairi, MB BCh BAO (Ireland) | BCLS | ACLS
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