Dr. Pimple Popper used a spoon to scoop out a 'crème brûlée' cyst on a man's shoulder

• Dr. Pimple Popper used a spoon to remove a man's 30-year-old epidermoid cyst.
• She opted for a spoon to easily scoop out hardened bits of the cyst, which popped a few days earlier.
• In a first-ever move, Lee also let her patient take a mid-operation smoke break to calm his nerves.

Dr. Pimple Popper is familiar with all kinds of surgical tools, from scissors for snipping lipomas to blades for cutting through cysts.

But on the Monday night episode of her show "Dr. Pimple Popper," celebrity dermatologist Dr. Sandra Lee employed an unlikely instrument: A spoon.

That's because she was tasked with treating 51-year-old Marty, who had an already-burst 30-year-old epidermis cyst on his shoulder. Marty said he'd considered popping the cyst himself over the years, but never drank enough tequila to go through with it.

"It's just I don't know how deep I need to cut it," Marty said.

An epidermoid cyst is a type of cyst that occurs when skin cells burrow and multiply underneath the skin, according to the Mayo Clinic. Usually, epidermoid cysts grow slowly and aren't painful.

But Marty's cyst popped a few days before he could see Dr. Pimple Popper, so its insides hardened on top of his skin, making it difficult for Lee to see where the growth started and ended.

To remove the remaining pus, Lee opted for a spoon so she could scoop it out without injuring Marty's still-intact skin. Afterwards, Dr. Pimple Popper likened the substance to crème brûlée and flan.

"I might have to name the spoon after you," Dr. Pimple Popper told Marty.

Lee's operation wasn't without hiccups. Throughout the procedure Marty kept grunting and moving around, which made Lee believe he was stressed out or in pain.

So, for the first time in "Dr. Pimple Popper" history and Lee's career, she let a patient take a mid-procedure smoke break outside.

Once he returned, Lee was able to finish removing the pus and stitched up the area so it could heal.

As for Marty, he never came for a follow-up visit.

"It's been about three months since I've seen Marty. I haven't been able to get ahold of him, but I'm guessing that this means he has no issues with the cyst growing back and he's out there somewhere celebrating with tequila," Dr. Pimple Popper said.