The video begins with Dr. Pimple Popper already mid-extraction. She has the cyst opened up and is squeezing away. When Dr. Pimple Popper squeezes, a whole pile of white mush spews out.

In Dr. Pimple Popper's new Instagram video, she popped a giant cyst hiding behind a man's ear. When she squeezed, a "fly" popped out with a bunch of gunk.

We're used to seeing her metal extraction tool, her tweezers, her little scissors...but this time, Lee attacks the ear-adjacent cyst with a tool that has a circular blade on the end.

While she would typically use an extraction tool to press into the skin and remove the cysts' contents, it's just too big for her to do so anymore.

• In a new Instagram video posted Thursday, Dr. Sandra Lee, MD—aka Dr. Pimple Popper—pulls out a huge cyst from a patient's ear. • In the caption, Lee calls it a "top shelf" cyst because ...

In Dr. Pimple Popper's new Instagram video, she squeezes ear cysts and blackheads with her fingers. Ricotta cheese spew out and her fans are so satisfied.