Hi there ..
The query is from a 40/F & the pic sports a healthy beard so assuming this query is for your husband/partner/brother etc.
Diagnosis is pretty clear on the pic... It is an Infected Sebaceous cyst.
Kindly contact ONLINE for a prescription and quick solution to at least the reduction of pain and secondary infection.
An INSTANT ONLINE Consultation is your best bet at the moment to resolve this🙏
In the long run, yes it will require a surgical excision and this can be done by any competent general surgeon or dermatologist near you.
Health Tips
Avoid OTC products, home remedies and self treatment plus Google research suggestions 🙏