Abstract

Pilar cysts are frequently encountered benign neoplasms of the scalp and are a common reason for referral to dermatologists.1 In lesions that are not inflammed and small, simple extraction is usually performed through the use of a small overlying elliptical incision or through access using a 3 mm to 4 mm punch.2 Larger cysts, especially those greater than 1.5 cm to 2.0 cm, often act as tissue expanders, creating overlying skin redundancy requiring removal in order to achieve a smooth contour. To ameliorate this redundancy, a larger ellipse is often required, extending well beyond the margins of the cyst resulting in removal of normal surrounding tissue, and subsequently, a larger scar.

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