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This young lady presented with a 5-year history of a mobile subcutaneous mass along her mid-right mandible.
She opted to have her cyst removed because it was enlarging and more noticeable. She also found good timing given most are wearing masks during the current pandemic.
When evaluating the subcutaneous masses, we do a careful head and neck examination of the patient to rule out a possible cutaneous malignancy. This includes a careful history as well as a lymph node evaluation and intra-oral evaluation. She denied any trauma to this area or any drainage.
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After careful evaluation, the area is numbed with local anesthesia, and then the cyst removed with sharp dissection followed by a layered closure to ensure a fine, hidden scar.
Sebaceous cysts may develop as a result of trauma or blocked glands in the skin and rarely cause pain or other symptoms. They’re most commonly found on the face, neck, and trunk.
Many patient prefer the removal of any lesions or cysts on the face to be performed by a plastic surgeon to ensure optimal scar healing and placement along with aesthetic units.
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This is the defect after the entire cyst including sack and contents are removed.
Important structures in this area are the facial artery and vein and marginal mandibular nerve.
These structures were abutting the cyst but knowledge of anatomy helps us dissect them away without damaging them.
The defect was cleaned with betadine and peroxide and saline prior to layered closure for a nice fine scar.
