Repair of Areolar Defect Following the Excision of Sebaceous Cyst by Applying Kite-Flap: A Case Report and Literature...

We report a case of a 68-year-old female with a 6-year history of a left medial areolar sebaceous cyst, which progressed to 12.5×16.2×8 mm and resulted in a 2.0×1.5 cm defect after complete excision. A modified kite flap with an optimized length-to-width ratio (1:1.5) and Y-suturing technique was used for repair. The operation lasted 25 minutes with 1 mL blood loss. Postoperatively, the flap achieved primary healing without complications, and bilateral breast symmetry was preserved (<3 mm diameter difference). At 6-month follow-up, the patient reported 100% satisfaction. This modified technique addresses the core challenges of small areolar defect repair, offering high tissue compatibility, minimal invasiveness, and concealed scarring.