Laser Marsipulization of Epidermal Cysts: Avoiding Linear Scars

Objective: We describe a simple technique in which the prominent surface of the cyst is vaporised by a carbon dioxide (CO₂) laser, thus avoiding linear scarring and reducing postoperative complications. Background Data: Epidermal cysts are commonly excised in outpatient clinics under local anaesthesia. The procedure usually entails an elliptical skin incision to include the puncture of the cyst. This may lead to infection, scarring or recurrence. Materials and Methods: The cyst is marsupilized using a scanning CO₂ laser under local anaesthetic. Results: Surgical results assessed by pre- and postoperative photographic records confirmed smaller scars the absence of linear scars. Conclusion: In cosmetically sensitive areas, laser marsipulization of epidermal cysts represents a viable alternative to conventional dissection.