sebaceous cystseldom regress spontaneouslythrough an elliptical incisionThe punctumis tethered an ellipseby planning the skin closureis protuberant a sebaceous cyst on the scalp is protuberant with stretched overlying skin and a wide ellipse is removedcounter retract reliancethe assumption natural cleavage delicate adjacent structuresthe areolar tissue must be held on stretch can be utilized to minimize cutaneous scarringInstead of deliberately punch teased out pleasing cosmetic outcomedeferredA frankly infected sebaceous cyst disappointing scars the lining of the cyst