What question did this study set out to answer?

To present a case of successful reconstruction of an areolar defect using a modified kite flap technique.

May 8, 2026Open Access

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

Key Points

To present a case of successful reconstruction of an areolar defect using a modified kite flap technique.
Complete excision of a sebaceous cyst resulting in a 2.0× 1.5 cm defect.
Application of a modified kite flap with a 1:1.5 length-to-width ratio and Y-suturing technique.
Postoperative follow-up at 6 months to assess flap healing and patient satisfaction.
Flap achieved primary healing without complications.
Maintained bilateral breast symmetry with less than 3 mm diameter difference.
Patient reported 100% satisfaction at the 6-month follow-up.

Abstract

Abstract: 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. Keywords: kite flap, areolar flap reconstruction, case report

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

Key Points

Abstract

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