A modified surgical technique for steatocystoma multiplex

Background : Steatocystoma multiplex (SM) is a disorder of the pilosebaceous unit characterized by multiple sebum-containing dermal cysts. Different surgical modalities like cryosurgery, aspiration, surgical excision, incision with a surgical blade or sharp-tipped cautery followed by expression of cyst contents and forceps-assisted removal of the cyst wall and carbon dioxide laser have been used in the past. Aims : To study the efficacy of a modified surgical technique in the treatment of steatocystoma multiplex. Materials and Methods : We have used a simple modified surgical technique using a radiofrequency instrument as the incision tool for the treatment of SM in two patients. Results : The results were cosmetically excellent with no complications developing during or after the procedure. No recurrences were observed after five and half months of follow-up. Conclusions : This is a simple, easy, fast office-based procedure that is associated with minimal blood loss and post inflammatory hypo or hyperpigmentation and scarring are practically absent.