Surgical treatment of facial steatocystoma multiplex

Facial steatocystoma multiplex is a rare variant of steatocystoma multiplex, which is characterized by multiple disfiguring cysts on the face and is inherited in an autosomal dominant fashion. Noninvasive treatments are only temporarily effective, but surgery of multiple lesions on the face has a risk of major complications. A 31-year-old man presented with papules distributed over his face. We used a flap method and mini-incisional capsulectomy under general anesthesia. We performed needle aspiration and CO2 laser puncture and squeezing on the man in the outpatient clinic when symptoms recurred. There have been several reports suggesting various options for the management of steatocystoma. However, long-term management remains difficult and there is no definite technique to treat facial steatocystoma multiplex. We think that combined use of these surgical methods should be applied with individual evaluation. Size, location, hardness, mobility, depth, and previous scars should be noted, and the relevant methods should be selected for each cyst.