Endoscopic innovation has allowed surgeons from multiple specialties to excise benign, subcutaneous lesions of the periorbit, nasoglabella, scalp, and trunk with minimal scarring [1‐7]. Since Ikeda described thyroidectomy by the endoscopic, axillary approach, otolaryngologists substitute a visible neck scar, with a scarless technique [8]. Dermoid cysts are common in children [9]. They develop along the embryonic fusion lines and are formed by a discrete wall of skin epithelium and appendages [10]. Surgical removal is the treatment of choice [1]. Standard excision of sternal dermoids is associated with poor cosmesis and possibly negative psychological consequences [11‐13]. To avoid a prominent scar, three children had midline, subcutaneous, sternal dermoids removed by an endoscopic approach (Fig. 1).