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

Nanyuan Jiang, Jiachen Xu, Wanling Xie, Yifei Hua, Meina Ye Department of Breast Surgery, Longhua Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, 200032, People’s Republic of ChinaCorrespondence: Meina Ye, Department of Breast Surgery, Longhua Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, 200032, People’s Republic of China, Tel +8618930282548, Email [email protected]: 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