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Epidermal cysts (also called sebaceous cysts) are common benign skin tumors. Traditionally, removal is done by making an elliptical incision including the punctum and excising the cyst sac together with the overlying skin. While effective, this method often leaves a large scar. In this video, we demonstrate the punch-out method, also known as punch excision. Using a dermal punch, we make a small circular opening centered on the punctum. The white, paste-like material (mainly keratin and sebum) is expressed, and the collapsed cyst wall is carefully extracted through the small hole. ✨ Advantages: Smaller scar compared to traditional excision Can also be adapted for incision and drainage of inflamed cysts ⚠️ Limitations: Not suitable for cysts with strong adhesions due to repeated inflammation 🔎 This step-by-step tutorial is useful for medical students, residents, plastic surgeons, dermatologists, and anyone interested in minor surgery techniques.