Endoscopic Removal of a Cheek Cyst Through the Scalp: A Scar-Minimal Advanced Technique at Karo Clinic

Facial cysts can cause both physical discomfort and cosmetic concern—especially when located on visible areas like the cheek. At Karo Clinic, we prioritize treatments that are not only effective but also aesthetically mindful.
This case study highlights a successful endoscopic removal of a cheek cyst through a scalp incision, a minimally invasive approach designed to avoid visible facial scars.

Patient Presentation

The patient presented with a slow-growing cystic swelling on the cheek, causing discomfort and cosmetic concern. Although the cyst was benign, its prominent facial location made conventional open surgery less desirable due to the risk of a visible scar.

After thorough evaluation and discussion of treatment options, an endoscopic approach via the scalp was chosen to ensure complete removal while preserving facial aesthetics.

Why Choose an Endoscopic Scalp Approach?

Traditional cheek cyst excision often involves a direct incision over the lesion, which can leave a noticeable scar. The endoscopic technique, however, allows surgeons to access the cyst from a hidden area.

Key advantages of this method:

  • No visible scar on the cheek
  • Minimal incision hidden within the scalp
  • Reduced tissue trauma
  • Faster recovery
  • Excellent cosmetic outcome
  • Precise dissection under magnified endoscopic vision

Pre-Operative Planning

Before surgery, the patient underwent:

  • Detailed clinical examination
  • Imaging to assess cyst size and depth
  • Facial nerve mapping to ensure safety
  • Thorough counselling regarding procedure and recovery

Careful planning was essential to ensure complete cyst removal without damaging surrounding structures.

The Procedure

The surgery was performed under controlled conditions using endoscopic guidance.

Surgical steps included:

  • A small incision in the scalp, hidden within the hairline
  • Introduction of an endoscope for magnified visualization
  • Careful dissection through tissue planes
  • Complete excision of the cheek cyst
  • Preservation of facial nerves and soft tissues

The cyst was removed in its entirety without any incision on the cheek itself.

Post-Operative Recovery

Post-surgery, the patient experienced:

  • Minimal pain and swelling
  • No facial scarring
  • Smooth wound healing at the scalp incision site
  • Early return to normal daily activities

Follow-up visits confirmed excellent healing and patient satisfaction.

Outcome & Results

  • Complete removal of the cyst
  • No recurrence
  • Excellent cosmetic result
  • Scar hidden within the scalp hairline
  • High patient confidence and comfort

The patient was particularly pleased with the absence of any visible mark on the face.

Why Karo Clinic?

At Karo Clinic, we believe surgery should heal without leaving unnecessary reminders.

What sets us apart:

  • Expertise in minimally invasive and endoscopic procedures
  • Focus on cosmetic and functional outcomes
  • Advanced surgical equipment
  • Personalized patient care and counselling
  • Strict safety and hygiene protocols

Conclusion

Endoscopic removal of cheek cysts through a scalp incision represents a significant advancement in facial surgery. By combining medical precision with cosmetic sensitivity, this technique ensures effective treatment without compromising appearance.

At Karo Clinic, we continue to adopt modern surgical approaches that prioritize patient comfort, confidence, and long-term results.

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success rate for all Kkaro clinic services among our patients.

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