Best way to remove sebaceous cysts/glands on nipple? (photos)

This is an interesting problem that I see on occasion in my office in both men and women.  Sebaceous glands on the areola are also known as "Glands of Montgomery" . They make oily  secretions to keep the areola and nipple lubricated and protected.  They may also produce secretions that stimulate a newborn's appetite.  They are a normal part of an areola.  But occasionally one or a few can become quite prominent and bother patients by their appearance.  I tell my patients that it is impossible to cut or remove a lesion without leaving some type of scar.  So the question is can they be removed in a way so that the scar is likely to be less noticeable than the gland.  The result then can depend on how each individual heals.  A hyfrecator is a type of electocautery that uses a needle and an electric generator.  I have had better success in my practice using a different technique.  After local anesthesia is placed, I have excised these directly with a scalpel and then very lightly cauterized with a disposable battery powered cautery.  It may be best to try one spot to see how you heal.  Be careful that you are not trading something "normal" in appearance for a scar- it is a matter of judgement as to whether the result from removing it is likely to be better than the normal appearance, and I would recommend speaking with a board certified plastic surgeon who would likely have more experience in this area.