Are There Doctors, Any Lady Doctors with Experience with Pilonidal Cysts? Please Help!

I have a history of pilonidal cysts(2).never got it surgically removed due to the fact that it can still reaccrue again so i got it lanced drained & packed at the ER. the cyst is gone but w/ pilonidal disease u will always have the pilonidal sinus also known as a sacrul dimple which acts as a tract. I really want this BBL &talked to my surgeon about it & he said it shouldn't be a issue & he doesnt make his drainage holes in that spot anyway which was a relief but im stil scared about infections?


Doctor Answers 3

Experience with pilonidal cysts

Thank you for your question.  Generally speaking, it is advisable to postpone undergoing an elective procedure until the area of active infection has been treated.  With a pilonidal cyst, this usually involves widely excising the area where the cyst is and then reconstructing the defect with local tissues.  Once the infection has been cleared and the area has healed, it would be ok to undergo an elective procedure.  A consultation with a board certified plastic surgeon can help you to understand what your options are.  Best wishes and be safe.  

Beverly Hills Plastic Surgeon
5.0 out of 5 stars 11 reviews

Pilonidal sinus

Pilonidal sinus is an infection in the intergluteal fold. The infection can be extensive and should be treated by wide surgical excision of all the sinus tracts. You can not have a Brazilian Butt Lift with active pilonidal cyst. I would consider BBL about one year after complete healing of the pilonidal cyst and no recurrence. Many plastic surgeons can treat the pilonidal sinus with wide excision and there are many ways to deal with the wound.

Samir Shureih, MD
Baltimore Plastic Surgeon
4.2 out of 5 stars 7 reviews

Are There Doctors, Any Lady Doctors with Experience with Pilonidal Cysts? Please Help!

          This really comes down to extent of disease.  Sometimes, the area can be larger than it appears on surface exam.  Transferring fat around an area of extensive disease is not a great idea.  A good physical exam will help to determine what is the proper course of action.  I perform about 500 Brazilian buttlifts each year, and this procedure is the most surgeon dependent plastic surgery procedure.  Find a plastic surgeon with ELITE credentials who performs hundreds of Brazilian buttlifts each year.  Then look at the plastic surgeon's website before and after photo galleries to get a sense of who can deliver the results.

Kenneth Hughes, MD Los Angeles, CA

Kenneth B. Hughes, MD
Los Angeles Plastic Surgeon
4.9 out of 5 stars 496 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.