I developed my cyst 2 and a half years ago Junior year of high school. The summer leading into my senior year of high school I showed a doctor and he gave me antibiotics which didn't work. So he recommended surgery. I ended up getting the z plasty closed wound surgery. I healed in 2 weeks and have not had pain or flare ups since. I am currently a sophomore in college. I am confident that I am never getting a cyst again... However, I now have a huge scar on my butt and only like 1/2 of an actual butt crack. I can't find other posts of people who also got the z plasty. Being honest, the physical result of the surgery has destroyed my sexual self esteem. I am a young guy in college and I get afraid when I get intimate with girls because I don't know how they will react to my ugly butt, nor do I know how to even bring it up.