Scar Re-opened

Discussion in 'Pictures Forum' started by poolking, Jan 11, 2016.

  1. poolking

    poolking Helpful

    Joined:
    Jan 5, 2012
    Messages:
    67
    Helpfuls Received:
    5
    Location (Country):
    UK
    Hi all,

    After over 3 years, my scar opened up at the bottom, I've been to the doctor and nurse today, and both say its a small superficial scratch like wound that will heal by itself. The photo was took with an iphone zoomed in, so it does look bigger than it actually is

    [​IMG]

    I asked the doctor if she was concerned by all of the hairs lying around and in the wound, and she said it would be best to just leave it encase I made it worse by removing them, but it surely won't heal on its own with that much hair around it?

    Not sure how easy it can be seen, but at the top of the redness, there are some thick hairs almost sprouting out of the wound, even when it was closed, this almost nest of hairs were sprouting out, does anyone know about this, what it could mean, what could happen if they were removed. I'm worried encase if they are removed the whole thing reopens up leaving me with a gaping hole.

    I suffer with pretty bad anxiety and depression, and since finding out its reopened, it has absolutely destroyed me, I think I'd rather be dead than have to go through another 15 months of hell.

    I spoke to my local tissue viability place this morning, telling them of what I've been through getting it to heal in the past, and they'll phone me tomorrow, my concern is the lack of concern shown by the nurse and doctor i've seen today, both of them just writing it off as almost a small cut that will just simply heal.

    During the 15 month hell I endured trying to get it healed first time around I went to Asha Senapati, she was willing to do the cleft lift on it, but miraculously healed shortly after seeing her, so I was just glad it healed but now its back I feel she's my only option, or maybe I'm being a bit hastie and not giving it long enough to heal on its own?

    My sisters boyfriend is a district nurse and he says if I was his patient he'd recommend removing the hair, and he would stick an iodine dressing on it. Theres a bit of blood and discharge come from it now and again, not a huge amount, the picture is zoomed in so its about 1cm long, so its not huge, if it wasn't for the blood on my boxer shorts I honestly wouldn't know there was an issue, as its not really painful, so both doctor and nurse don't believe it looks infected, theres so significant swelling or redness around it

    Sorry for rambling, hopefully someone can help me out :(
     
    Last edited: Jan 11, 2016
  2. ellysparkles

    ellysparkles Very Helpful

    Joined:
    Feb 22, 2014
    Messages:
    384
    Helpfuls Received:
    36
    Location (Country):
    USA
    Yeah, I think the hairs are the issue. I can def. relate to the anxiety that pilonidal issues give you. I thought it would never get better. Have you thought about getting laser hair removal or the cleft lift? I had the cleft lift done in July '14 and it was the best decision I could have made.
     
  3. S2015

    S2015 New Member

    Joined:
    Dec 18, 2015
    Messages:
    11
    Helpfuls Received:
    0
    Location (Country):
    USA
    That is just crazy about how the nurse and especially the doctor feels about your situation! Not to make you feel bad, but I just had my 1 month post op check up with my doctor today and he was concern enough about my little to none fine hair that he buzzed it and used a cloth tape to get all the hair off. Btw, what kind of surgery did you have? In my opinion, I really think you should go see another doctor for a second opinion. I wish you the very best of luck to getting this taken care of!!!
     
  4. poolking

    poolking Helpful

    Joined:
    Jan 5, 2012
    Messages:
    67
    Helpfuls Received:
    5
    Location (Country):
    UK
    Thanks for the replies :) The operation was back in 2011 and I believe they attempted to close it with stitches, and after a few days got infected so the whole thing had to be packed, the aftercare was really bad so I'm not surprised I still have issues. I'm definitely considering the cleft lift, I was ready to get it back in 2012, but once it healed I just kinda hoped that was it all done. If I can get this bit closed again, I will definitely get the laser hair removal done to hopefully prevent it from re-opening.

    I'm trying to get tissue viability to check it out, but I don't think they'll look at it unless my GP or nurse is involved, with it being in England I can't find any places that do wound care that I could pay privately for, its all through the NHS.
     
  5. Farid

    Farid Helpful

    Joined:
    Nov 20, 2015
    Messages:
    79
    Helpfuls Received:
    8
    Location (Country):
    Texas
    is it removing the hair a good idea after an open wound surgery ?
     
  6. ellysparkles

    ellysparkles Very Helpful

    Joined:
    Feb 22, 2014
    Messages:
    384
    Helpfuls Received:
    36
    Location (Country):
    USA
    I think once it heals some it can be removed. But of course you have to be careful not to get any hair in the wound. Usually you have to wait to get laser hair removal when there is NO open wound.
     
  7. Farid

    Farid Helpful

    Joined:
    Nov 20, 2015
    Messages:
    79
    Helpfuls Received:
    8
    Location (Country):
    Texas
    Thanks Elly for the replay ,still dont understand why the hair should be removed coz some pilo suffers are hairless and still get pilo , I dont know it could be , but what I really dont understand is shaving the hair so how shaving it prevent the pilonidal to form ?in other words if the hair grown out of the skin how it will came back to the skin and form a pilo ? endless this disease really sucks , sorry about my words
     
  8. ellysparkles

    ellysparkles Very Helpful

    Joined:
    Feb 22, 2014
    Messages:
    384
    Helpfuls Received:
    36
    Location (Country):
    USA
    No worries Farid, I didn't have much hair near the midline either but still managed to be a pilo sufferer. Shaving isn't good b/c it can still cause ingrown hairs. The best is laser and then I've heard other use creams or wax. I think it's just the nature of the disease.
     
    Farid found this helpful.
  9. Farid

    Farid Helpful

    Joined:
    Nov 20, 2015
    Messages:
    79
    Helpfuls Received:
    8
    Location (Country):
    Texas
    Thank you Elly , do you know anybody here had done the laser hair removal ? any success stories ?
     
  10. ellysparkles

    ellysparkles Very Helpful

    Joined:
    Feb 22, 2014
    Messages:
    384
    Helpfuls Received:
    36
    Location (Country):
    USA
    I've gotten my underarms done and have very happy with the results. As soon as I can afford it, I'll get my lower half done as well. My laser hair removal tech says a lot of women who have issues with ingrown hairs on their bikini area, no longer suffer from them after the treatments (usually like 8-10 sessions over the course of 2 years).
     
    Farid found this helpful.
  11. Dr Immerman

    Dr Immerman Very Helpful

    Joined:
    Mar 17, 2014
    Messages:
    225
    Helpfuls Received:
    102
    Location (Country):
    Wisconsin
    That looks to me like recurrent pilonidal disease. You have s skin fold in the midline with hairs entering it and fragile granulation tissue inside. This will most likely not heal by itself. When I see a patient with this, I perform a cleft-lift to flatten this area out. It looks quite low, so it may be a challenge. If left alone, it may start burrowing upward and you may develop a sinus tract opening up higher.

    I know this isn't what you wanted to hear - but it is fixable without 15 months of discomfort. The hard part may be finding someone close by willing to tackle this.
     
    Farid found this helpful.
  12. poolking

    poolking Helpful

    Joined:
    Jan 5, 2012
    Messages:
    67
    Helpfuls Received:
    5
    Location (Country):
    UK
    Thank you very much for taking the time to look at the pic and background info. I had no idea it was as bad as that and I feel physically sick. I've been seriously considering making an appointment with Dr Senapati in Portsmouth about it, but I was kinda hoping it would heal, my mam and sister removed a lot of the hairs since, and its half the size it was, though theres still a bit at the top thats not closing and I'm still getting brown discharge from it, not a great amount but there is some. My mam and sister say the wound looks clean etcetera, theres no redness, no pain, so they don't know whats going on with it
     
  13. PiloForYears

    PiloForYears Helpful

    Joined:
    Mar 6, 2016
    Messages:
    20
    Helpfuls Received:
    5
    Location (Country):
    India
    Hi, any updates on your wound heal??
     
  14. poolking

    poolking Helpful

    Joined:
    Jan 5, 2012
    Messages:
    67
    Helpfuls Received:
    5
    Location (Country):
    UK
    Nah still not healed sadly, its a lot smaller than it was, though theres still a small opening that discharges and bleeds now and again, I see Dr Senapati in Pompey next monday so looking forward to that, hopefully she can tell me whats going on with it, and hopefully have a plan of action to fix it
     

Share This Page