Your opinion on my scar

Discussion in 'Pilonidal Discussions' started by tbone, Aug 27, 2008.

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  1. tbone

    tbone New Member

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    Okay, I'm a little scared. I took a picture of the scar today and to me, it looks like the top part (on the left) is basically one of the pits still. And the whole thing is still dangerously close to the center line and I thought with a cleft lift it would be much further to the side.
    What do you think? Sorry to make you look at my [oyo]

    http://img337.imageshack.us/my.php?image=cimg1667ff3.jpg
     
  2. Riceboi

    Riceboi New Member

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    Wow I had a closed excision and my scar/area after surgery looked exactly like that. Weird. Either you got a closed excision or my doctor did a cleft lift variation without knowing it lol.
     
  3. louiseh57

    louiseh57 New Member

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    I'm not an expert on cleft lifts but that doesn't look like the pics that i've seen, it is close to the midline?

    Maybe it was a variation of it?
     
  4. AnxiousMom

    AnxiousMom New Member

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    Well, to me it does sort of look like a cleft lift scar since the incision looks off to the side of the midline. But it looks like you are having to push aside your cheeks a bit to get the pic, and I would think that you wouldn't have to do that at the top of the scar in a cleft lift. My daughters doesn't have much of any cleft at the top of hers, so that's what I'm comparing it to. Or maybe you just had the fingers placed next to the scar for scale and a slight stretch of the skin ...

    Also, I imagine each surgeon has a slightly different approach to the surgery. For instance, Bascom used dissovable stitches rather than the removable kind.

    I would, though, get it looked at. I would say that opening towards the midline off to the side of the incision needs some attention. When did you go to your doctor last? Was the scar looking like that when you went?
     
  5. rgurl

    rgurl New Member

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    This looks very similar to my cleft lift scar - the top part of the incision IS well off to the side and then towards the bottom closer to the midline.

    HOWEVER, the opening at the top needs some attention asap, in my opinion. Honestly, I would worry that there is the very beginnings of a bit of infection there. When did that open up? Even though my incision looked similar and the placement of the outside stitches was similar, there was never an opening at the top post op... I really would suggest getting in to see your surgeon so he can take a look.

    Has there been any pain associated, or any pain towards the bottom of the incision?

    [o+o]
     
  6. tbone

    tbone New Member

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    Well when I look at the procedure in the PDF, the final scar ends up very closer to center line : http://www.pilonidal.org/pdfs/bascom.pdf

    So I'm not as worried about it having been a cleft lift especially since other members have said the same thing about the placement of their scars.

    Jaredsmom ? What about you? Can you tell me if this looks similar to Jared's ?]

    As for the opening. There is no opening, it looks like it in the picture but nothing is open, it just looks that way, but the top part does look scary. And I'm still bleeding a little bit which is worrisome.
     
  7. tbone

    tbone New Member

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    And these are pictures that Jaredsmom posted a while back of Jared's scar. I am not sure, cause I can't really see the cleft too well, but his looks a lot like its just very slightly off center line as well.
     
  8. Jaredsmom

    Jaredsmom Very Helpful

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    Sorry I didn't get back to you sooner, tbone...but the whole familly has been down with one of the freaky stomach viruses that make you vomit so much you think you're going to die. My daughter actually was praying at one point, thinking it was the end of the road for her.....me, I just WISHED it was the end of the road. What misery! Jared, on the other hand, had a much milder case.....only vomited twice, thank goodness for that. What a rough few days....:(



    Wow....I personally think that your wound looks rather awesome. :)

    Alot shorter than Jared's...as his did go above the cleft and curve like a fishhook. Still, you would expect doctors to vary in their incision technique. It is slightly off center, as is Jared's...but like I've told people repeatedly on this forum, the wound is SO SLIGHTLY off center that it is barely noticeable...... and yours fits that perfectly. You are very early post op, and I would say that the wound looks very very good. No signs of swelling or redness AROUND the wound site that would signal any problems.

    As for the bleeding, since you didn't have a drain, then I would say that it is to be expected. And it is much better OUT than in, you would not want blood to build up under your stitches.[:xx] More than likely, blood under the surface is why the top looks so slightly puffy, so it is good that it is draining out. What doesn't drain out is absorbed by the body.

    So, my opinion is that it looks different from Jared's in that Jared's was much longer, and that he didn't have stitches on the surface...... but if that were my son's wound, I'd be rather happy with it. It does indeed look like a cleft lift, the wound is off center, and the cleft looks that it will indeed be raised when this is all healed. Very nice looking wound, tbone, especially for only what....a week post op? Impressive.
     
  9. tbone

    tbone New Member

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    You don't know how much that makes me feel better right now. Thank you!!!!
    I was so worried that I made an appt to go see the doc today, my brother is downstairs to take me. Now I feel like a fool, but better safe than sorry.

    Thanks again, oh, and I'm only 3 days post op as of now.

    T


     
  10. rakeman

    rakeman New Member

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    I just had a cleft lift done last week and my scar doesnt look anything like that. there was no opening at all.

    to be honest, that wound looks pretty bad (compared to mine). i am not a surgeon, but those stitches do not look like they are holding well enough.

    if i were you, i would definitely go see the surgeon and make sure he is comfortable with the wound and stitches.

    i am writing this after recently having my 2nd surgery so i do have some experience with this. i had an open excision the 1st time 2 years ago. i just had a cleft lift.

    do yourself a favor and get that thing looked at, it doesnt appear to be healing well.
     
  11. tbone

    tbone New Member

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    Ok, so I went all the way down there, he looked at it and he said it looks great.
    Here's the thing, the left side of the picture, where the soft spot is, that was the part of my skin that already had the obsess on there. He didn't remove that part of the skin but he removed the disease itself.

    I know the picture looks like it's open but there is no opening on the woudn at all.

    I am glad I went however, I was using a few sheets of gauze and a kotex pad as dressing. He told me not to use the kotex pad and to just use the gauze.

    Keep in mind I'm only 3 days post op so ...
     
  12. Jaredsmom

    Jaredsmom Very Helpful

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    See, I told you that it was fine!:D Seriously, it's good you went to get it checked if you had any doubt at all....

    But to me, it looked fine.
    I could not see where the stitches weren't holding, like someone mentioned.:confused:

    Nor could I see "that it isn't healing"....like someone mentioned. My goodness, this is a 3 day old wound ...I don't know how much healing one would expect from a wound that fresh....geez, it's just now leaving the inflammation stage.....

    And most importantly, when looking at these type of pictures we have to keep in mind that all backsides are shaped differently, have different fat content and have different damage caused by these cysts. So no, this wound does not look like Jared's exactly, but that in no way means it's:

    a)not a cleft lift

    b)done incorrectly.

    Tbone, now you can relax since you've seen your surgeon. Again, in my opinion, that is a fine looking wound. A bit red at the top, but it still is in the inflammation stage. The stitches look fine, and trust me, I know stitches, I had 14 in my arm at one time....so I got to see them up close and day to day. They look normal to me.
     
  13. tbone

    tbone New Member

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    You're like the mom I wish I had. haha. My mom panics so much that I didn't even tell her about my PC or the surgery. She thinks I'm out of town on business. She called my house yesterday and I accidentally picked up. She grilled me about why I was at home when I was supposed to be away. I told her I was forwarding my phone, lol. She'd freak out if she found out I had surgery.
     
  14. AnxiousMom

    AnxiousMom New Member

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    Glad you had it checked and your doctor said all is fine! It is hard for us non-medical folks to know for sure what might be going on, so since there was obviously some type of inflammation there and what appeared in the pic to be an opening, a few of us thought you ought to have it checked. Hope we didn't stress you out, just didn't want you to let something go that might be best to get the attention of a doctor. [o+o]

    Too bad you don't feel you can tell your Mom ... but understand (there have been some things I knew I couldn't tell my Mom, too!).

    Best wishes, and keep up the good healing [:8)]
     
  15. tbone

    tbone New Member

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    Yeah, my mom is the biggest stress case in the world. I already have to deal with all her phone calls. My uncle told her that I had a headache one day when he was talking to me. For months after that, she made me swear that there is nothing wrong with me... It sounds funny, but it isn't.

    Anyway, like I said, I am glad that I went cause he did say that I was putting too much dressing on it and I need to let it breath more. If only for that, the 4 hour ordeal was worth while. Plus, it gave me a chance to catch up with my broham.
     
  16. Jaredsmom

    Jaredsmom Very Helpful

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    Tbone,

    Maybe us moms are all stress cases...when it comes to our own kids.:rolleyes: I was a serious nut case when Jared had his surgery. at 4 days post op, I emailed our surgeon pics of Jared's backside....:p at 2 am....so he could see if the swelling was blood building up under the skin.

    Believe it or not, he told me that I need to calm down and not worry so much. Then he added, with his good Jewish doctor aplomb, "I LOVE getting emails...at 2 am".:eek:

    Your surgeon sounds like he's very on top of things, medically. Our surgeon also told us that Jared's wound needed as much oxygen as possible, and actually had us stop dressing it altogether at day three. But keep in mind, Jared didn't have surface stitches, so I am sure that affects whether to cover or not. He's right, though, in that these wounds need alot of oxygen....
     
  17. rgurl

    rgurl New Member

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    Tbone -

    Yeah, Jaredsmom makes a good point about the dressing. My wound looked VERY similar to yours in the way it was done... there were about 7 stitches at the top and the lower half of the incision was closed with surgical glue (is that the case for yours?).

    My surgeon had me keep gauze over the stitched part until they came out (at about 10 days) to keep them from catching on clothing - that was the ONLY reason. I just used a little 2x2 and a small strip of tape on either side of my [oyo]to keep it in place! Air is GOOD GOOD GOOD for these wounds to heal quickly.

    As far as everyone's concern and comments on here, please take all with the best intents and also with a grain of salt. Now that you say that the more "raw" - for lack of a better term - part is from where the abscess was before, that makes complete sense. I also had a sort of deflated bubble of skin (I know that sounds ridiculous) from where the abscess had been going into surgery. It did just so happen that based on how my surgeon did the procedure, this wasn't really visible afterward.

    GOOD LUCK!
     
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