4 years after cleft lift... a lump in the cleft

#1
I got a cleft lift surgery about 4 years ago. It was performed by a surgeon familiar with the technique and who has done many procedures.

A few days ago I noticed when showering a bump at the top of my cleft, between my buttocks. It is sensitive to the touch, but not unbearably painful. Enough to adjust my posture. It didn't go away after a few days so I knew what it likely was and went first to the general physician. He took a look, and did not see any drainage sites or pits (which would indicate a sinus). I continued with my activity that weekend but it again refused to go away, and I went back in to see the GP. He took another look, and there is still no evidence that he can see of drainage or pits.

According to the GP there are two possibilities:
- There is a sinus tract forming under the skin that we can't see. Eventually it will open up and drain.
- There is no sinus tract. We can use antibiotics and home treatment on the cyst, and the cyst can resolve without forming tracts.

I have no idea how accurate this is. He gave me a course of antibiotics, I am treating the area with a warm compress, and using hibicleanse soap. On my re-visit with the GP he noticed that the cyst is still there (it is small, smaller than a pea) but other spots of acne have improved, so staying the course on the treatment for now. I have a long (day-long) drive coming up in a couple days, for work, and will not be back for over a week.

My questions for folks here is:
- Is there anyone who's had a recurrence post-cleft lift?
- Is it possible for the cyst itself to resolve without forming a sinus, or is the GP incorrect?
- Any other comments regarding this issue?
 

JonH21

Very Helpful
#2
I got a cleft lift surgery about 4 years ago. It was performed by a surgeon familiar with the technique and who has done many procedures.

A few days ago I noticed when showering a bump at the top of my cleft, between my buttocks. It is sensitive to the touch, but not unbearably painful. Enough to adjust my posture. It didn't go away after a few days so I knew what it likely was and went first to the general physician. He took a look, and did not see any drainage sites or pits (which would indicate a sinus). I continued with my activity that weekend but it again refused to go away, and I went back in to see the GP. He took another look, and there is still no evidence that he can see of drainage or pits.

According to the GP there are two possibilities:
- There is a sinus tract forming under the skin that we can't see. Eventually it will open up and drain.
- There is no sinus tract. We can use antibiotics and home treatment on the cyst, and the cyst can resolve without forming tracts.

I have no idea how accurate this is. He gave me a course of antibiotics, I am treating the area with a warm compress, and using hibicleanse soap. On my re-visit with the GP he noticed that the cyst is still there (it is small, smaller than a pea) but other spots of acne have improved, so staying the course on the treatment for now. I have a long (day-long) drive coming up in a couple days, for work, and will not be back for over a week.

My questions for folks here is:
- Is there anyone who's had a recurrence post-cleft lift?
- Is it possible for the cyst itself to resolve without forming a sinus, or is the GP incorrect?
- Any other comments regarding this issue?
You should get a CT scan to see if there’s tunneling under the skin. If so that could mean it has returned. It’s possible it could have returned so it’s def worth checking out. Wish you all the best!
 
#3
A CT scan seems like it'd be pretty expensive. I'm not sure what doctor would order me one and I'm not in the position to pay for one myself.

I'm wondering whether to call the surgeon I got the operation with.
 
#6
I did see the surgeon. It is an ingrown hair. I've been treating it with some anti-bacterial soap to avoid infection and the bump is almost gone. No sinus! I wonder if I am just susceptible to developing pilonidals. (Probably, and that's why you should go with the cleft lift, best long-term results.)
 
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