Cleft Lift 1/24/19 Dr. Immerman - Recovery Log

zryan91

New Member
mjr,

I also had surgery with Dr. I, I am just over 4 months post op.

-I was 2 weeks post op when I was back to lightly hitting golf balls and fishing.
-3 weeks post op I was back to working out. I started light and worked my way up to hard workouts by week 5 id say. I would do anything that wouldn't put stress or pressure on the incision (no squats, etc.) I would focus on doing exercises you can do standing or face down like push-ups.
-Started running again at 6 weeks post op.
-Swimming at week 4.

So far I have had no big issues with recovery. I am still working out hard 6 times a week. I am very glad I made the drive to Eau Claire vs settling for anything less. Every once in a while I get a strange sensation in the area while working out but I imagine it is just nerves and I try not worry/think about it. I like to think working out was helpful in recovery as it increases blood flow around the body. I have no idea if there is any truth to that as I have zero medical training but seems like it could make sense.

If you have any other questions feel free to ask or send me a message. I am not on this site as often as I used to be but I try to drop by every week or so.
Hey B1993!
I will be two weeks post op Monday from my cleft lift. I have a good outing today...did golfing make anything uncomfortable? I don’t plan on squatting to pick my ball up or swinging hard.
 

mjr4184

New Member
mjr,

I also had surgery with Dr. I, I am just over 4 months post op.

-I was 2 weeks post op when I was back to lightly hitting golf balls and fishing.
-3 weeks post op I was back to working out. I started light and worked my way up to hard workouts by week 5 id say. I would do anything that wouldn't put stress or pressure on the incision (no squats, etc.) I would focus on doing exercises you can do standing or face down like push-ups.
-Started running again at 6 weeks post op.
-Swimming at week 4.

So far I have had no big issues with recovery. I am still working out hard 6 times a week. I am very glad I made the drive to Eau Claire vs settling for anything less. Every once in a while I get a strange sensation in the area while working out but I imagine it is just nerves and I try not worry/think about it. I like to think working out was helpful in recovery as it increases blood flow around the body. I have no idea if there is any truth to that as I have zero medical training but seems like it could make sense.

If you have any other questions feel free to ask or send me a message. I am not on this site as often as I used to be but I try to drop by every week or so.
Thanks for the response. This is exactly the sort of details I was curious about. That sounds good! I’ve golfed now a bit and am nearly 4 weeks post op. It has felt fine. I just take it easy walking and bending over. Also I avoid or limit any too rough cart riding.

He said no full body range weight lifting recommended for me still until 6 weeks post op. So I’m holding out. He did say I could do upper body sort of things, but I haven’t yet.
 

B1993

Helpful
Hey B1993!
I will be two weeks post op Monday from my cleft lift. I have a good outing today...did golfing make anything uncomfortable? I don’t plan on squatting to pick my ball up or swinging hard.
Nothing was uncomfortable, just plan to take it easy and try to remember that you just had surgery. The no squatting thing is definitely a big one to keep in mind.
 

zryan91

New Member
Nothing was uncomfortable, just plan to take it easy and try to remember that you just had surgery. The no squatting thing is definitely a big one to keep in mind.
Thank you for the reply! I felt pretty good golfing. I took it easy and someone was kind enough to pick my ball up from the hole each time. I was pretty tired afterwards though since I haven’t done that much activity in a while.
 

Djanae

New Member
could I see a photo of your scar? I go to Immerman later this month!


Four I see
Thursday will be three weeks since surgery! I am doing amazingly well and could not be more happy with the result. I am still amazed at how easy this recovery was. I had a failed closed midline excision in April and it was TERRIBLE. I 100% stand by my decision to have this surgery done and highly recommend this procedure for ANYONE with this disease, whether it's your first cyst or not.

My incision feels great and I rarely have any pain. If I sit for more than a few hours, I do have some minor soreness at the bottom of the incision (mine is quite long and comes pretty close to the anus), but it's not unbearable and I am able to continue sitting despite the soreness. I can sleep in any position I want and have even been able to lay on my back a little bit in bed. My incision has had no splitting or draining and has healed perfectly! It feels so good to not have to wear any gauze back there for the first time in over nine months! I did send a picture to Dr. Immerman and he said it looks fantastic! I honestly feel like I could do any activity I want right now, but am supposed to take it easy for at least another three weeks.

I am a surgical ICU nurse, so I did take a longer period of time off of work than usual. They recommended only 1-2 weeks off, but I took four weeks just to be safe. I work long 12 hour shifts (up to four in a row) and sometimes I am so busy I never sit down at all. I also do a lot of fast walking and running if there is a code blue or other emergency. I go back to work on the 22nd and I feel more than ready!

Please don't hesitate to message me with specific questions or if you want to see photos of what my incision looks like! After what I have been through, I truly want to help anyone I can.
[/QUOTE
You are so welcome!

My surgery was six weeks ago yesterday. I am 100% back to normal with no discomfort. I have also been back to work for two weeks and have had no problems! The recovery from Dr. Immerman's cleft lift was virtually painless. He injects a long acting numbing medication into the incision that left me numb back there for 3 days after surgery. I never took any of the narcotic pain pills after my surgery, just Tylenol and Motrin. My pain was very well controlled and I was sitting for all of my meals the day after surgery. I was back to relatively normal activity within a couple of weeks. I read on another post just now that you are worried about the length of recovery and not being able to care for your young kids. I don't think you would be laid up for very long at all, maybe a week at most. But even then, during the first week, I was still carefully walking around the hotel and sitting throughout each day. If you do have this done, I think you will be able to do more than you are expecting, as long as you are careful.

I was in Eau Claire for one week. I flew in on a Wednesday and my surgery was Thursday morning. My drain was removed the following Tuesday and I flew home on Thursday. I could have flown home the day they removed the drain, but I wasn't expecting it to be removed that soon and already had the flight booked. The travel home was mildly uncomfortable due to the length of time I had to sit, but my incision had no problems. I was actually in more pain on the way there with my open wound than I was on the way back after the surgery. The pain was immediately gone when I was able to walk around or lay down when I got home.

I will direct message you photos within the next couple of hours. I want to have my sister take a photo of how it is looking now at six weeks so I can include it for you!
 

KatieMarie

Very Helpful
I will take an updated photo later tonight and send you all the photos I have of my recovery process! Glad to hear you are scheduled with Dr. Immerman. He’s the best!
 

Djanae

New Member
Thank you Katie! The pictures are helpful as I feel like we’re the same size! So thank you!

After your first surgery before Immerman could you not sit properly? I had two open incisions. Very large and I can’t sit back on a couch or soft chair or anything I’m hoping this will help that!
 

KatieMarie

Very Helpful
Thank you Katie! The pictures are helpful as I feel like we’re the same size! So thank you!

After your first surgery before Immerman could you not sit properly? I had two open incisions. Very large and I can’t sit back on a couch or soft chair or anything I’m hoping this will help that!
You are very welcome!! And yes, it was very uncomfortable to sit after my first surgery and I couldn't sit normally for almost a year. After my surgery with Dr. Immerman, I was sitting for all of my meals the next day and had almost no pain! I was laying on my back in bed one week after surgery and within about two weeks I was doing whatever activity I wanted. I would still be careful because I was quite paranoid after what I went through with my first surgery, but my surgery with Dr. Immerman was an EXTREMELY easy recovery. I never took any pain medication other than motrin and tylenol and would do it all over if I had to. I can lean back on the couch now (and have been able to for a long time) and sit right on my tailbone without any discomfort. I sometimes get mild soreness if I sit in one place for too long, but that usually means a couple of hours or more. You are in great hands and I know you will be extremely pleased with your result! Let me know if you have any questions or concerns throughout the process!
 

Djanae

New Member
Wow that’s awesome! Thank you. I haven’t sat properly since my surgery either. (5 months). You had open surgery first correct? Was it a very large wound?






You are very welcome!! And yes, it was very uncomfortable to sit after my first surgery and I couldn't sit normally for almost a year. After my surgery with Dr. Immerman, I was sitting for all of my meals the next day and had almost no pain! I was laying on my back in bed one week after surgery and within about two weeks I was doing whatever activity I wanted. I would still be careful because I was quite paranoid after what I went through with my first surgery, but my surgery with Dr. Immerman was an EXTREMELY easy recovery. I never took any pain medication other than motrin and tylenol and would do it all over if I had to. I can lean back on the couch now (and have been able to for a long time) and sit right on my tailbone without any discomfort. I sometimes get mild soreness if I sit in one place for too long, but that usually means a couple of hours or more. You are in great hands and I know you will be extremely pleased with your result! Let me know if you have any questions or concerns throughout the process!
 

KatieMarie

Very Helpful
Wow that’s awesome! Thank you. I haven’t sat properly since my surgery either. (5 months). You had open surgery first correct? Was it a very large wound?
My first surgery was originally closed with sutures, but after 6 days or so, fluid started to pour out from my wound and the stitches had to be removed so it could open and drain. So I ended up with an opening that would open and close on and off for almost a year and it drained fluid that entire time as well. The morning of my surgery with Dr. Immerman, it reopened and was draining. It wasn't very large, but it wasn't small either. When it first opened it was probably about two inches long and half an inch wide.
 

r91r91

New Member
Hey everyone..im new here. Hoping someone would have an answer to what may be a dumb question...i know that the point of suturing the fat from both sides on the inside is to flatten the natal cleft and get rid of it, but my question is, does it "heal" or "fuse" together? Or the do they seperate again once the sutures dissolve?

Thanks!
 

KatieMarie

Very Helpful
They actually remove the tissue from the midline in the cleft, then they create a skin flap over top of it and suture it off to the side of the midline. So there is no cleft anymore. They don’t just suture the butt together. Sorry if this doesn’t make sense lol it’s difficult to explain. If you visit pilonidal.net, they have a great explanation and illustration about the cleft lift. There is a chance over time a small cleft could form from pressure being placed on the area, but it shouldn’t be close to the degree of a normal cleft before the operation. I had a cleft lift a year ago and it’s still completely flat and healed.
 

r91r91

New Member
They actually remove the tissue from the midline in the cleft, then they create a skin flap over top of it and suture it off to the side of the midline. So there is no cleft anymore. They don’t just suture the butt together. Sorry if this doesn’t make sense lol it’s difficult to explain. If you visit pilonidal.net, they have a great explanation and illustration about the cleft lift. There is a chance over time a small cleft could form from pressure being placed on the area, but it shouldn’t be close to the degree of a normal cleft before the operation. I had a cleft lift a year ago and it’s still completely flat and healed.
Thanks for your reply! :) what i'm asking about is actually the internal tissue...they suture the fat from both sides to flatten or at least shallow the cleft after removing the diseased tissue on the outside ....so im just wondering if the 2 sides of fat sutured together fuses over time to keep the area flat underneath the skin?
 

KatieMarie

Very Helpful
Yes it does. They suture the fat on the inside together after removing all of the diseased tissue so that it heals together and prevents a new cleft from forming.
 
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