Cleft lift/inefection nerves and questions.

#1
Hi fellow pilo sufferers. I commend you for your resilience and pain tolerance.



Short back story. I’ve had 3 abscesses- first, two years ago during finals week in college. Second, a little less than 2 months ago. Third, currently. I am 26, female, not hairy, very active, thin and I work on my feet. Myself and my doctors are confused as to why this is happening to me.



My dermatologist recommended a wide excision, which I researched and gave her a hard no. Scoured the internet, found a surgeon that does the cleft lift close(ish) to me, had a consultation and scheduled surgery for November 1st.



My (not so) affectionately called “butt bubble” named Burt started to get infected a few days ago. Surgeon does not want to operate on an infected cyst, so I’ve been prescribed an antibiotic and have an appointment tomorrow with my dermatologist. This evening the cyst burst on it’s own (what a relief!). I’m hoping to avoid lancing again, since I do not respond well to local anesthesia and the whole process is excruciating.



Question one- is it common to still have it lanced even if it opened on its own? I’m trying to figure out if I need a ride home tomorrow.



Question two- I LOVE my butt. I’m not a vain person, but I lift and pay special attention to that booty. It’s close to the top of favorite assets, pun intended. Is the cleft lift disfiguring?



Question three- I’ve never had any type of surgery before. What is anesthesia like? Are stitches/removal painful?



Question four- My surgeon claims I will be up and walking around in a few days. I work at a very busy coffeehouse and typically move a lot, but I don’t have to sit. What is a reasonable amount of time to ask off of work? This surgery is costing me most of my savings, so I can’t take a ton of time off.



Lastly, complete shot in the dark question, since I doubt anyone has dealt with this. I have psoriasis. Doesn’t bother me much but it tends to pop up on damaged skin. It seems like the incision site from the last lancing may have developed a psoriasis patch, but I can’t really tell if it’s that or just weird dried patches of infection seeping through my pores. Any ideas?
 
#2
Confusion on why this is happening to you would mean your drs are not sufficient with this disease. Now if they say chances are less in your instance that is true but this can happen to anyone.

No typically if it bursts on its own you would not need a lancing but would still be good to have a doc look so it doesnt get infected.

Your butt will look normal unless someone lays you down and gets really close. Of course everyone feels differently about what normal is.

This is subjective too. You fall asleep and wake up and typically you dont notice anything. Stitches generally do not hurt either.

I would say 1 week should be sufficient if you stand most of the day.

No clue about your last question.
 
#3
Mostly what Cystburgh said, but I would look into the surgeon and what he is calling a cleft lift. I have heard of Dr.s using that term and not really doing Dr. Boscom's procedure. Most people are up walking out of the hospital the day of the surgery. My daughter walked all she wanted the day after the surgery, not really sure why your Dr. would say you will take a few days. There are no stitches to be removed, at least my Daughters Dr. just used the kind that dissolve away.
 
#4
Mostly what Cystburgh said, but I would look into the surgeon and what he is calling a cleft lift. I have heard of Dr.s using that term and not really doing Dr. Boscom's procedure. Most people are up walking out of the hospital the day of the surgery. My daughter walked all she wanted the day after the surgery, not really sure why your Dr. would say you will take a few days. There are no stitches to be removed, at least my Daughters Dr. just used the kind that dissolve away.
Good point and I shy away from pointing that out for the fact people with failed surgeries or who visit drs who seem wishy washy about the procedure id hope will figure that out by reading the numerous posts on here.

I walked fairly easily the day of, but personally would not have wanted to walk or stand for work 8 hours a day for at least 5 days. Im guessing by up and walking around the dr meant moving like you normally do presurgery bc you def wont be moving normally the day of or the next day or two. You will certainly be able to move though.
 
#5
I can answer a few questions :) I had my cleft lift done on the 3rd.

For #2; From what I've seen so far, it's not too disfiguring. My butt still has shape to it and still looks... Well, normal! Just with a scar (That being said I did see it from an open end of a gauze bandaid, as I just got my stitches out 20 minutes ago.)

For #3; The anesthesia is kinda nice actually. What they did was put an oxygen mask on me, which made it a little hard to breathe but don't panic. It's concentrated oxygen so while it may feel like you're struggling to breathe, you're okay! After that he pulled in something that he said "might make a burning sensation". Though, I didn't feel any burning sensation! After that he put the anesthetic in. Then I pretty much fell asleep, and woke up in the recovery room. Your throat will be a bit sore after from the tube they put in during surgery (for breathing!), And it may be a bit hard to talk at first.
The first thing I wanted was a cloth to cough mucous into. I also got 2 sips of water... Which wasn't a great idea on my end. Ended up upchucking lol
As for stitch removal, it hurt a bit at first but it was no different from getting my ears pierced. After the first few were removed it was painless.

#4; I was up and walking almost immediately. It will hurt a bit for the first few days, but the highest pain I experienced was a 4/10. Even then, I spent about 10 days so far laying on my side or sitting on my side and just resting. By day 6-10 I had no pain. So... I'd say a minimum of a week, but you can check with your surgeon to make sure.

That's all the Q's I am able to answer! I can't help with the psoriasis question as I don't have it (yet) myself.
(My mom has it; however she doesn't seem to get psoriasis patches near wounds. That's as far as I know though.)
 
#6
I have a cleft lift scheduled with Dr. Immerman in November, but I did have a closed excision surgery.

You will probably notice some weird 'tingling' around the surgery area for a few months. I think it's just where they go in and some nerves get cut. Pain will obviously vary, and everyone handles it differently, but my surgery is supposed to be more painful than a cleft-lift and it was definitely manageable. I took half the prescribed dose of the hydrocodone for 3 weeks, and that took the sting out enough to get through the day and sleep through the night. You will feel the best you're gonna feel immediately after surgery, and the next day may be the worst. After that, it'll just get better every day.

For work, I had a good portion of tissue removed, and walking was a big chore for a couple weeks. The cleft-lift is supposed to be less invasive from what I understand. Someone please correct me if I'm wrong. I would tell your boss you plan on missing at least 2 weeks of work, and if you came back early then great. Keep in mind you just had a surgery in a complicated area of your body. An extra 2-3 days at home is not a big deal long term, and it's not worth risking tearing open anything, infection, etc. It just isn't worth it.

As far as working out, don't rush that either. Don't feel bad about losing gains or progress. You will get back to where you were in no time, in strength, cardiovascular, and aesthetics. Take a month off of the gym, or at least squatting type exercises. It won't hurt anything, and it'll probably do your joints/ligaments good to take a rest if you go frequently. You have the rest of your life to be active, heal this surgery first! If it hurts, don't do it. If you go to the gym frequently, you know how to listen to your body, so listen to it.

After surgery, if you have questions, call the doctor's office. The nurses can usually tell you over the phone how serious an issue may be. If you need to come in to get it looked at by the doctor, they can always squeeze in a patient who has just had surgery who may have a serious issue. It'll take the doctor a 10 second glance to know if you have a 'real deal' problem.

Take your time getting in and out of vehicles. That was one of my biggest hurdles. Stepping up into trucks, or down into cars. I also ended up getting some thin straps to tie my legs closer together when I slept to keep from pulling apart any sutures/stitches. You could use a long sleeve shirt or anything like that. Just something to think about if you toss and turn a lot in your sleep.

I don't know how to talk about it, but sitting down using the restroom is about the worst thing for this surgery, in my experience. Order a cheap handheld shower head attachment. I got this one from Amazon for like $17, and it's pretty nice. https://www.amazon.com/gp/product/B01H2DG1SW/ref=oh_aui_detailpage_o02_s00?ie=UTF8&psc=1
It made a world of difference the first few weeks.

Good luck. You can do this, your butt will look fine, and just take the time you need to heal properly and don't rush anything. Put yourself first for a few weeks!
 
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