Cleft Lift Procedures Recovery Log

#1
Howdy y’all!

So I have seen many of these and thought I would add mine to the list. I just had my procedure done on 9/28 so thought it would be good to share what I have going on right now and will keep updating as need be.

So first some background history with me and PD. I’m a 33 y/o male. I had my first pilonidal cyst almost 13 years ago. I had an open wound procedure and had decent success with it but after 10 years it came back. It was not as bad as the first time around so the doctor actually opened it up while I was in his office under local anesthesia. (I had so much scar tissue from the first surgery it did not take well and I felt pretty much all of it.) He cleared it all out and informed me that chances are I’m gonna have to have another major one again in the near future. Well that near future was just another year afterwards.

I had it flare up again and went back to the doctor. They did a deep incision and drainage and tried to close the wound down the midline. That did not take well at all and the wound opened up and I had to go through a wound vac therapy. (Feel free to ask me about it if you’re curious how that went.) everything was fine for a bit until about 6 months ago I would get sore back there and it would flare up and drain on its own. So I knew what I had to do and it was the Bascom Cleft Lift Procedure.

I recently moved to the DFW area so I was super lucky to have a surgeon near me that actually does the procedure. I went to Dr. Lambert to get an initial review and see if I would be a good choice for it. He explained everything to me in great detail and made me feel at ease about it. We scheduled it for three weeks out since I had to go out of town. Unfortunately, the Monday before my original surgery date it flared up again so we had to push it back a week while I went through antibiotics.

So the day of the surgery finally rolled around and I went into the surgery center. They had me all prepped and ready to go. I had the procedure at 7:30 and I was out of there by 10:30. I remember waking up in pain but that was because I rolled right onto my butt. Plus the Anesthesiologist said the local they used is only an hour or so one and not the extended one. The doctor told my mom that because of the previous surgeries that I had a lot of scar tissue so they had to remove a lot more and cause the incision to be longer. (It goes from the top of my anus to about 2.5” up my back.) However, it looks really great and so far no issues.

The first day of the surgery I was able to walk some and could lay on one side of my body. There feels like a lot of swelling overall in my body but I did just have a major surgery so who knows. I did take the narco just to stay on top of the pain but I’m now on day 4 and haven’t taken it since last night.

My drain is by far the most annoying part right now. I don’t know the medical name of the drain but it’s been like a white rubberband sticking out of both cheeks. So I have to cover it with gauzes on both sides and change them twice a day. The first two days they drained a lot with blood and such. Yesterday (day 3) the drainage started to slow down and become more clear. This morning I didn’t have as much drainage and was a lot clearer.

By day 2 I have been able to sit on it slowly but surely. It is painful with the drain so I only do it when I’m eating. I’m on day 4 and I can lay on my back with minimum pain and can sit with some discomfort. I can’t wait to get my drain out. I have to sit to work and I have great benefits so I’m in no rush to get back to work or force myself to sit when needed.

I go back on the 4th for my follow up and to have the drain removed so I’ll post again how that goes. I tried to cover as much as I could in this but feel free to ask me any questions. I also apologize for any grammar or spelling mistakes as I don’t want to go back and proofread it. Lol.

Again, I have done pretty much all procedures from a normal drainage to open wound to a wound vac closure so I can help tell you what my experiences were but please know that everyone is different and your experience will not be the same as mine. If you have questions please ask but for medical advice I strongly recommend going to your surgeon or getting second opinions if you are concerned.

Looking forward to a speedy recovery and hopefully saying good bye to my old friend Pilo.
 
#2
How was the rest of your recovery? Were there any complications? I'm considering Dr Lambert, so any feedback is helpful and much appreciated.
 
#3
Oh I complete forgot to follow up with this. So let’s go back to the follow up and what has happened since. So the follow up went well and the drain came out. I did have some minor setbacks with mine. Because of how much scar tissue I had and with him having to enlongate the wound to get everything cleared out my wound did open towards the bottom of it near the anus. So it took more visits than needed and I was fully healed until about 2 months later.

One thing that is lingering with mine is that I still have a dull pain back there and it probably won’t go away. By all accounts it appears to be nerve damage so unfortunately I didn’t get off completely lucky. However it could be worse so I’m not complaining too much. When I say dull I truly do mean it and sometimes you can’t tell it’s there.

Again, I went through many procedures before this so if this is your first or 2nd one then you should be fine. Dr Lambert and his staff are amazing and he’ll be with you the whole journey and there after. So you’ll be in great hands.
 
#5
Hi VAGuyNTX,

This is a very personal request, and I will completely understand if you are not comfortable with it. My son is 17 and we are deciding between pit picking with a San Antonio surgeon and the cleft lift with Dr. Lambert. My son has 5 pits, a large sinus hole close to his anus and has had abscesses on both sides of his tailbone, so I'm not sure a pit picking will be enough. The only thing holding him back from getting the cleft lift is concern over how his backside will look post surgery. Dr Lambert does not have any post surgery photos to share with us. So I'm reaching out to see if you would be open to sending a photo of your healed backside. It can be from a distance standing up-- just so he can get an idea of what a cleft lift by Dr Lambert may look like, since you mentioned the scar is quite long but looks good. Again, I totally understand if you aren't comfortable sharing this, but I do think it will help put his mind at ease.
 
#6
Hi VAGuyNTX,

This is a very personal request, and I will completely understand if you are not comfortable with it. My son is 17 and we are deciding between pit picking with a San Antonio surgeon and the cleft lift with Dr. Lambert. My son has 5 pits, a large sinus hole close to his anus and has had abscesses on both sides of his tailbone, so I'm not sure a pit picking will be enough. The only thing holding him back from getting the cleft lift is concern over how his backside will look post surgery. Dr Lambert does not have any post surgery photos to share with us. So I'm reaching out to see if you would be open to sending a photo of your healed backside. It can be from a distance standing up-- just so he can get an idea of what a cleft lift by Dr Lambert may look like, since you mentioned the scar is quite long but looks good. Again, I totally understand if you aren't comfortable sharing this, but I do think it will help put his mind at ease.
Hi there. I had a cleft lift with Dr. Immerman in January and would be happy to share photos of my progress. I’m so glad I had it done! I know it’s a different surgeon but the result should be similar. Let me know if you’d like me to share them with you.
 
#7
Hi there. I had a cleft lift with Dr. Immerman in January and would be happy to share photos of my progress. I’m so glad I had it done! I know it’s a different surgeon but the result should be similar. Let me know if you’d like me to share them with you.
Hi KatieMarie! I was hoping you might be able to share photos of your progress with me, as well! I’m also a young woman (24) and last week had a cleft lift with Dr Wadie in Raleigh. I can’t see what’s going on scar-wise under the steri-strips (only 5 days post op) and am definitely starting to get a bit anxious about the result. It’d help a lot to see what another younger woman’s scar has healed like!
 
#8
Hi there. I had a cleft lift with Dr. Immerman in January and would be happy to share photos of my progress. I’m so glad I had it done! I know it’s a different surgeon but the result should be similar. Let me know if you’d like me to share them with you.
Hi Katie, That would help a lot. Thanks so much!
 
#9
Hi there. I had a cleft lift with Dr. Immerman in January and would be happy to share photos of my progress. I’m so glad I had it done! I know it’s a different surgeon but the result should be similar. Let me know if you’d like me to share them with you.
Hi Katie, i’m a 16 year old girl and i have already had one Pilonidal removal surgery(not the cleft lift) and i’m 5 months out and still not healed my parents now want me to have the cleft lift procedure done but i am terrified about how it will look or having no butt crack. I understand if it makes you uncomfortable, but i would really appreciate seeing your recovery photos since you said you were happy with your results.
 
#10
Hi VAGuyNTX,

This is a very personal request, and I will completely understand if you are not comfortable with it. My son is 17 and we are deciding between pit picking with a San Antonio surgeon and the cleft lift with Dr. Lambert. My son has 5 pits, a large sinus hole close to his anus and has had abscesses on both sides of his tailbone, so I'm not sure a pit picking will be enough. The only thing holding him back from getting the cleft lift is concern over how his backside will look post surgery. Dr Lambert does not have any post surgery photos to share with us. So I'm reaching out to see if you would be open to sending a photo of your healed backside. It can be from a distance standing up-- just so he can get an idea of what a cleft lift by Dr Lambert may look like, since you mentioned the scar is quite long but looks good. Again, I totally understand if you aren't comfortable sharing this, but I do think it will help put his mind at ease.

Hey TXMom! I’m so sorry that I didn’t respond. For some reason I only got a notification from this last reply above. Did your son have the surgery? How did it go? If he hasn’t I’ll be happy to share photos.

Again, I truly apologize.
 
#11
Hi Katie, i’m a 16 year old girl and i have already had one Pilonidal removal surgery(not the cleft lift) and i’m 5 months out and still not healed my parents now want me to have the cleft lift procedure done but i am terrified about how it will look or having no butt crack. I understand if it makes you uncomfortable, but i would really appreciate seeing your recovery photos since you said you were happy with your results.
Hey Lauren, so first and foremost you will not lose your butt crack. The surgery is done at the top of your Cleft closer to your tailbone area. For legal purposes, given your age, I cannot share a full detailed photos given the area of which the surgery is done. However, i can personally contest that you will not necessarily lose the shape of that area but will have a scar that runs from the top of your cliff to about 2 inches above you Cleft.

To view fully supported medical photos you can look on here and they have some photos as well. Also, google is a resource I highly recommend. Make sure you are looking at Cleft lift procedures using the Bascom method. There are different type of lifts and some are more extreme than others.
 
#12
Lauren Tuck... My daughter is 16 as well. My daughter had surgery Jan 2, March 27, and May 17 of this year. You will not loose your crack. Your backside will be almost the same. She has the first surgery and the same thing happened. It would not heal. So her surgeon went in and removed all the hiper granulation tissue hoping it would stimulate it to heal. But it did not and she, nor you, can go around with an open wound. Depending on what state you are in, if at all possible, call Dr Jeffery Sternberg in California. I am in Texas and since we couldn't go to CA and have it done, I called them and they told me what questions to ask and then answered all my questions. He studied under Dr Bascom, who pioneered this procedure. Dr Sternbergs # is 415-821-8000. We had doctor Lambert in McKinney do the last one. Hope you get the information needed! Best of luck!
 
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