Is it possible to get pit picked after a failed Cleft Lift?

iskanythingreal

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Title pretty much. I received a cleft lift about a year ago for quite a bad case of pilonidal so the scar stretched down pretty far. The bottom of the wound opened and stayed open for the better part of 7 months. When it finally closed up, since it was in such a bad spot, it only lasted for about 4 weeks before I noticed the formation of another cyst, small about halfway down the midline. I'm assuming its from microhairs getting caught in the wound when it was in its final closing stage.

I haven't noticed any pits yet but I'm sure there is one at least as it is draining slightly. I was just wondering if it would be possible to receive the pit picking/epsit/silac procedure post cleft lift?
 

LucaAmE03

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Title pretty much. I received a cleft lift about a year ago for quite a bad case of pilonidal so the scar stretched down pretty far. The bottom of the wound opened and stayed open for the better part of 7 months. When it finally closed up, since it was in such a bad spot, it only lasted for about 4 weeks before I noticed the formation of another cyst, small about halfway down the midline. I'm assuming its from microhairs getting caught in the wound when it was in its final closing stage.

I haven't noticed any pits yet but I'm sure there is one at least as it is draining slightly. I was just wondering if it would be possible to receive the pit picking/epsit/silac procedure post cleft lift?
Why didn't you get hair laser removal after it closed up?
 

LucaAmE03

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I'm just assuming that was the cause for one, and two, I didn't really have the ideal situation to fit that into my life at the time.
you're still in time, better safe than sorry
 

melanies923

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Title pretty much. I received a cleft lift about a year ago for quite a bad case of pilonidal so the scar stretched down pretty far. The bottom of the wound opened and stayed open for the better part of 7 months. When it finally closed up, since it was in such a bad spot, it only lasted for about 4 weeks before I noticed the formation of another cyst, small about halfway down the midline. I'm assuming its from microhairs getting caught in the wound when it was in its final closing stage.

I haven't noticed any pits yet but I'm sure there is one at least as it is draining slightly. I was just wondering if it would be possible to receive the pit picking/epsit/silac procedure post cleft lift?
Laser hair has possibly prevented future in growing of hair follicles but my sons accessed again.
RP-My son who is 19 has a virtual consultation tomorrow with one of 3-4 colorectal surgeons specializing in pilonidal disease and offering SILAC, we’re consulting with one in California . I believe there’s one in NY and one in Wisconsin too. I’ve been following the case studies and trials since 2019 re: SiLaC, and just this month they are starting to offer it. He has had 2 cleft flap repairs that were unsuccessful and only created more pain and chronic problems. We are on our 5th treatment of laser hair removal which has completely eliminated all but a stray hair or two. Wound care Dr was debreding cavity/tract for about 6mo every 2-4wks and mild and temporary improvement was noted but continued to recur and flare. We have used Vashe to irritgate every 48hrs and I keep the top opened so it will prevent abscess. He uses a peri bottle 1-2x daily with hibiclens surgical scrub mixed with hot h20 to keep the surface of the wound and area surrounding as close to sterilize as possible and he’s only had one infection in 2yrs and that was due to no proper hygiene or wound care performed for 3-4 days after 3-16hr shifts at work which is labor intensive. Please let us know here if anyone is considering or has recently had the SILAC treatment, especially with chronic recurrent pilonidal disease. I will keep everyone updated after our virtual visit to determine if he’s even a candidate. Prayers to everyone out there dealing with this
 
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