Pilonidal Cyst Treatment Near Holmby Hills
Between the fairways of the Los Angeles Country Club and the quiet blocks off Comstock Avenue, pilonidal disease is usually managed the same frustrating way: drain, recover, repeat. The Pilonidal Institute at Cedars-Sinai Medical Towers replaces that cycle with one outpatient operation that removes the disease at its source.
Why the Cycle of Flare-Ups Ends Here
Most pilonidal cysts are first handled in urgent care: the abscess is opened, the pressure eases, and everyone hopes it was a one-time event. The anatomy says otherwise. A tract of ingrown hair and scar tissue remains under the skin of the tailbone, and until it is excised completely the flares keep returning, often at the worst moments of a school year or a busy season at work.
Dr. Yosef Nasseri and Dr. Moshe Barnajian treat pilonidal disease as a definitive project rather than a recurring appointment. Their flap technique removes the entire sinus network, then rebuilds the area with adjacent healthy tissue so the repair sits off the midline, where friction and moisture can no longer reopen it. The published recurrence rate for this approach is close to zero, a different universe from the open-excision statistics most patients are quoted.
Households in Holmby Hills also appreciate the practical details: a single private suite at the Cedars-Sinai Medical Towers, direct scheduling, and follow-up that happens largely by photo review instead of repeat drives.
From First Call to Final Check
A conversation, then a plan
Call or book online. Records, photos, and any prior operative notes are reviewed before you arrive, so the consultation ends with a concrete surgical plan, not another referral.
Examination at Cedars-Sinai Medical Towers
The surgeons map the sinus tracts, confirm the diagnosis, and walk you through exactly what the flap repair will look like for your anatomy.
Outpatient flap surgery
Roughly an hour under anesthesia. The diseased tissue comes out entirely, the site is closed flat, and you are back in Holmby Hills by evening.
Recovery on your terms
Walking the same night, desk work within days, workouts in about three weeks. Healing is monitored through secure photo check-ins with the surgical team.
Surgeons Who Publish on This Disease

Dr. Yosef Nasseri
MD, FACS, FASCRSAssociate Professor of Surgery at Cedars-Sinai, double board-certified, and an author of peer-reviewed work on flap-based pilonidal repair.
His background →
Dr. Moshe Barnajian
MD, FASCRSBoard-certified colorectal surgeon, trained at Cedars-Sinai and Stony Brook, with a practice weighted toward complex and recurrent pilonidal cases.
His background →Presentations We See Every Week
Practically a Neighbor
Holmby Hills may be the closest of the Westside estate neighborhoods to our door. The office is inside the Cedars-Sinai Medical Towers at 8635 W 3rd St, Suite 880W, Los Angeles, CA 90048, on the eighth floor with validated parking below.
Take Sunset Boulevard east past Charing Cross Road, continue through Beverly Hills, then drop south on San Vicente Boulevard straight to Third Street. Wilshire through the Beverly Hills business triangle works just as well outside rush hour. Either way, most trips run 12 to 18 minutes.
Address & Parking
Cedars-Sinai Medical Towers
8635 W 3rd St, Suite 880W
Los Angeles, CA 90048
Garage parking validated for patients. Entrance off Third Street.
Open in Google Maps →Answers for Holmby Hills Households
Our daughter is at UCLA. Can she be treated between quarters?
Easily. The campus is ten minutes away, the procedure is outpatient, and a quarter break leaves ample time for the early healing phase before lectures resume. Many of our patients are students.
Her pediatrician suggested waiting to see if it settles. Should we?
Watchful waiting is reasonable for a single mild episode. Once a cyst has drained more than once or a sinus opening is visible, the disease is established and further delay usually means more scar tissue to remove later.
What kind of anesthesia is involved?
The flap procedure is done under general anesthesia in an accredited outpatient surgical setting, with board-certified anesthesiologists. You are typically cleared to leave a few hours after waking.
How soon can a swimmer or rower return to training?
Light cardio such as walking starts almost immediately. Pool time and rowing, which load the tailbone area, resume around the three-week mark once the closure has fully sealed.
Is the office easy to reach from the 90024 side of Holmby Hills?
Yes. From Comstock or Wilshire it is essentially one road: Wilshire east, then San Vicente or Robertson north to Third Street. Budget 15 minutes, a bit more at peak times.
One Procedure. No More Flares.
The Pilonidal Institute sits minutes from Holmby Hills, and a single outpatient visit is usually all the surgery this disease ever needs.
Book at (310) 627-2330
Acute Abscesses and First-Time Flares
Chronic Draining Sinus Tracts
Cysts That Returned After Surgery