Pilonidal Cyst Treatment for Rancho Palos Verdes
Whether the flare-ups interrupt trail mornings near Point Vicente, rounds at the golf course, or a teenager’s season at Peninsula High, the underlying problem is identical: a sinus tract beneath the tailbone skin that drainage cannot remove. The Pilonidal Institute excises it once, through an outpatient flap repair at Cedars-Sinai Medical Towers.
One Disease, Three Life Stages
The classic onset
Growth, sports, and study marathons make adolescence the peak window. Break-time surgery keeps the transcript unbothered: two to three missed days, then photo follow-up.
The managed nuisance
Many RPV adults have quietly handled flares for a decade. The flap repair retires the routine: one outpatient hour, desk work within days, trails at three weeks.
The overdue fix
Pilonidal disease does not age out, and neither does the repair. We operate on older adults regularly, with anesthesia protocols tailored to health history.

The Tract Outlasts Every Remedy but One
Sitz baths, antibiotics, drainage, hair removal: each helps symptoms and none removes the tunnel that produces them. The disease behaves like a structural defect because it is one.
Our surgeons remove the structure. Complete excision, then reconstruction with healthy off-midline tissue, closed the same day. Published recurrence approaches zero, and there is no open wound phase, which matters when home is an hour from the surgeon.


Nasseri & Barnajian, Colorectal Surgeons
Dr. Yosef Nasseri: Associate Professor at Cedars-Sinai, double board-certified, published on this repair. Dr. Moshe Barnajian: recurrent-case specialist, Cedars-Sinai and Stony Brook trained. Pilonidal disease is their weekly work, not a sideline.
Dr. Nasseri →Dr. Barnajian →Hawthorne North, Then the Freeways
Hawthorne Boulevard runs from the hill’s crest to the 405 in one line. From there: 405 North, 10 East, exit La Cienega, north to Third Street. The office is at Cedars-Sinai Medical Towers, 8635 W 3rd St, Suite 880W, Los Angeles, CA 90048, with validated parking. Budget about an hour; the Miraleste side can shave ten minutes via Western and the 110.
Photo-based follow-up keeps the total trips to two for nearly every patient.

RPV’s Practical Questions
Golf: how long until a full swing is safe?
Short game at about two weeks, full swings around three. The rotation itself is not the issue; it is cart seat time early on, which a cushion solves.
Can hiking the Point Vicente trails count as recovery walking?
The flat stretches, absolutely, and early. Save the steeper switchbacks for around week three when the closure has fully consolidated.
Is one pre-surgery visit truly enough given the drive?
For most cases, yes. Send photos and records ahead; the consultation confirms the plan in person and surgery is booked before you leave the building.
What if my cyst has already been operated on twice elsewhere?
Then you are squarely in Dr. Barnajian’s wheelhouse. Revision after failed repairs is a core specialty here, and prior surgery does not disqualify the flap approach.
Does Medicare or a PPO handle this differently?
Coverage specifics vary; our staff verifies your exact plan, PPO or otherwise, and explains costs before any date is confirmed.
The Hill Deserves Better Mornings
One outpatient repair and the tailbone stops setting your schedule, whatever your age and whatever your sport.
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