Pilonidal Cyst Treatment for Rolling Hills Estates
In a city built around saddle time, a pilonidal cyst is more than a nuisance; it is a scheduling problem for you and your horse. The Pilonidal Institute resolves it permanently with an outpatient flap repair at Cedars-Sinai Medical Towers, the operation whose off-midline closure was practically designed with riders in mind.
Why Equestrians Know Pilonidal Disease Too Well
Hours in the saddle concentrate pressure and friction exactly where pilonidal tracts form. Historically the condition was nicknamed for cavalry; today it finds the peninsula’s dressage and trail communities instead. Draining flares between shows only rents relief.
The definitive repair excises the entire tract and rebuilds the site with healthy tissue positioned away from the midline. That geometry matters specifically for riders: the healed line sits clear of saddle contact, which is why recurrence after this procedure approaches zero even in patients who ride daily.
Back in the Saddle, on a Real Schedule
Recovery guidance we give peninsula equestrians, calibrated to the repair rather than guesswork:
Board-Certified, Peninsula-Approved
Dr. Yosef Nasseri
MD, FACS, FASCRSAssociate Professor of Surgery at Cedars-Sinai, double board-certified in general and colorectal surgery, published on this repair.
Meet Dr. Nasseri →
Dr. Moshe Barnajian
MD, FASCRSColorectal surgeon with a concentration in recurrent pilonidal disease; Cedars-Sinai and Stony Brook trained, Super Doctors Rising Star.
Meet Dr. Barnajian →
Crenshaw Down, 405 North
Crenshaw Boulevard off the hill to the 405 North, up to the 10 East, exit La Cienega Boulevard, north to Third Street. The office is at Cedars-Sinai Medical Towers, 8635 W 3rd St, Suite 880W, Los Angeles, CA 90048, validated parking on site. Plan 45 minutes to an hour depending on the interchange.
You make the trip twice in a typical case; the rest of the care rides along by photo.
Asked Around the Barn
Will one show season be enough time for full treatment and return?
Far more than enough. From first call to full riding clearance typically spans five to six weeks; many riders schedule around a single off month.
Does a breeches-and-saddle lifestyle raise recurrence risk after the flap repair?
Not meaningfully. The off-midline closure removes the friction target. Riders in our practice return to daily saddle time without special precautions.
Our daughter rides at Dapplegray and has her first flare. Surgery already?
Not necessarily; a first mild episode may only need drainage and observation. A visible pit or a second flare changes the answer. An exam sorts it in one visit.
Can consultations be scheduled around morning barn duties?
Midday and early afternoon slots exist for exactly this. Tell the scheduler what your week looks like and they will fit it.
Is the practice in-network for common peninsula PPO plans?
Most PPOs, yes. Verification happens before booking and our staff manages any authorization paperwork.
Horses Wait Poorly. So Does This Disease.
One outpatient repair, a few weeks of patience, and both of you are back on the trail without a recurring problem in the saddle.
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