Pilonidal Cyst Treatment for Tarzana and the Valley
Tarzana has excellent everyday medicine along the Ventura corridor. What it does not have is a surgical practice devoted to pilonidal disease. When a tailbone cyst keeps refilling despite drainages and antibiotics, the definitive answer sits one hill away: an outpatient flap procedure performed by two Cedars-Sinai colorectal surgeons, with recurrence rates near zero.
When a Community Hospital Is Not Enough
Emergency departments and urgent care centers around Tarzana handle pilonidal flares constantly, and they do the right immediate thing: relieve the abscess. The follow-through is where things stall. Definitive pilonidal surgery is a niche within colorectal surgery, and most general surgeons perform the older excision techniques with high recurrence rates and long open-wound recoveries.
Our practice exists precisely for the patients stuck in that gap. The flap repair removes the entire sinus network and closes it with healthy off-midline tissue in a single outpatient hour. Valley families have been crossing the hill for it for years.
Signs It Is Time to See a Subspecialist
Repeat drainage confirms an established tract. A third lancing changes nothing about the anatomy.
Road trips down the 101, long flights, even sitting through a movie at the Village become calculated risks.
Recurrence after excision is common and fixable. Revision flap surgery is one of this practice’s core specialties.
Before accepting a packed wound and daily dressing changes, learn what a closed flap repair looks like. The difference is not subtle.
Three Appointments or Fewer, Start to Finish
Consultation
Records reviewed in advance; exam, mapping, and a surgical plan in one visit at the Medical Towers.
Outpatient surgery
About an hour under anesthesia. Home over the hill the same afternoon with clear written aftercare.
Remote follow-up
Photo check-ins replace most return visits, so the 101 to 405 interchange stays out of your recovery.
Why Referrals Point Over the Hill
Dr. Yosef Nasseri
MD, FACS, FASCRSDouble board-certified colorectal surgeon, Associate Professor at Cedars-Sinai, published on flap-based pilonidal reconstruction.
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Dr. Moshe Barnajian
MD, FASCRSBoard-certified colorectal surgeon with particular depth in recurrent pilonidal disease; trained at Cedars-Sinai and Stony Brook.
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From the Boulevard to the Towers
Take the 101 east to the 405 south, exit Santa Monica Boulevard eastbound, and follow San Vicente Boulevard south to Third Street. Door to door from Tarzana runs 35 minutes midday, closer to 55 at peak. Sepulveda through the pass works when the 405 misbehaves.
The office is at Cedars-Sinai Medical Towers, 8635 W 3rd St, Suite 880W, Los Angeles, CA 90048, validated parking included. Early morning slots help Valley patients beat the interchange.
Tarzana’s Questions, Answered Plainly
Why not just have this done at a hospital in the Valley?
You could, but ask which operation is offered. If the answer is open excision or midline closure, the recurrence statistics argue for a second opinion before committing.
Can consultations happen early enough to miss rush hour?
Yes. First appointments of the day are popular with Valley patients for exactly that reason; mention it when booking.
My teenager sits all day in AP classes. Will surgery wreck the semester?
No. Students typically miss two or three school days, then return with a cushion. We often schedule Thursday or Friday procedures so the weekend absorbs most of the recovery.
Is the flap repair riskier than a simple excision?
It is a more sophisticated operation, performed by surgeons who do it constantly, and it removes the long open-wound phase where most excision complications live. For most patients it is both safer in practice and far more durable.
Do you coordinate with my Tarzana primary care doctor?
Always. Operative notes and healing summaries go to your physician, and we are glad to speak with them before or after surgery.
One Decision Beats Years of Flares
The Valley’s pilonidal answer has been 35 minutes away all along. Take the first step this week.
Book a Consultation