Pilonidal Cyst Videos
Pilonidal Disease
What is Pilonidal Disease?
A pilonidal cyst (sacrococcygeal fistula) is an abnormal pocket in the skin that usually locates itself above the buttocks near the tailbone. The cyst looks much like a pimple and commonly contains hair and skin debris. If the cyst becomes infected it can result in a really painful abscess that requires clinical attention.
Learn More: What is a pilonidal cyst?
Who is affected?
Though anyone can suffer from a painful, inflamed pilonidal cyst, this condition affects men more commonly than women. Pilonidal cysts are also more prevalent among young adults in their late teens, 20s and 30s.
What causes it?
A chronic skin infection that forms near your tailbone in the top crease of your buttocks, a pilonidal cyst is known for causing excruciating pain. They develop when hairs in the cleft of your buttocks grow into your skin and become infected. Risk factors include:
Being overweight
Sedentary lifestyle
Sitting for long periods
Naturally stiff, coarse hair
Treating Pilonidal Disease
Treatment Challenges
History of Pilonidal Treatments
Pioneering a Cutting-Edge Flap-Based Outpatient Pilonidal Treatment Technique
Dr. Nasseri and Dr Barnajian are experts in the Los Angeles area in the treatment of pilonidal cysts. They have perfected a cutting-edge flap-based outpatient treatment technique to relieve their symptoms and minimize their chances of redeveloping. This technique has been perfected over the last decades to reach its current state. The flap procedure is called bilateral fasciocutaneous gluteal flaps with tie over sutures and incorporation of extracellular matrix.
Pilonidal Cyst Surgery Video
Recovering from Pilonidal Cyst Surgery
Dr Barnajian’s Post Operative Care Tips
Dr Nasseri’s Post Operative Care Tips
See the Pain — and the Solution — for Yourself
These videos exist because pilonidal disease is easier to understand when you can see it. If what you watch here looks familiar, know that what you’re feeling is real, it’s common, and it’s very fixable.
The pain of a pilonidal flare-up is unlike anything else — a deep, throbbing pressure at the tailbone that turns everyday life into a series of calculations. How long is the drive? How hard is the chair? Will sitting through a meeting, a class, or a flight make it worse? Many of our patients tell us they quietly rearranged their whole lives around their cyst — skipping the gym, avoiding travel, sleeping on their side, dreading every recurrence.
And because of where pilonidal disease occurs, too many people suffer in silence — embarrassed to talk about it, hoping it will go away on its own. It rarely does. Flare-ups tend to return, each one more disruptive than the last.
You don’t have to live this way. Pilonidal disease is completely treatable — and with the right surgical technique, it almost never comes back.
How the Pilonidal Institute Can Help
- ✓Immediate relief — infected abscesses are drained in-office, under local anesthetic, often the same week you call
- ✓A permanent solution — our published flap-based technique removes the disease completely, with a near-zero recurrence rate
- ✓Outpatient & quick recovery — home the same day, minimal pain, and back to your life fast
- ✓Discreet, judgment-free care — two board-certified colorectal surgeons who treat this condition every week and understand exactly what you’re going through