Suture Reactions
When I perform a cleft-lift, there are dozens and dozens of sutures holding the flap in place. Sutures hold tissues in position until the body’s natural healing process takes over and normal scar tissue…
Read moreWound Healing
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MARCH 29, 2023
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AUGUST 11, 2022
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Should I have a wide excision for my pilonidal cyst?
A very common question Here is the scenario: a patient has a pilonidal cyst and sees a board certified general surgeon in whom the patient has faith in their skills. The surgeon recommends a wide excision,…
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OCTOBER 24, 2021
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Why might a cleft lift need to be revised?
Why might a cleft lift need to be revised? There are times when even a properly performed cleft lift will need another operation to adjust the shape of the cleft. The reasons for this fall into two categories:…
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OCTOBER 4, 2020
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Letter from a grateful family
With permission, I thought I’d share a recent correspondence from a patient’s father, who is a physician who has retired from surgery and now works in a wound care clinic. He has been trying…
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SEPTEMBER 30, 2020
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Sitting after Cleft-Lift Surgery
We encourage sitting immediately after surgery. When I perform a cleft lift, the incision is not in the midline – so when you are sitting there is no force pulling the incision apart. In addition,…
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SEPTEMBER 12, 2020
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Recurrent Pilonidal Disease
Why does it happen? Unfortunately, recurrence of pilonidal disease after surgery is a common problem. This article discusses the reasons why this happens, and presents a good solution. In order to understand…
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