Surgical Treatments

Pilonidal Cyst Surgery in Los Angeles

Regain Comfort and Accelerate Healing with Minimally Invasive Pilonidal Care
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What Is a Pilonidal Cyst?

A pilonidal cyst is an infection that forms beneath the skin near the top of the buttocks crease. These cysts often contain hair, debris, and bacteria, leading to painful swelling, drainage, abscess formation, and recurring infections. Without proper treatment, pilonidal disease can become chronic and severely impact daily comfort and mobility.

For over a decade, Dr. Karen Zaghiyan has been trusted as the best pilonidal cyst surgeon in Los Angeles and the best minimally invasive colorectal surgeon in Los Angeles, for her expertise in advanced, tissue-sparing procedures that treat the disease at its source and prevent recurrence. Known for providing the highest level of colorectal care, she offers innovative, patient-centered solutions with exceptionally low recurrence rates.

Signs and Symptoms of a Pilonidal Cyst

Pilonidal cysts may begin subtly but can quickly progress without treatment. Common symptoms include:

  • Pain or tenderness near the tailbone
  • Swelling or a firm lump in the upper buttock crease
  • Drainage of blood or pus from a small opening
  • Foul odor or persistent moisture in the area
  • Repeated abscesses requiring drainage
  • Difficulty sitting, bending, or exercising
Because these symptoms overlap with other infections or skin conditions, evaluation by the best colorectal surgeon in Los Angeles ensures accurate diagnosis and effective treatment.

How Are Pilonidal Cysts Treated?

Treatment depends on whether the cyst is infected, draining, or has become a chronic tunnel system (sinus tract). Dr. Zaghiyan offers the most advanced and minimally invasive approaches available, focusing on eliminating infection, restoring healthy tissue, and preventing long-term recurrence.

Surgical treatment options include:

01
Laser Pilonidal Surgery (SiLaC)
02
Pilonidal Flap Surgery

What to Expect During Pilonidal Cyst Surgery

As the best pilonidal cyst surgeon in Los Angeles, Dr. Zaghiyan is thoughtful, comprehensive, and centered around creating a smooth, comfortable experience from start to finish.
01
Before surgery
A detailed exam and imaging, when necessary, to determine the extent of pilonidal disease and presence of sinus tracts. You’ll receive a personalized treatment plan outlining whether laser treatment or flap surgery is most appropriate.
02
During surgery
Dr. Zaghiyan performs surgery using minimally invasive techniques whenever possible. Laser surgery requires only small access points, while flap procedures are performed with meticulous care to preserve tissue health and optimize healing.
03
After surgery
You’ll receive clear instructions on wound care, hair removal strategies, hygiene, and follow-up visits. Most patients return to normal activities quickly, with ongoing support to prevent recurrence.

FAQs About Pilonidal Cysts

01
What causes pilonidal cysts?
02
Do pilonidal cysts always require surgery?
03
Which treatment is best for me?

Where to Find the Best Pilonidal Cyst Surgeon in Los Angeles

Pilonidal disease can be painful, embarrassing, and disruptive, but with the right specialist, it is highly treatable. As one of the nation’s leading colorectal surgeons, Dr. Karen Zaghiyan provides the most advanced, minimally invasive treatments available, including laser pilonidal surgery and expertly performed pilonidal flap reconstruction.

Patients seeking the best colorectal surgeon in Los Angeles, the best minimally invasive colorectal surgeon in Los Angeles, or the best pilonidal cyst surgeon in Los Angeles trust Dr. Zaghiyan for her precision, compassion, and outstanding long-term outcomes.

Ready to get expert care from the best pilonidal cyst surgeon in Los Angeles and finally find lasting relief?
LA’s Expert Colorectal Specialist
Karen Zaghiyan, MD

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