Pilonidal Cyst Treatment in Los Angeles
Definitive, recurrence-focused pilonidal cyst care with Dr. Moshe Barnajian, board-certified colorectal surgeon in Los Angeles.
Lasting Relief From a Stubborn Problem
A pilonidal cyst forms in the cleft near the tailbone and, when it flares, can make sitting and daily life miserable with pain, swelling, and drainage. The frustrating part is how often it returns when it is not treated properly.
Dr. Barnajian focuses not just on relieving the immediate flare but on techniques that give you the best possible chance of never dealing with it again.
His Los Angeles office offers prompt appointments for painful flares and a clear plan for long-term prevention.
How It Shows Up
Pilonidal disease ranges from a small bump to a painful infection, and the presentation guides treatment.
Acute Abscess
A sudden, painful, swollen infection that usually needs prompt drainage for relief.
Chronic Sinus
One or more small openings that intermittently drain — a sign the tract is established and needs definitive care.
Recurrent Disease
Cysts that keep returning after prior drainage or surgery benefit from an experienced surgeon and a durable repair.
Symptoms and Why It Develops
Common symptoms include pain and swelling near the tailbone, drainage of pus or blood, an unpleasant odor, and small pits in the skin. Sitting for long periods usually makes it worse.
It develops when loose hairs become trapped under the skin and trigger infection. Prolonged sitting, thick body hair, and friction all contribute — which is why technique and aftercare matter so much for preventing recurrence.
Treatment Options
Dr. Barnajian tailors treatment to your situation, favoring the least invasive option that gives a durable result.
Drainage
For an acute abscess, a quick office procedure relieves the pressure and pain right away.
Minimally Invasive Pit Excision
Targeted removal of the affected pits with minimal tissue disruption and a fast recovery for suitable cases.
Excision
Complete removal of the tract and diseased tissue to eliminate the source of recurrent infection.
Flap Closure
Advanced flap techniques move the healing line off the midline, dramatically lowering the chance of recurrence.
Prevention Plan
Clear guidance on hair management and hygiene to help ensure the problem stays gone.
What Your Visit Looks Like
Your visit is private and focused on relief. Dr. Barnajian examines the area, explains your options plainly, and can often treat an acute flare the same day.
Before your appointment
Note when symptoms began and any prior drainage or surgery, and continue normal medications unless told otherwise.
During your visit
An acute abscess can often be drained immediately; more definitive procedures are scheduled at your convenience.
After your care
You will receive detailed wound-care and hair-management instructions that are key to healing and preventing recurrence.
Same-week appointments available
Why Patients Choose Dr. Barnajian
Dr. Moshe Barnajian is a Cedars-Sinai-trained, board-certified colorectal surgeon (FASCRS) with extensive experience in pilonidal disease, including complex and recurrent cases. The right technique the first time makes all the difference.
His Los Angeles office offers prompt appointments, accepts most PPO insurance with benefits verified in advance, and treats every patient with discretion. Call (424) 622-9028 to schedule.
Pilonidal Care Across Los Angeles
Dr. Barnajian treats pilonidal disease for patients from Beverly Hills, Santa Monica, West Hollywood, and throughout Los Angeles, with prompt appointments for painful flares and most PPO insurance accepted.
For trusted background on pilonidal cyst and colorectal health, see the American Society of Colon & Rectal Surgeons, or explore all of Dr. Barnajian's colorectal services.
Pilonidal Cyst FAQs
Will it come back after treatment?
Recurrence is possible, but choosing the right procedure and following the hair-management plan dramatically lowers the risk. Dr. Barnajian specializes in durable, recurrence-focused repairs.
Is treatment painful?
Draining an abscess brings immediate relief. Definitive procedures are done with anesthesia, and Dr. Barnajian prioritizes comfort and a smooth recovery.
How long is recovery?
It varies by procedure, from a few days for minor drainage to a few weeks for excision or flap repair. You will get a clear timeline and aftercare plan.
Do I always need surgery?
Not always. Small or first-time cases may be managed conservatively, while recurrent disease is best treated definitively.
Do you accept insurance?
Yes. Most PPO plans are accepted and benefits are verified in advance. Call (424) 622-9028.
Get Lasting Pilonidal Relief in Los Angeles
Recurrence-focused care from an experienced colorectal surgeon. Same-week appointments available.