Pilonidal Cyst Disease (Cleft Lift Procedure)

Pilonidal cyst disease is a problem of the soft tissue around the crease of the buttocks. Dr. Laurence Rosenberg, who has expertise in the management of soft issue at our Tallahassee, FL practice, has accomplished complex reconstruction of all parts of the body and his had considerable success in the treatment of pilonidal disease.

Dr. Rosenberg first became interested in the management of pilonidal cyst disease after caring and curing a patient who underwent ten prior operations. The patient had endured months of packing an open wound, chronic drainage, and he still never healed.

Excision of the cyst with packing an open wound is the least desirable treatment plan and Dr. Rosenberg never leaves a wound open for packing.  The recurrence rate is approximately 50% and the recovery is extremely painful.

Dr. Rosenberg performs the cleft lift procedure and is achieving a success rate of over 97%. This includes patients who have had multiple prior operations. Excision of the disease with closure results in quick healing, minimal recovery and decreased pain.

There are limited surgeons who perform this surgery, and so Dr. Rosenberg sees patients from Texas, Louisiana, Georgia, Alabama, and from all over Florida.  Often a phone consultation can be performed.  Our office handles obtaining insurance approval, prior to surgery.   The patient only needs to make one trip to Tallahassee, FL.  Some choose to go home the day of surgery, others spend one night after surgery.

The cleft lift operation takes an hour to perform.  It is outpatient surgery and most of the recovery is complete in two weeks.  There are never open wounds to pack and the sutures dissolve, they do not need to be removed.  A drain is used and remains in place for one to three days.  Your local primary physician can easily remove it.

Please call Southeastern Plastic Surgery, P.A., located in Tallahassee, FL at (850) 219-2000 or contact our patient coordinator today for a private consultation with Dr. Laurence Rosenberg, our board-certified physician who performs the cleft lift procedure.

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Testimonials

For a little over 5 years, I suffered from constant pilonidal cysts (and subsequent ruptures).  During that time period, I endured 3 unsuccessful operations to remove the cyst, as well as countless office procedures in an attempt to accomplish the same thing.

Finding myself at a point where I almost gave up hope of ever getting past the cyst(s), I was referred to Dr. Rosenberg.  After about 5 minutes of my very first appointment, Dr. Rosenberg laid out a plan of attack to rid me of my pilonidal cyst problem, the cleft lift procedure.  To be honest, I was a bit skeptical, given the numerous previous failed attempts; however, since I had exhausted all other avenues of approach, I went along with the plan because I figured I had nothing else to lose.

The first 2-3 weeks after surgery were, quite honestly, and excruciatingly painful.  I couldn’t sit comfortably, and even walking came with some pretty serious discomfort. I knew, however, that the pain I was experiencing was temporary and that I needed this permanent, long-term solution.

Looking back now, I’m glad I made the decision 4 years ago to have the cleft lift procedure.  Dr. Rosenberg and his team are phenomenal, attentive, knowledgeable, and most importantly, sensitive to their patients’ needs.  I have been 100% symptom-free ever since the surgery, and I can honestly say that it’s a decision that I would make all over again.

Thank you, Dr. Rosenberg, for giving me back my comfort and peace of mind, knowing that my pilonidal cyst problem is gone for good.


I know many people that have been treated for a pilonidal cyst and had it come back soon after.  Dr. Rosenberg informed me that most treatments for the pilonidal cyst have a relatively low success rate, and the Cleft Lift procedure is, by far, the most effective way to remove a pilonidal cyst. After my procedure, I felt very little pain and discomfort for the first few days and avoided sitting down for prolonged periods of time.  While the complete recovery time is about four weeks,  I was able to start work again within a week.  I also used a stand-up desk for a few weeks to ensure a successful recovery.  For anyone dealing with a pilonidal cyst,  I highly recommend Dr. Rosenberg and his exceptional staff at Southeastern Plastic Surgery.


I had a recurring pilonidal cyst for years that got infected four times in one year.  After going through multiple incision and drains, I decided to get the cleft lift surgery.  The surgery was an outpatient procedure, so I was in and out of the hospital within a few hours.  I was able to go home right after the surgery and only had to come back in for a follow up appointment the following day.  Within a week, I was allowed to remove the drain by myself at home and went back to school.  The area was sore for about two weeks, but I was still able to sit and go about all of my normal activities.  The scar left behind from the surgery blends in and looks natural.  I am so happy I did the surgery and now, about 1 year later I have had no problems with the area at all!  Dr. Rosenberg was great; he explained exactly how he was going to do the surgery and even showed me images from when other people had the surgery.  He addressed all my concerns and made me feel comfortable prior to the surgery.  During surgery, he noticed that I had a prominent tailbone, so he even shaved it down while performing the cleft lift surgery as a means to prevent any pilonidal cysts from returning.  The surgery was an amazing decision for me and I think everyone with this problem should consider it!

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