Please be aware that the following before and after photos of patients may be considered graphic by some. If you do not wish to view surgical photos of patients please go to another screen.
The following are a series before and after photos of patients who underwent The Cleft Lift procedure at The Sternberg Clinic of Pilonidal Surgery. Please note, that except where indicated, patients are photographed lying on their stomachs with their buttocks in view. So the left side of the photo represents the left side of the patient.
This photo demonstrates the natal cleft and how it is hidden from view when one is standing. This photo shows a pilonidal sufferer standing. The verical black lines mark the line of skin contact of both buttock cheeks. The horizontal line serves a reference to the horizon and is marked as the lowest part of the buttock exposed when a patient sits on a chair.
Please note how the natal cleft is completely hidden and there is not sign that the patient has a chronic pilonidal problem.
In this photo the patient’s buttock cheeks are spread apart to reveal a deep cleft or valley. The shaded area is the natal cleft. Multiple dilated midline pits and a sinus draining to the top right (better seen in other, non-shaded photos below) are revealed.
Here is a classic example of very symptomatic, primary pilonidal disease. This patient, a male in his early 20s, has developed several large dilated midline pits (previously infected hair follicles) and a draining sinus off to the upper portion of his natal cleft.
These photos show a patient who has suffered for 6 years with pilonidal disease. He has undergone 3 operations by other surgeons, all of which have broken down resulting in a much worse pilonidal problem.
Dr. Sternberg performed a cleft lift procedure and he rapidly recovered. The post-op photo was taken only 3 weeks after surgery. For the first time in years, he was able to return to athletics.
Here is an example of college student who has suffered from pilonidal disease since mid high school.
He had 3 previous operations from other surgeons, all of which failed. You can see that he developed a huge chronic open wound very close to the anus. His natal cleft is very scarred from the prior operations, which involved a wide excision and midline closure.
Dr. Sternberg performed a cleft lift procedure. He ends up with an excellent post-op result.
This photo demonstrates the island of skin that is typically removed during a the cleft lift procedure (outlined on the right).
Here is a photo of the debris and hair commonly removed from the chronic abscess of a chronic pilonidal sufferer at the time of cleft lift surgery.
This is an excellent demonstration a pilonidal sinus. Here it’s demonstrated that the hole closest to the anus connects to the top draining sinus hole. It is why operations that don’t address this lowest hole will result in failure and a recurrent abscess/sinus.
This is a 21 year old who has suffered from pilonidal disease for 6 years. Another surgeon performed two wide excisional operations, both of which have failed. He was left with a complex pilonidal wound with a number of midline openings, the largest of which was close to the anus. Photo 3 demonstrates the outline of the island of skin on the left side, which will be eventually removed during the procedure. Photo 4 shows that the lowest opening connects through a long abscess cavity to the top draining sinus. In photo 5, the skin island has been removed and the abscess is revealed. It is filled with hair. That hair and debris has been removed in photo 6. The white abscess cavity wall is preserved and used in the wound closure. The last two photos show the immediate final result with the drain in place.
Here’s an immediate post-op photo of a patient with steri-strips and drain in place. This is the drain configuration that I use now. The drain comes through the lower portion of the skin incision and passes through a skin opening that I create near the top of the flap. The drain is a loop and can be rotated.
Read success stories from surgery patients
- ‘Our daughter smiling again and the pain gradually subsiding’Our daughter experienced back pain a few years ago, and we thought that it was a pilonidal cyst. There were several reasons for this. First, we had experiences in our family with a cyst that was successfully removed. Second, theContinue reading “‘Our daughter smiling again and the pain gradually subsiding’”
- ‘I have not felt this good since I can remember’After many failed attempts and countless Doctors, E.R’s and Dermatologist visits to get my cyst under control, I was at my breaking point. I currently live in New Hampshire and I wanted this surgery done by someone I knew IContinue reading “‘I have not felt this good since I can remember’”
- ‘Forever grateful to have met Dr. Sternberg and his team’Everything about the Sternberg Clinic is a breeze! I suffered with Pilonidal disease for almost 3 years. After 3 failed surgeries and countless cauterization procedures done by doctors, like frogs in a well, unwilling to follow new advancements in medicine,Continue reading “‘Forever grateful to have met Dr. Sternberg and his team’”
Meet Your Surgeon, Dr. Jeffrey Sternberg
After many years performing major abdominal operations including open and laparoscopic resections for colon cancer, rectal cancer, Crohn’s disease, and Ulcerative colitis, I have chosen to concentrate my efforts in a few highly specialized areas of surgery where I feel I can make the greatest positive impact on patients.
Meet my Office Staff
Contact our San Francisco Office
To learn more about treating your Pilonidal Disease with surgery and the Cleft Lift procedure, contact our office staff for information or to schedule an appointment.
Did Dr. Sternberg treat your pilonidal disease? Submit a Patient Testimonial
Mon – Friday: 9:00 am – 5:00 pm
Member of ASCRS, Crohn’s & Colitis Foundation,
American College of Surgeons, and Pilonidal Support Alliance