I am going to attempt to discuss some of the things that patients observe, and what they actually represent; and try to debunk and . You can just place a dry dressing on the area after your shower. Heres why. If the bandage becomes stained, remove the dressing and replace it with new gauze and monitor the bleeding. Call 911 for all medical emergencies. Consult a surgeon for the best surgical option based on individual needs and circumstances. By Naveed Saleh, MD, MS You can use shaving, depilatory creams or laser epilation to get rid of the hair. Select your treatmentPilesAnal FistulaFissurePilonidal SinusHernia SurgeryGallstones SurgeryCarpal Tunnel SyndromeACL-TearKnee ReplacementHip ReplacementSpine SurgeryShoulder Tendon RepairShoulder Labrum Tear SurgeryShoulder DislocationCataract SurgeryLasik SurgeryHysterectomyHysteroscopyEardrum surgeryDeviated Nasal SeptumAdenoidectomyFESS / SinusTonsillectomy / TonsilKidney StonesProstate EnlargementMale InfertilityVaricoceleLaser CircumcisionZSR CircumcisionVaricose VeinsDiabetic Foot UlcerDeep Vein ThrombosisAV Fistula for DialysisHair TransplantGynecomastiaLiposuction SurgeryBreast SurgeryFace LiftTummy TuckScar RemovalLipomaBreast LiftBreast LumpBreast ReductionBreast AugmentationOvarian CystHymenoplastyVaginal TighteningPCODIrregular PeriodsDilation and curettageVaginal CystHysteroscopyPain during IntercourseUrine infectionHysterectomyFibroids treatmentEctopic PregnancyMedical Termination of Pregnancy (MTP)Abnormal Uterine BleedingVaginal BleachVaginal RejuvenationPap smear problemsRecurrent Vaginal InfectionAbnormal Vaginal DischargeImperforate HymenVaginal wartEctopic pregnancyMolar pregnancyBartholin CystMiscarriageEndometriosisDermoid CystChocolate CystAdenomyosisIVFAxillary BreastThyroidectomy. Understanding the different types of surgery, including incision and drainage, excision, and closure techniques, can help make informed decisions. After it heals, shaving the hair in the wound area may help prevent pilonidal disease from coming back. Understanding how the body heals wounds will make your recovery simpler and remove a tremendous amount of anxiety about what is normal and what is not. Develops due to a malformation of the tailbone. Still, ask your surgeon or healthcare provider. The method shorten pilonidal cyst recovery time and lessen the possibility of recurrence significantly. Follow instructions about whether you need to stop eating or drinking before surgery. It is a simple procedure done in the health care provider's office. St Louis, MO: Elsevier; 2022:chap 53. While some pilonidal cysts can be treated with antibiotics and other non-invasive measures, more severe cases may require surgery to remove the cyst and prevent it from returning. If you are going under general anesthesia, it is typically recommended to not consume anything in the eight hours before the procedure. The follow-up appointments depend on whether the wound packing materials need to be changed or if sutures need to be removed. Prescriptions, Causes of cysts / Cysts diagnosis / Cysts treatment, Causes of cysts / Cysts diagnosis / Cysts treatment / Symptoms of cysts, Atheroma skin disease. Youll likely have a follow-up appointment with your doctor about 6 weeks after your procedure. Once the site is healed, it is important to keep the skin in the buttocks crease clean and free from hair. Risk factors for developing pilonidal cysts include having thick, wiry hair on the lower back, sitting for long periods of time, and friction, such as a belt rubbing against the skin. Heres what to do. Because it often has an opening to the surface, it may become infected with normal skin bacteria. A.D.A.M. Features of the disease after menopause, Causes of ovarian cysts three most significant factors every woman should know. Yes, a pilonidal cyst can go away on its own, but it is very rare. Do not sit down for long periods of time and change positions frequently. This entails a complete surgical removal of the cyst, along with the pilonidal sinus tracts. Scott Sundick, MD, is board-certified in general surgery and vascular surgery. Shower with baby soap, no hard pillows, no towels. George Washington University Medical Faculty Associates. In fact, it's important to take at least one shower a day during this time. The most important thing to remember is to follow your surgeons instructions carefully during your recovery period to ensure proper healing. Updated by: Debra G. Wechter, MD, FACS, General Surgery Practice Specializing in Breast Cancer, Virginia Mason Medical Center, Seattle, WA. Your healthcare provider will advise you on whether you need to make any alterations to your current medications. Pastorino A, et al. It can be associated with a sedentary lifestyle, poor hygiene, or frequent pressure on the affected area. And it happens quite often. Which Doctor To Consult For Pilonidal Sinus? is among the first to achieve this important distinction for online health information and services. Ovarian cyst symptoms 6 indications something is wrong. We go over the stages of wound healing and processes. They will clean out the area and remove any pus and debris using suctioning and saline. Gentle stretching can help reduce the tension inside the wound. It may stay small or grow larger. When you visit the site, Dotdash Meredith and its partners may store or retrieve information on your browser, mostly in the form of cookies. Eventually, you'll start to feel like your regular self again, but don't quit taking care of yourself just because you feel better. Pat the area dry after showers, but avoid taking baths until the wound is healed over. Shave around your wound at least once a week to prevent infection. A pilonidal cyst is a sac that forms under the skin at the base of the tailbone (coccyx). Do you sit all day? This content does not have an English version. Heres a look at how you can prepare for each procedure: No special preparation is usually needed before an incision and drainage procedure. A pilonidal cyst may go away on its own. Types, Causes, Symptoms, Diagnosis, Treatment. Even after a second surgery, it may come back. In this blog post, well discuss the different types of pilonidal cysts, the. But they can occur anywhere on the body where there is a pocket of skin and hair, such as: They can be classified into two main types acquired and congenital. Cystectomy is the most effective treatment for these cysts, but they often recur, so you may need to have repeated procedures. How Effective Is Ayurvedic Treatment For Pilonidal Sinus, Things To Do After Pilonidal Sinus Surgery, Diets to Intake in Case of Pilonidal Cyst. The main overview page for our Surgery Aftercare section where youll learn all about wound care and healing after surgery. Pilonidal cyst surgery, also called pilonidal cystectomy, is a procedure used to remove a pilonidal cyst or abscess (boil) and the surrounding infection. But then it starts acting up. Ask your doctor how often to repack the wound. This content does not have an Arabic version. Antibiotics that messed up my stomach, cream that seemed to help. Symptoms of an infected pilonidal cyst include: A pit near the top of the buttocks crease. A small study of 60 patients found post-surgical laser hair removal significantly reduces the risk of recurring pilonidal disease., People who have jobs that require sitting for long periods of time, such as truck drivers, are at increased risk of recurrence. Don't drive yourself crazy, because it is very easy to do! Pilonidal cysts, also known as pilonidal sinuses, are often removed through surgical excision procedures. Incorporate good hygiene into your daily routine. A pilonidal cyst is a common condition that affects the skin at the base of the tailbone. You might try putting some hydrocortisone cream on the scar to alleviate the itching (available at any drug store). Learn more about this type of cyst here. 8th ed. But some people get them over and over again. You may experience some pain or tenderness during the recovery process. Oneshould be very attentive to this issue. Prompt treatment with antibiotics is necessary to prevent the spread of infection. In general, you can drive once you feel comfortable sitting in the driver's seat and using the brake and gas pedal. 2019;62(2):146-157. document.getElementById( "ak_js" ).setAttribute( "value", ( new Date() ).getTime() ); Treatment* Select your treatmentPilesAnal FistulaFissurePilonidal SinusHernia SurgeryGallstones SurgeryCarpal Tunnel SyndromeACL-TearKnee ReplacementHip ReplacementSpine SurgeryShoulder Tendon RepairShoulder Labrum Tear SurgeryShoulder DislocationCataract SurgeryLasik SurgeryHysterectomyHysteroscopyEardrum surgeryDeviated Nasal SeptumAdenoidectomyFESS / SinusTonsillectomy / TonsilKidney StonesProstate EnlargementMale InfertilityVaricoceleLaser CircumcisionZSR CircumcisionVaricose VeinsDiabetic Foot UlcerDeep Vein ThrombosisAV Fistula for DialysisHair TransplantGynecomastiaLiposuction SurgeryBreast SurgeryFace LiftLipomaTummy TuckScar RemovalBreast LiftBreast LumpBreast ReductionBreast AugmentationAxillary BreastThyroidectomy, Download app to get more features for free. Ask your provider which medicines you should take on the day of your surgery. Give yourself the time and space that you need for recovery. PMID: 30640830 pubmed.ncbi.nlm.nih.gov/30640830/. Most cases require minor surgery to remove a pilonidal cyst or pilonidal sinus. You will, however, need to arrange for a ride home, since the surgery requires monitored anesthesia care, general anesthesia or a nerve block. Do your best to keep the wound clean and dry. If the wound is large, your healthcare provider may need to close it up with stitches. It may be the way you are sitting, clothing you are wearing (like thongs), too much activity that rubs the scar tissue What I always do at the first sign of tenderness is swab the scar with No Bump RX to take down the inflammation. Keep bacteria and grunge from making trouble. On the second day they can already stand up, and on the 4-5 go. 10-14 days are to remove the seams. Traditional methods and medication do not work. In some cases, skin flaps may need to be created in order to close the wound. It's usually an outpatient procedure, meaning you go home the same day. The two primary procedures used to treat pilonidal cysts include: Incision and drainage. Pilonidal Sinus is located at the end of the backbone, just above the tailbone. Between 13.8% and 32% of pilonidal cysts recur within five years of pilonidal cyst surgery. However, women can get pilonidal cysts as well. Shaving or laser removal of hair around the cyst. An overview of the science of wound healing and introduction to the basics of Pilonidal surgical wounds and how they are treated. You're likely to start by seeing your primary care provider. The area will be suctioned to remove pus and cleaned with saline. The scar will become less noticeable over time. After numbing the area, your health care provider makes a small cut to drain the cysts. Understanding the recovery process can help prepare for the Procedure and manage symptoms during the recovery period. When removing the dressing, carefully remove it. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Here are some ways to prevent a recurrence: Pilonidal cysts can be irritating and painful, and impact affect interpersonal relationships and social activity. How long is recovery after pilonidal cyst surgery? Take your medicines as needed or as prescribed by your doctor. People with no complicated forms of the disease, and people with inflammations should decide on surgery. Before your appointment, you may want to write a list that answers the following questions: Your health care provider is likely to ask you a number of questions, including: Mayo Clinic does not endorse companies or products. Pilonidal disease. Inflamed, swollen skin. A pilonidal cyst is a sac filled with hair and skin debris that forms at the bottom of your tailbone. Elsevier; 2019. https://www.clinicalkey.com. Excision surgery is a common procedure for pilonidal cysts. This article explains what a pilonidal cyst is, the benefits of surgery, and expected outcomes. But remember, no swimming or baths for a few weeks after the procedure. This page is an overview of minor things that might present challenges after youve closed the wound. In: McKee's Pathology of the Skin. Some patients instead opt for regional anesthesia, such as an epidural or spinal block, which numbs the area while keeping you awake and alert. Practicing good hygiene is important for keeping secondary infections at bay. A single copy of these materials may be reprinted for noncommercial personal use only. Then, theyll make a small incision in the cyst to drain the pus. Your doctor may tell you to stop taking certain medications or herbal supplements as well as to stop smoking. Copyright 2013-2023 Credihealth Private Limited. Leave the wound open. To use the sharing features on this page, please enable JavaScript. Staying active instead of sitting for long stretches of time can help alleviate this pressure. Fibrin glue application. Avoid streneous and rigorous activities for thefirst few weeks such as lifting heavy weight, gyming or any activity that stretches your anorectal area. What is a Sigmoid Colectomy Procedure for Colon Cancer? Once the infection is identified. They may also give you particular instructions about how soon before your procedure you can bathe and eat. A cut is made in the cyst to drain fluid and pus. The timeline for healing after pilonidal cyst surgery varies based on how the surgery was performed. The recovery time can depend on whether the wound is stitched closed or left open, but it's not uncommon to need up to four weeks off of work. Their location on the tailbone can make them prone to irritation and reinfection. In the early days of pilonidal cyst recovery time experienced professionals help, but there will come a time when your loved ones have to help you with this. The duration of the surgery from 20 minutes to an hour. In some cases, revision surgery may be necessary. The infection may spread to other areas. During World War II, these cysts were so common among GIs driving Jeeps that pilonidal disease was referred to as "Jeep seat.". A lot of water and fiberous diet is recommended during aftercare. You can find out more about our use, change your default settings, and withdraw your consent at any time with effect for the future by visiting Cookies Settings, which can also be found in the footer of the site. Some procedures are extremely painful whereas othersare not. Your healthcare provider will give you instructions on how to care for the wound, including changing the packing and dressing, and bathing. American Society of Colon and Rectal Surgeons (ASCRS). Keep the surgeon informed of any changes or concerns. Shave or wax hair in the area, or consider laser hair removal, to prevent the cyst from recurring. Since the wound is by your tailbone, it may be difficult to sit or find a comfortable position. A hair may become ingrown if it rubs against your skin. Sabiston Textbook of Surgery. It means a patient influences on course of the disease as doctors do. Follow these directions carefully to avoid an infection or recurrence. Dont drive yourself crazy, because it is very easy to do! There is nothing to do with it. Ask your doctor during the follow-ups if you can get indulged in sexual intercourse. Ferri FF. Hyman N, Umanskiy K. Anus. Since the surgery is performed under anesthesia, you will be not allowed to drive afterward, so arrange transportation in advance. ICD-10-CM L05.91 is grouped within Diagnostic Related Group (s) (MS-DRG v40.0): Learn more about A.D.A.M. It may be hard to remove the entire cyst, so there is a chance that it will come back. Over-the-counter pain relievers like Tylenol (acetaminophen) should help ease the discomfort. It happens when hairs burrow into your skin, causing a small nest of hairs that has an opening to the surface of your skin. Johnson EK, Vogel JD, Cowan ML, et al. Pressure and friction in the area may contribute to the development of a pilonidal abscess. But the good news is that there are effective removal options. You can lie down on your side or your stomach. The surgery could be performed under local or general anesthesia. Before your procedure, take time off work, and stock up on essentials like ice packs, high-fiber foods, pain medications and laxatives. Protein helps in healing of wounds. It may get irritated and tender. There are several types of surgery. Pilonidal disease. Pilonidal treatment is 10% surgery and 90% aftercare! A patient cannot eat fatty, spicy and salty foods. All rights reserved. Because of the location of a pilonidal sinus, there's a risk of contamination from fecal matter. The American Society of Colon and Rectal Surgeons clinical guidelines for the management of pilonidal disease. There are a few instructions that you need to follow and there is no dressing required. Mayo Clinic on Incontinence - Mayo Clinic Press, NEW The Essential Diabetes Book - Mayo Clinic Press, NEW Ending the Opioid Crisis - Mayo Clinic Press, FREE Mayo Clinic Diet Assessment - Mayo Clinic Press, Mayo Clinic Health Letter - FREE book - Mayo Clinic Press, Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Continuous Professional Development, Mayo Clinic School of Graduate Medical Education, Book: Mayo Clinic Family Health Book, 5th Edition, Newsletter: Mayo Clinic Health Letter Digital Edition. Preparation can be the key to a successful recovery after pilonidal sinus surgery. Surgery For Pilonidal Cyst Types, Procedure, Recovery, and Aftercare, Surgery for pilonidal cysts is a safe and effective treatment. If you have any unusual symptoms such as rashes, itchiness or diarrhea, please contact the doctor before it gets complicated. Sebaceous Cysts: Symptoms, Diagnosis, and Treatment, When to Worry vs. Not Worry About Lumps Under Your Skin, Panniculectomy Surgery: Procedure and Recovery, What to Know About Big Toe Bone Spur Surgery (Cheilectomy), Common surgical procedures in pilonidal sinus disease: A meta-analysis, merged data analysis, and comprehensive study on recurrence, Pilonidal sinus disease: risk factors for postoperative complications and recurrence, Medication and surgery: before your operation, Post-operative instructions for pilonidal excision, Evaluation of 60 patients with pilonidal sinus treated with laser epilation after surgery, Commentary: hair and pilonidal sinus disease. Linking to and Using Content from MedlinePlus, U.S. Department of Health and Human Services. First, the healthcare professional will give you an injection to numb the area. But if it's infected, the skin around the cyst may be swollen and painful. After surgery, your physician might choose to leave the wound open or close it with stitches. The Pilonidal Support Alliance is a California Non-Profit Corp and tax exempt under IRS 501(c) (3). Does a pilonidal cyst appear on the tailbone? Can a pilonidal cyst be cured? It is an ingrown hair that occurs due to friction and rubbing of skin against skin, clothes or prolonged sitting. The most common treatment is watchful waiting, unless the cyst is found to be large or is causing symptoms. Pilonidal cyst surgical removal generally causes scarring. Some times even during the pilonidal cyst recovery time. The wound is left open to drain. Watch the following video to learn more about how cold therapy can help with your wound recovery: You may also be able to find comfort by resting the affected area in a shallow sitz bath of warm water. Report any other concerning symptoms to the surgeon. Answers are here. In particular, blood thinners may cause problems with blood clotting during surgery. If your wound was stitched closed, complete healing usually takes four weeks, while wounds left open to drain can takes months to completely heal. Some experts recommend removing the hair from around your buttocks. If you need surgery, you and a healthcare professional can discuss the pros and cons of the different options. Pain. Pilonidal cysts are most common in young adults, especially men. It can cause an abscess or continued discharge. Surgery for pilonidal cyst. Your overall pain might not be as intense, and you may need painkillers for fewer days if you opt for this type of treatment. The next level of treatment is incision and drainage. Any remaining inflamed tissue will be removed and the area will be cleaned again until no sign of infection remains. The surgeon makes a small incision in the cyst to drain the fluid. Medication after pilonidal cyst incision and drainage Take your medicines as needed or as prescribed by your doctor. Pilonidal cysts usually occur only once. They can be as simple as basic gauze or seriously hi-tech. An infected pilonidal cyst is diagnosed by a visual examination by a primary care healthcare provider, dermatologist, ER healthcare provider, or colorectal surgeon. Pilonidal disease management: guidelines from the ASCRS. Symptoms, causes, good ways of treatment, Dental cyst home remedy. 3. Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. Surgery can take a toll on your body, so you need to plan accordingly. It is often filled with pus or hair. Verywell Health's content is for informational and educational purposes only. They are 2.2 times more common in men than in women, and most commonly occur in men in their 20s and 30s. You may not need any of these, but its helpful to know what is out there. This reduces pain and inflammation. Unfortunately, pilonidal cysts can come back after surgery. If there is discharge, pain, chill and fever, contact your healthcare provider. Eventually, the skin will stretch enough so that it doesnt split. In fact, it will likely only be considered if other treatments have not worked. Sebaceous cysts are common, noncancerous cysts of the skin. Pilonidal disease. Referring to non-specialized surgeon is not the best option. Information, treatments, and support for Pilonidal Disease patients and medical professionals. Medication after pilonidal cyst incision and drainage. Pain, swelling, and redness at the surgical site are common. A sacral dimple, or pilonidal dimple, is a small hollow area or sinus present at birth and located just above the crease of the buttocks. You should also change the dressing after a bowel movement. 's editorial policy editorial process and privacy policy. Pain is the most common complication. This can be done in your healthcare provider's office or emergency room using local anesthesia. All rights reserved. Drink plenty of fluids a day (8-10 glasses of water). Surgery for pilonidal cysts can be an effective treatment option for those who suffer from chronic or severe cysts. A healing wound can drain all sorts of fluids of various colors and consistencies; this is a guide to what is good and bad. The operation and treatment information on this page is published under license by Healthdirect Australia from EIDO Healthcare Australia and is protected by copyright laws. martin guitar service center; white stuff in bottom of canned green beans Pilonidal disease. Shave the area, or use a hair removal product every 2 to 3 weeks. Keep the surgical area elevated to reduce swelling. What Does Pus From a Surgical Wound Mean? In: Ferri's Clinical Advisor 2023. Medication and surgery: before your operation. If not, your healthcare provider may prescribe pain medicine to take on a short-term basis. Milton S. Hershey Medical Center. Take antibiotics as prescribed to prevent infection. Accessed Sept. 21, 2022. Before your surgery, stock up on a few first aid essentials that can help ease the tenderness. During. Proper wound care and avoiding pressure on the surgical site can reduce the risk of recurrence. Do not use skin cleansers, alcohol, iodine, or soaps with antibacterial chemicals. Since 2012, he has practiced with The Cardiovascular Care Group in New Jersey. 7th ed. It will not heal with antibiotic medicines. 2010;36(1):92-93. doi:10.1111/j.1524-4725.2009.01388.x. (2019). Hair removal is a topic of debate, read the pros and cons so you can make your own decision. If you need surgery, your health care provider numbs the area and removes the cyst through an incision. If you are having general anesthesia, you will be asleep for the procedure. The friction can cause hair to dig into the skin and get trapped. Pilonidal cysts are painful and often difficult to treat. If you have been drinking a lot of alcohol, more than 1 or 2 drinks a day. Short description: Encntr for surgical aftcr fol surgery on the skin, subcu The 2023 edition of ICD-10-CM Z48.817 became effective on October 1, 2022. An infected pilonidal cyst or abscess requires surgical drainage. Surgery is often required to clear out the infection and treat a pilonidal cyst. The length of full recovery can vary depending on the type of surgery and individual factors. The first thing to remember during pilonidal cyst recovery time is that any questions about the operation should be immediately asked, approach your doctor. Mahmood, Fahad, et al. The cysts may return because the area gets infected again or hair grows near the incision scar. Taking care of yourself and your surgical would is where your part of the partnership between you and your surgeon comes into its own. Its critical to follow your doctors presurgical instructions to minimize your risk of complications. morton ranch junior high bell schedule. It is extremely important not to damage the wound after surgery. It is OK to soak in a tub of water to reduce swelling and pain, but discuss it with your doctor first. Experts say robotic surgery is more precise and less invasive, leading to quicker recoveries, fewer hospital readmissions, and less post-surgery pain, Scars can vary in size, shape, and thickness. The surgeon makes an incision to access the cyst. It is very important to keep the area around the wound clean. The skin in the cleft has to be able to stretch as the body moves and damaged skin only regains 70% to 90% of its original tensile strength (how much it can be stretched without tearing) so the wound area will never be as strong as it was prior to surgery. 21st ed. Your health care provider will show you how to change dressings and explain what to expect during the healing process. Now that the wound is fully healed you are in the Remodeling and Maturation Phase, which can last from 6 to 18 months. There is much conversation between patients and surgeons, and among patients themselves, regarding the appearance of their post-operative incisions, wounds, and drainage after pilonidal surgery of all kinds. Have you experienced this problem before? Itching The newly healed scar is very tender and will be for many months. Most people can return to work in two to four weeks after surgery. What to expect from a pilonidal cyst incision and drainage, and surgical cyst removal. You should weigh these pros and cons with your healthcare provider. I'm adding my pilonidal cyst story. Croke L. (2019). A pilonidal cyst is an abscess or boil. doi:10.9738/CC86.1. The sinus is a cavity below the skin that connects to the surface through your pores. The cyst and surrounding tissue are cleaned and closed using sutures, sterile strips, or a skin graft. Bowel Movement. Incision and drainage. More information about tailbone (pilonidal) cysts and tumors. Dangers of an ovarian cyst during pregnancy. Contact your, Step by step guide to Surgery for Pilonidal Cyst , Aftercare required Pilonidal Cyst Surgery , 8 Exercises & Stretches for Tailbone Pain Relief Quickly, 9 Unique Symptoms of Low Alkaline Phosphatase That Might Surprise You, 15 Reasons for Bleeding From The Nose and Tips to Fix it. While surgery can relieve the pain and discomfort caused by pilonidal cysts, it is important to carefully weigh the risks and benefits of each Procedure and discuss your options with a qualified, The most important thing to remember is to follow your surgeons instructions carefully during your recovery period to ensure proper healing. The exact cause of Pilonidal Cysts is not well understood, but they are thought to be caused by hair that becomes trapped in the skin, leading to the formation of a cyst. Especially in the first few days. Summary. Let's discuss. Pilonidal cyst surgery is typically a minor outpatient procedure. Our Doctors are available 24 hours a day, 7 days a week to help you! Roberts JR, et al., eds. Don't assume that your entire surgical team knows what medications you are taking. Young men may need to shave, wax, or use hair removal cream every two to three weeks until the hair shafts begin to soften and thin out around age 30., If you prefer a more permanent solution, laser hair removal or electrolysis may be a better option. The doctor will come specifically out of your case. Pain medication may be prescribed to manage discomfort. All during this time new collagen fibers are being laid down and rearranged and the scar softens. A cyst may form if. The gauze has to be changed often during this time. Report any signs of infection, such as redness, swelling, or discharge, to the surgeon promptly.
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