Our primary aim is to have you fully healed and ready to resume your daily routines within 6-8 weeks following your surgery. During your consultation, we will provide a more precise estimate of your recovery time and address any specific needs. Post Surgery and Recovery...
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Pilonidal Disease can present itself as cysts or abnormal abscesses, which form in the upper part of the gluteal cleft (e.g., the upper region of the buttocks.) These cysts or abscesses are noticed once swelling or infection occurs, often leading to discomfort and pain.
What Causes Pilonidal Disease?
While the exact cause of pilonidal disease remains unclear, it is generally assumed that the problem stems from loose hairs that penetrate the skin. Friction and pressure force those hairs deeper into the skin; meanwhile, dirt and debris cause the cysts to become inflamed, potentially leading to painful, swollen, and red abscesses.
What are the Symptoms of Pilonidal Disease?
There are several indications of an infected pilonidal cyst that could benefit from surgical treatment. The most common symptoms include:
Pain
Redness of the skin
Drainage of blood or pus from the opening of the skin
If you suspect you may have an infected pilonidal cyst, we recommend contacting our experts at Thrive Reconstructive Surgery to find out more about treatment options.
How do we treat a Pilonidal Disease?
Treatment typically involves surgical intervention under generalized or local anesthesia. During the procedure, an incision and abscess are drained. To avoid recurrence and help you get back to your daily life, our surgeons will take the remaining and surrounding areas for Surgical Debridement and reconstruction, ultimately removing the inflamed tissue from the body.
How do we treat a Pilonidal Disease?
Treatment typically involves surgical intervention under generalized or local anesthesia. During the procedure, an incision and abscess are drained. To avoid recurrence and help you get back to your daily life, our surgeons will take the remaining and surrounding areas for Surgical Debridement and reconstruction, ultimately removing the inflamed tissue from the body.
When is surgery a viable option to consider?
If you are experiencing extreme discomfort from your pilonidal disease or are tired of the reoccurring pain, surgery could be the best option for you. The team here at Thrive Reconstructive Surgery is to help you navigate your treatment options and assist you in optimizing your recovery.
- Dr Pekarev is AMAZING and his staff is extremely helpful and kind. If you want a Dr that truly cares about your quality of life then you can trust this team to always do what’s best for you. When I had my motor vehicle accident I went thru the toughest times in my life- thanks to Dr Pekarev and his commitment to my outcome I was able to save my arm from being amputated. He truly cares about all his patients and is extremely reassuring which helped me pull thru this tough time. I forgot the name of his PA but she was also amazing- I trust this team with my life !+ Read moreread lessLewis M.×Lewis M.Dr Pekarev is AMAZING and his staff is extremely helpful and kind. If you want a Dr that truly cares about your quality of life then you can trust this team to always do what’s best for you. When I had my motor vehicle accident I went thru the toughest times in my life- thanks to Dr Pekarev and his commitment to my outcome I was able to save my arm from being amputated. He truly cares about all his patients and is extremely reassuring which helped me pull thru this tough time. I forgot the name of his PA but she was also amazing- I trust this team with my life !
- I absolutely cannot say enough good things about Dr. Max and his staff! I suffered from a very unusual case of lymphedema in my abdomen. I'd been fighting for 2 years to get it removed. Dr. Max took one look at me and said he could help. A 67lb mass was removed from my abdomen. I'm still healing but the entire office has been amazing!! They literally changed my life and I could not be more grateful to them!+ Read moreread lessLauren C.×Lauren C.I absolutely cannot say enough good things about Dr. Max and his staff! I suffered from a very unusual case of lymphedema in my abdomen. I'd been fighting for 2 years to get it removed. Dr. Max took one look at me and said he could help. A 67lb mass was removed from my abdomen. I'm still healing but the entire office has been amazing!! They literally changed my life and I could not be more grateful to them!
- Dr. Max and his team are top notch! I have been dealing with hidradenitis suppurativa for 12 years in my bikini area after being misdiagnosed by many other dermatologists. Dr. Max took 1 look at me and said surgery would be the best option. I am only 2 days post-op, and I already have so much more confidence. I am so grateful for Dr. Max and his entire team. They have truly changed my life for the better!+ Read moreread lessBrooke D.×Brooke D.Dr. Max and his team are top notch! I have been dealing with hidradenitis suppurativa for 12 years in my bikini area after being misdiagnosed by many other dermatologists. Dr. Max took 1 look at me and said surgery would be the best option. I am only 2 days post-op, and I already have so much more confidence. I am so grateful for Dr. Max and his entire team. They have truly changed my life for the better!
- Dr. Pekerev has done two surgeries on me. I will only trust him and his team to do anything on me! Dr. P is so knowledgeable and has such a great bedside manner, not to mention, he is very easy-on-the-eyes! 😁 I definitely, recommend him to anyone needing his services!+ Read moreread lessAlysia S.×Alysia S.Dr. Pekerev has done two surgeries on me. I will only trust him and his team to do anything on me! Dr. P is so knowledgeable and has such a great bedside manner, not to mention, he is very easy-on-the-eyes! 😁 I definitely, recommend him to anyone needing his services!
- Very friendly and helpful staff. Dr. Max is the best!+ Read moreread lessDeborah C.×Deborah C.Very friendly and helpful staff. Dr. Max is the best!
- Dr. Max is brilliant!+ Read moreread lessStephanie a.×Stephanie a.Dr. Max is brilliant!
- Dr. Max is the absolute best! He is so kind and genuinely interested in getting to know his patients. The staff is incredible. They treat you like family. I’ve learned from talking to him that his passion lies in traumatic reconstruction and he serves many of the Fort Worth hospitals. You are most definitely in great hands with Dr. Max!+ Read moreread lessKylie H.×Kylie H.Dr. Max is the absolute best! He is so kind and genuinely interested in getting to know his patients. The staff is incredible. They treat you like family. I’ve learned from talking to him that his passion lies in traumatic reconstruction and he serves many of the Fort Worth hospitals. You are most definitely in great hands with Dr. Max!
- As a nurse, I’m asked a lot about what physician I would recommend, Dr Pekarev is by far my surgeon of choice! His bedside manner is exceptional, explaining everything, and setting you at ease. If you are needing a minor or major cosmetic procedure, this is who you want to take care of you!+ Read moreread lessAnna G.×Anna G.As a nurse, I’m asked a lot about what physician I would recommend, Dr Pekarev is by far my surgeon of choice! His bedside manner is exceptional, explaining everything, and setting you at ease. If you are needing a minor or major cosmetic procedure, this is who you want to take care of you!
- I absolutely LOVE Dr. Max and his staff. My first surgery with Dr. Max was after I was attacked in the face by a golden retriever dog that ripped my bottom lip off. It was on an early Saturday morning that I was rushed to an ER to find out Dr. Max was one of the top specialist to work on lips and cheeks and he was on call. He did facial reconstruction and really took care of me. I was only 24 years old and I lived in OK.. I was visiting TX for the weekend. So I was very scared and he reconstructed my face beautifully. Fast forward a few years and he’s now become my Go-to plastic surgeon because he truly cares about his patients. His communication is like none other.. I was in a lot of pain having suture spit over a weekend and he met me and my husband at his office (within an hour) on a Saturday to take out stitches so I wasn’t in pain all weekend. His office staff always answers the phone, returns phone calls, sends faxes within minutes... They are truly on their game and his work is incredible. Also, I’ve never waited longer than 5-10 minutes in the waiting room. My favorite thing about Dr. Max is you can tell he enjoys his job. He’s not just in it for the money.. He told me in an appointment that after this last procedure I have done there is absolutely nothing else I should feel I need to have done. Which tells me he’s not in this for the money. He’s a great man, and I’m thankful for their practice! They’ve always taken such great care of me!+ Read moreread lessSam D.×Sam D.I absolutely LOVE Dr. Max and his staff. My first surgery with Dr. Max was after I was attacked in the face by a golden retriever dog that ripped my bottom lip off. It was on an early Saturday morning that I was rushed to an ER to find out Dr. Max was one of the top specialist to work on lips and cheeks and he was on call. He did facial reconstruction and really took care of me. I was only 24 years old and I lived in OK.. I was visiting TX for the weekend. So I was very scared and he reconstructed my face beautifully. Fast forward a few years and he’s now become my Go-to plastic surgeon because he truly cares about his patients. His communication is like none other.. I was in a lot of pain having suture spit over a weekend and he met me and my husband at his office (within an hour) on a Saturday to take out stitches so I wasn’t in pain all weekend. His office staff always answers the phone, returns phone calls, sends faxes within minutes... They are truly on their game and his work is incredible. Also, I’ve never waited longer than 5-10 minutes in the waiting room. My favorite thing about Dr. Max is you can tell he enjoys his job. He’s not just in it for the money.. He told me in an appointment that after this last procedure I have done there is absolutely nothing else I should feel I need to have done. Which tells me he’s not in this for the money. He’s a great man, and I’m thankful for their practice! They’ve always taken such great care of me!
- Was so impressed with this office! Dr. Pekarev was such a kind and skilled doctor, the front desk, ma’s, nurse all had a wonderful personality. My face needed stitches and it was taken care of promptly and with great care. My face healed wonderfully due to the doctors skilled hand. I would go back for any procedure.+ Read moreread lesslisa p.×lisa p.Was so impressed with this office! Dr. Pekarev was such a kind and skilled doctor, the front desk, ma’s, nurse all had a wonderful personality. My face needed stitches and it was taken care of promptly and with great care. My face healed wonderfully due to the doctors skilled hand. I would go back for any procedure.
- Dr. Max is fantastic doctor! I am very happy with his services and his attention to detail and well being of patients. It was a long journey for me but we finally got through it, Monica was a great nurse and assistant too and was always attentive, knowledgeable, and kind. The rest of the staff were great too, always friendly, smiling and well knowledgeable, if I had to get another surgery I would definitely come back here. 5 out 5 stars+ Read moreread lessJohn J.×John J.Dr. Max is fantastic doctor! I am very happy with his services and his attention to detail and well being of patients. It was a long journey for me but we finally got through it, Monica was a great nurse and assistant too and was always attentive, knowledgeable, and kind. The rest of the staff were great too, always friendly, smiling and well knowledgeable, if I had to get another surgery I would definitely come back here. 5 out 5 stars
- The man is a genius and sewed my ear back on and it looks good.GREAT WORK DOC+ Read moreread lessjason s.×jason s.The man is a genius and sewed my ear back on and it looks good.GREAT WORK DOC
- Everyone here was so nice! Excellent care from excellent people!+ Read moreread lessKyndal M.×Kyndal M.Everyone here was so nice! Excellent care from excellent people!
- Dr Max is the best !! My daughter is only 13 and was in a accident that crushed her hand and fingers and he was AMAZING with her before, during , and after surgery, plus all her appointments he has been so positive and encouraging too!! The staff in his office are so sweet too !!+ Read moreread lessKaren P.×Karen P.Dr Max is the best !! My daughter is only 13 and was in a accident that crushed her hand and fingers and he was AMAZING with her before, during , and after surgery, plus all her appointments he has been so positive and encouraging too!! The staff in his office are so sweet too !!
- Dr. Max and his AMAZING office are top notch! Very informative, kind, caring and professional. I had to have a wound vac from a post surgical issue from another doctor and I was him on a Tuesday and five days later he had me in and taken care of. He is very personable and will give you the straight facts. His office staff and nurses are kind and knowledgeable; they treat you like family. My home health nurses were able to work with the whole office with no issues and said they loved how easy they are to work with.+ Read moreread lessJosephine R.×Josephine R.Dr. Max and his AMAZING office are top notch! Very informative, kind, caring and professional. I had to have a wound vac from a post surgical issue from another doctor and I was him on a Tuesday and five days later he had me in and taken care of. He is very personable and will give you the straight facts. His office staff and nurses are kind and knowledgeable; they treat you like family. My home health nurses were able to work with the whole office with no issues and said they loved how easy they are to work with.
- Every time I went to the office the first thing I saw when going in was a big smile from the young ladies at the desk I always got in fast Dr max did a wonderful job on my foot. I would like to recommend him to anyone who needs surgery and want a professional job. Also is like to recognize miss Monica she was a true professional in every way and showed real concern for her patients. I enjoyed having her there. 🌹🌹J. Sparks+ Read moreread lessJimmie S.×Jimmie S.Every time I went to the office the first thing I saw when going in was a big smile from the young ladies at the desk I always got in fast Dr max did a wonderful job on my foot. I would like to recommend him to anyone who needs surgery and want a professional job. Also is like to recognize miss Monica she was a true professional in every way and showed real concern for her patients. I enjoyed having her there. 🌹🌹J. Sparks
- Dr Max and his staff are fantastic I would highly recommend them to anyone needing any type of plastic surgery+ Read moreread lessRandy B.×Randy B.Dr Max and his staff are fantastic I would highly recommend them to anyone needing any type of plastic surgery
- Dr. Peckarev and his office personnel are awesome, friendly and caring. I would highly recommend his services to anyone. He is very knowledgeable in his field of practice. Ronnie Bane, patient+ Read moreread lessmargaret b.×margaret b.Dr. Peckarev and his office personnel are awesome, friendly and caring. I would highly recommend his services to anyone. He is very knowledgeable in his field of practice. Ronnie Bane, patient
- Wouldn't go anywhere else for my Botox and filler! An amazing Dr with and gentle touch.+ Read moreread lessMonica M.×Monica M.Wouldn't go anywhere else for my Botox and filler! An amazing Dr with and gentle touch.
- Dr Max is great! After years of thinking it through, I decided to get a lift and new implants. Everyone... from the staff in the office to the surgery center he is associated with for the procedure is top notch. The waiting room is stylish and sophisticated. I will refer anyone asking about plastic surgery to Dr Max. You will love his bedside manner. I am so pleased I found him. He explained every possible scenario to me. I was well informed and felt very comfortable with my decision and now outcome. Thanks Dr Max+ Read moreread lessStephanie C.×Stephanie C.Dr Max is great! After years of thinking it through, I decided to get a lift and new implants. Everyone... from the staff in the office to the surgery center he is associated with for the procedure is top notch. The waiting room is stylish and sophisticated. I will refer anyone asking about plastic surgery to Dr Max. You will love his bedside manner. I am so pleased I found him. He explained every possible scenario to me. I was well informed and felt very comfortable with my decision and now outcome. Thanks Dr Max
- I highly recommend MP Plastic Surgery. I love Dr. Max and his wonderful team. Dr. Max is very professional, personable, kind and takes the time to listen and advise you of all your concerns. His staff is always friendly and welcoming. It’s been 1.5 years and I have been very pleased with the outcome of my breast reconstruction. He’s the best for botox and fillers too! 😊 I’ve seen other doctors and visited other clinics over the years. Dr. Max provides good and consistent results.+ Read moreread lessMarie W.×Marie W.I highly recommend MP Plastic Surgery. I love Dr. Max and his wonderful team. Dr. Max is very professional, personable, kind and takes the time to listen and advise you of all your concerns. His staff is always friendly and welcoming. It’s been 1.5 years and I have been very pleased with the outcome of my breast reconstruction. He’s the best for botox and fillers too! 😊 I’ve seen other doctors and visited other clinics over the years. Dr. Max provides good and consistent results.
- I personally recommend this Dr. To anyone and everyone.. He's very professional, honest, and detailed, about his work. He has performed 2 surgeries on me, with no complications at all. He has hands down the best office staff. Very friendly And professional. I love Dr. Pekarev he is an amazing person+ Read moreread lessLinda a.×Linda a.I personally recommend this Dr. To anyone and everyone.. He's very professional, honest, and detailed, about his work. He has performed 2 surgeries on me, with no complications at all. He has hands down the best office staff. Very friendly And professional. I love Dr. Pekarev he is an amazing person
- Dr. Max and his staff are second to none! I always receive top notch service and desired results at each visit. I always feel at ease right when I walk in and am greeted by his lovely staff! Would most definitely recommend for all plastic surgery and cosmetic needs!+ Read moreread lessPaige T.×Paige T.Dr. Max and his staff are second to none! I always receive top notch service and desired results at each visit. I always feel at ease right when I walk in and am greeted by his lovely staff! Would most definitely recommend for all plastic surgery and cosmetic needs!
- All of the staff were absolutely wonderful, from the young lady at the front all the way up to the Dr. I felt welcomed and taken care of. The procedure was smooth and well done and they all have a fantastic bedside manner which really helped me not be nervous.+ Read moreread lessJenna J.×Jenna J.All of the staff were absolutely wonderful, from the young lady at the front all the way up to the Dr. I felt welcomed and taken care of. The procedure was smooth and well done and they all have a fantastic bedside manner which really helped me not be nervous.
- Overall experience was great! Dr. Max is very reassuring and the rest of the staff are so nice! Dr. Max works hard and makes a big effort into whatever you want to do. Everytime I walk through the door, everyone gleams and says "Hey girl!" They are also very professional and are very excited about these procedures like the awesome medical nerds they are. 😉 This environment makes me excited for my future Nursing Career.😆+ Read moreread lessAmy P.×Amy P.Overall experience was great! Dr. Max is very reassuring and the rest of the staff are so nice! Dr. Max works hard and makes a big effort into whatever you want to do. Everytime I walk through the door, everyone gleams and says "Hey girl!" They are also very professional and are very excited about these procedures like the awesome medical nerds they are. 😉 This environment makes me excited for my future Nursing Career.😆
- Dr. Pekarev is a true professional! He is extremely knowledgable and was beyond patient with the questions I asked of him.I am very pleased with the work he did. His staff was amazing and helped a mom in need by soothing my crying baby boy! I truly couldn’t have asked for a better visit. I have already recommended Dr. Pekarev to family, friends and Co-workers. You will not be disappointed!+ Read moreread lessRochelle D.×Rochelle D.Dr. Pekarev is a true professional! He is extremely knowledgable and was beyond patient with the questions I asked of him.I am very pleased with the work he did. His staff was amazing and helped a mom in need by soothing my crying baby boy! I truly couldn’t have asked for a better visit. I have already recommended Dr. Pekarev to family, friends and Co-workers. You will not be disappointed!
- Everyone is super friendly! Dr is professional and kind. Highly recommend!+ Read moreread lessErika×ErikaEveryone is super friendly! Dr is professional and kind. Highly recommend!
- My wife had surgery with Dr. Max and we couldn’t have chosen a better office or surgeon! They are always so welcoming and kind. Definitely our go to guy for everything going forward.+ Read moreread lessJohn W.×John W.My wife had surgery with Dr. Max and we couldn’t have chosen a better office or surgeon! They are always so welcoming and kind. Definitely our go to guy for everything going forward.
- My experience with Dr. Max has been spectacular. At 50 years old I decided to treat myself to a mommy makeover. The office staff is helpful and kind. Dr. Max and his staff are very positive, caring and willing to answer all my questions. Their exceptional care along with my dedication to following the healing protocols have given me results I could never have imagined. I highly recommend MP Plastic Surgery!+ Read moreread lessDenise S.×Denise S.My experience with Dr. Max has been spectacular. At 50 years old I decided to treat myself to a mommy makeover. The office staff is helpful and kind. Dr. Max and his staff are very positive, caring and willing to answer all my questions. Their exceptional care along with my dedication to following the healing protocols have given me results I could never have imagined. I highly recommend MP Plastic Surgery!
- Great staff and great doctor!!!!! Highly recommend!+ Read moreread lessKelly M.×Kelly M.Great staff and great doctor!!!!! Highly recommend!
- I love Dr. Alex. He took the time to understand what I wanted and also gave professional feedback. He took the natural look of my lips and accentuated them. Couldn't be happier w the results.+ Read moreread lessJen J.×Jen J.I love Dr. Alex. He took the time to understand what I wanted and also gave professional feedback. He took the natural look of my lips and accentuated them. Couldn't be happier w the results.
