✦ MODERN CLEFT LIFT TECHNIQUE

Bascom Cleft Lift

Q: Why does pilonidal sinus keep coming back?

Recurrence is common with simple excision because the deep natal cleft creates pressure and hair trapping. The Bascom cleft lift directly addresses this by flattening the cleft, which is why it has the lowest recurrence rates.

Q: Will the surgery affect how I sit or move?

Off-midline closure heals significantly faster, and most patients are sitting comfortably within 1–2 weeks. Gentle activity is encouraged early, while heavy strain is avoided for 4 weeks.

Q: Will there be a visible scar?

There is a small off-midline scar that fades significantly over months. Many patients prefer this over the unhealing midline wounds left by simpler procedures.

Q: What is the cost of cleft lift surgery in Hyderabad?

Cost depends on hospital category, room type and anaesthesia. Dr. Tejasree's team provides a clear, transparent estimate during consultation at Lux Hospitals, Hyderabad.

Modern off-midline technique that flattens the natal cleft and reshapes the area for permanent cure of pilonidal sinus — low recurrence rate and excellent recovery.

60–90 min PROCEDURE

1 Day HOSPITAL STAY

>95% SUCCESS RATE

1–2 Weeks RETURN TO WORK

What is Bascom Cleft Lift?

The Bascom Cleft Lift is a modern, off-midline technique for the definitive treatment of pilonidal sinus disease, especially in recurrent or chronic cases. Rather than simply removing the sinus, the procedure reshapes and flattens the deep natal cleft — addressing the underlying cause of recurrence. The wound is closed off-midline with healthy tissue, away from the high-pressure midline area where pilonidal sinuses typically recur. As an experienced female proctologist in Hyderabad, Dr. Tejasree Vengala performs Bascom cleft lift at Lux Hospitals, Hyderabad, offering one of the lowest recurrence rates among pilonidal procedures.

Suitable for patients with recurrent or chronic pilonidal sinus disease, those with deep natal clefts predisposing to recurrence, or anyone wanting a definitive, low-recurrence solution.

How the Procedure Works

Anaesthesia & Marking

Surgery is performed under spinal or general anaesthesia. The natal cleft and sinus tracts are carefully marked while the patient is in position.

Sinus Excision

All sinus tracts and unhealthy tissue are excised completely, with attention to preserving as much healthy tissue as possible.

Cleft Reshaping

A flap of healthy tissue is mobilised, and the natal cleft is flattened by reshaping the gluteal contour.

Off-Midline Closure

The skin is closed off-midline, away from the high-pressure central groove, dramatically reducing the chance of recurrence.

Drain & Recovery

A small drain is placed if needed. Most patients are discharged the next day with structured wound care and quick return to routine.

Outcomes

60–90 minDURATION

1 DayHOSPITAL STAY

>95%SUCCESS RATE

3–4 WeeksFULL HEALING

Who Needs This Treatment?

→One of the lowest recurrence rates among pilonidal procedures
→Addresses the deep natal cleft — the root cause of recurrence
→Off-midline closure heals significantly faster
→Excellent option for recurrent and chronic pilonidal disease
→Quick return to office work in 1–2 weeks
→Compassionate care by an experienced female proctologist

Pilonidal sinus comes back when the deep midline groove keeps trapping hair and pressure. Cleft lift fixes the geometry of that groove for good — that is why the recurrence rate is so low. It is the operation I trust most for chronic and recurrent disease.

— — Dr. Tejasree Vengala, Consultant Proctologist & Laparoscopic Surgeon, Lux Hospitals, Hyderabad

Common Questions

Frequently Asked Questions

Why does pilonidal sinus keep coming back?+

Will the surgery affect how I sit or move?+

Will there be a visible scar?+

What is the cost of cleft lift surgery in Hyderabad?+

Not sure which treatment is right for you?

Book a consultation with Dr. Tejasree Vengala and get a personalised treatment plan.

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