Opening of PIlonidal sinus scar marks.

A wound that repeatedly reopens—even if it seems to heal quickly with Betadine—needs to be evaluated by a general surgeon to rule out a recurrent pilonidal sinus (often checked with a local soft-tissue ultrasound/USG) before starting laser treatment. Laser hair removal cannot be safely performed on active, open, or unhealed wounds. Assuming the wound is completely healed and approved for treatment, here are the answers to your questions regarding laser hair removal for the sacrococcygeal (pilonidal) area: 1. Is the process painful---Mild stinging sensation. 2. How fast can I go back to work after session.---It is an outpatient procedure. You can return to work immediately after the session. 3. How much it may cost per session. ---The exact price depends on the clinic's location, the specific laser technology used, and the surface area treated, generally ranges from ₹1,500 to ₹4,000 per session.

Laser removal of hairs are done by Dermatologist so ask a dermatologist..

Well I am a general surgeon, I can answer about pilonidal sinus Laser hair questions you should ask a dermatologist… But I would like to address your about your pilonidal sinus, 4 years scar won’t open up just like that without recurrence Get a USG surface scan , confirm if there is a recurrence of pilonidal sinus You can get EPSIT ( laser surgery for pilonidal sinus) less invasive procedures than flap

Definitely consider laser hair removal after confirming that there is no recurrence ( USG) , do ask if you have more questions

Send pics of wound now , also usg surface scan report