Hello! I Have An Indented Area Directly Above The Cleft

Posted on Fri, 12 Oct 2018

Question: Hello! I have an indented area directly above the cleft of my buttocks. When I am sitting I can feel the slightly indented area with my finger. I believe it’s always been there, but I never paid much attention to it. I believe it may be a sacral dimple/pilonidal dimple. It is not bothersome, there is no discharge or swelling, etc. I am a 51 year old female. Is his anything to be concerned about? Thank you!

Answered by Dr. Anders Mark Christensen (1 hour later)

Brief Answer:
Do not worry

Detailed Answer:
Hi dear,

What you describe sounds like a pilonidal sinus. If it is not very painful, and you have no discharge, you can simply wait and watch. It is not dangerous. It can turn into an abscess, and then you should see your doctor.

Hope this helps.

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Anders Mark Christensen (19 hours later)

Hi Dr. Christensen! Thank you so much for your kind and reassuring answer. I was actually able to take a picture of the area I was referring to, and am attaching it (the mole you see in the area has been there forever and my dermatologist has said it is fine). The area I was referring to is the line you can see above the cleat area of my buttocks. When I stretch it open with my fingers there’s actually an indentation that doesn’t connect to the cleat area (if that makes sense). It is pinkish on the inside and there is no swelling, discharge, etc. Does this appear normal and is it possible to have just an indented/sinus channel like that in that area? Thank you again!

Answered by Dr. Anders Mark Christensen (8 hours later)

Brief Answer:
It looks absolutely fine.

Detailed Answer:
Hi again,

Thank you for the picture. It looks completely fine and supports a tentative diagnosis of pilonidal sinus. The indentation or channel you can feel is almost an obligatory finding in pilonidal sinuses. As mentioned before, you only require treatment (surgery) if an infection develops.

Hope this helps, best wishes.

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Above answer was peer-reviewed by : Dr. Kampana