Where Is the Incision Placed For The Pelvic Plasty Surgery (Iliac Crest Implants)?

Q: Dr. Eppley, In regards to the Pelvic Plasty procedure (iliac crest implants) where is the incision made to place them and what type of scar does it leave?

A: The incision for iliac crest implants is made at the posterior iliac crest region and is about 3 cms in length. This requires the surgery to be done in the prone position. (face down) The incision is made in the panty line so it is in a good location for being hidden in underwear. It is closed for fine sutures using a subcuticular suture technique in which all sutures are buried under the skin. As a result they don’t need to be removed and also leaves no suture track marks. It usually heals as a fine line scar and rarely requires the need for scar revision.