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What is Hidradenitis Suppurativa?

Hidradenitis Suppurativa is a long-term inflammatory skin condition that results in painful lumps, abscesses, and sinus tracts beneath the skin. Commonly mistaken for pimples or acne cysts, Hidradenitis Suppurativa (also known as HS) typically develops in areas where skin rubs against skin, such as the armpits, groin, inner thighs, and under the breasts. Without proper treatment, HS can worsen, causing significant discomfort and scarring.

What are the Common Signs and Symptoms of Hidradenitis Suppurativa?


  • Painful Lumps or Nodules: Firm, tender lumps located under the skin in areas of friction.

  • Tunnels Within the Skin: Sinus tracts connecting lumps, which may leak pus or blood.

  • Recurrent Abscesses: Inflamed, pus-filled abscesses that can rupture and cause scarring.

  • Scarring and Thickened Skin: Chronic, untreated HS often leads to scarring and hardened skin over time.


Early diagnosis and intervention are critical to managing symptoms effectively and minimizing complications.

What Causes Hidradenitis Suppurativa?

While the exact cause of HS remains unclear, several factors are believed to contribute to its development:


  • Genetics: A family history of HS increases susceptibility.

  • Hormonal Changes: Puberty and hormonal fluctuations may trigger or worsen symptoms.

  • Immune System Dysregulation: An abnormal immune response leads to inflammation in hair follicles and sweat glands.

  • Lifestyle Factors: Smoking and obesity are associated with an increased risk of HS.

What are Some Possible Treatment Options for Hidradenitis Suppurativa?

Effective management of Hidradenitis Suppurativa (HS) often requires a combination of medical, procedural, and lifestyle interventions tailored to the severity of the condition.


  • Topical Antibiotics: Reduce bacteria and inflammation in mild cases.

  • Oral Medications: Includes antibiotics, hormonal therapy, and immune-modulating drugs to target inflammation and prevent flare-ups.

  • Biologics: Advanced treatments that specifically target the immune system to control chronic inflammation and reduce lesions.

  • Steroid Injections: Provide localized relief by reducing swelling, pain, and inflammation in severe lesions.

  • Laser Hair Reduction: Technologies like the Venus Versa™ or Cutera excel® V Laser help reduce hair in sensitive areas, lowering the risk of follicular blockages and subsequent flare-ups.

  • Incision and Drainage: Alleviates discomfort by draining abscesses, though not a long-term solution.

  • Laser Treatments: Options such as the Cutera excel® V Laser can reduce lesions, scarring, and inflammation while promoting healing.

  • Professional Aesthetic Treatments: Regular skincare treatments like HydraFacialMD can help reduce irritation in sensitive areas.

  • Surgical Removal: Removes severely affected areas, preventing recurrence in advanced cases.


By incorporating Laser Hair Reduction into the treatment plan, patients with HS can experience fewer flare-ups and improved skin health over time. Early and consistent treatment is crucial for managing symptoms, improving quality of life, and reducing complications such as scarring, sinus tracts, and recurring infections.


How to Manage and Prevent Hidradenitis Suppurativa Flare-Ups


  • Maintain a Healthy Weight: Reducing body weight decreases skin friction and inflammation.

  • Quit Smoking: Smoking is linked to an increased risk of HS flare-ups.

  • Wear Loose, Breathable Clothing: Avoid tight clothing that may aggravate symptoms.

  • Practice Good Hygiene: Keep affected areas clean and dry to reduce irritation and bacteria.

  • Manage Stress: Stress can exacerbate inflammation and worsen symptoms.

  • Avoid Skin Irritants: Refrain from using harsh soaps or shaving affected areas.


Early and consistent treatment is crucial for managing symptoms, improving quality of life, and reducing complications such as scarring, sinus tracts, and recurring infections. Consult with our Board-Certified Experts to create a personalized plan tailored to your needs.

Related Treatments

Find Relief from Hidradenitis Suppurativa

Living with Hidradenitis Suppurativa can be challenging, but effective treatment and management are within reach. At Summerlin Dermatology, our board-certified providers are here to help you manage HS, reduce flare-ups, and improve your overall quality of life.


Call us at 702-243-4501 or Request an Appointment online to schedule a consultation and take the first step toward relief. For additional information, visit resources like The Hidradenitis Suppurativa Foundation for education and support. Don’t let HS define your life—get the care you deserve today!

Hidradenitis Suppurativa in someone's armpit

Hidradenitis Suppurativa

Treatment for Hidradenitis Suppurativa

Hidradenitis Suppurativa (HS) is a chronic skin condition causing painful lumps and tunnels beneath the skin, often in areas prone to friction like the armpits, groin, and inner thighs. At Summerlin Dermatology, we specialize in early diagnosis and effective treatments to help patients manage HS and improve their quality of life.

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