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Medical Dermatology

Hidradenitis Surgery

Hidradenitis suppurativa (hidradenitis) is a condition marked by small lumps under the skin caused by infection, inflammation and/or swelling of areas skin that contain hair follicles, oil glands and sweat glands. It is also known as acne inversa, which refers to large acne flareups that can occur under the skin. Most often found in the armpits, the groin and the anal area, hidradenitis can also occur in folds of skin where skin rubs together, such as between and below the breasts, between and below the buttocks, and on inner thighs.

Hidradenitis may worsen if left untreated and can be uncomfortable, painful and even embarrassing. The board-certified physicians and advanced practitioners at California Skin Institute are experienced in bringing relief to people experiencing the effects of hidradenitis. Patients whose hidradenitis requires surgery can resume normal activities, including more comfortable sleep.

How Hidradenitis Surgery works

Prior to surgery, your licensed California Skin Institute professional may prescribe antibiotics to treat the infection. Complete excision or surgical removal of the affected area(s) and some surrounding tissue can provide long-term or permanent recovery.

In the earlier stages of hidradenitis, less invasive surgery may be recommended. Low or mildly invasive surgery techniques include might include:

  • Incision and drainage of affected areas
  • Removal of the sinus tract (unroofing), after which the wound is left to heal on its own
  • Carbon dioxide laser surgery

Hidradenitis Surgery candidates will be counseled about moderate lifestyle changes to consider after surgery in order to enjoy a long-term positive outcome.

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