General Surgery

Hidradenitis Suppurativa

Hidradenitis suppurativa is a chronic skin condition that causes painful lumps, abscesses, and scarring, often in the armpits, groin, or under the breasts. At Surgery Group LA, Dr. Joshua Ellenhorn provide advanced surgical treatment for hidradenitis suppurativa in Los Angeles and Beverly Hills when conservative care is not enough. His minimally invasive and reconstructive approaches help reduce flare-ups, promote healing, and restore comfort.

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What are Hidradenitis Suppurativa?

Hidradenitis Suppurativa (HS) is a chronic skin condition that can significantly impact individuals’ lives. Often referred to as acne inversa, HS involves the formation of painful nodules, abscesses, and cysts on the skin’s surface, particularly in areas where skin rubs together. This condition primarily affects regions such as the armpits, groin, buttocks, and under the breasts. The discomfort caused by HS can range from mild to severe, affecting mobility and overall quality of life.

What are the symptoms of Hidradenitis Suppurativa?

Hidradenitis Suppurativa (HS) is characterized by a range of distressing symptoms that profoundly affect individuals both physically and emotionally. The hallmark of HS includes:

Painful, inflamed nodules, abscesses, and cysts primarily in areas with skin friction, such as the armpits, groin, buttocks, and under the breasts.
Discomfort and tenderness caused by the swollen bumps, making even basic movements challenging.

As HS progresses, it can lead to:

Rupture of abscesses, resulting in the formation of interconnected sinus tracts or tunnels beneath the skin’s surface.
Chronic pain, inflammation, and recurrent infections within these tunnels.
Drainage from these openings often accompanied by an unpleasant odor, adding to the physical and emotional burden.

While the physical symptoms of HS are distressing, the emotional impact should not be underestimated. The visible nature of the lesions can lead to:

Self-consciousness and lowered self-esteem
Social isolation due to the stigma attached to the condition
Prevalence of anxiety and depression among individuals with HS

Diagnosis & Screening

How is Hidradenitis Suppurativa diagnosed?

Diagnosing HS involves a thorough clinical evaluation based on symptoms, physical examination, and medical history. The Hurley staging system helps us classify the severity of HS, allowing us to tailor treatment plans to your specific needs. Early diagnosis is crucial for effective management.

Treatment

How is Hidradenitis Suppurativa treated?

Hidradenitis Suppurativa (HS) management involves a range of treatment options tailored to the severity of the condition. Our goal at Surgery Group LA is to provide effective relief from symptoms and enhance your overall well-being. Here are the diverse approaches we offer:

Medication-Based Strategies

Antibiotics: Oral or topical antibiotics can help control infections and reduce inflammation associated with HS.
Anti-Inflammatory Medications: Non-steroidal anti-inflammatory drugs (NSAIDs) may alleviate pain and inflammation.
Biologic Therapies: Cutting-edge biologic drugs target specific immune pathways to manage severe HS cases effectively.

Lifestyle Guidance

Hygiene and Wound Care: Proper hygiene practices and wound care can help prevent infection and promote healing.
Diet and Lifestyle Changes: Adopting a balanced diet and healthy lifestyle habits can positively impact HS management.

What surgical interventions and other therapies are used to treat Hidradenitis Suppurativa?

Abscess Drainage: For painful abscesses, drainage can offer quick relief and prevent the spread of infection.
Surgical Excision: Surgical removal of affected tissue can treat severe cases and reduce recurrence.
Tunnel Removal: Our skilled surgeons can excise sinus tracts, relieving pain and promoting healing

Our specialists collaborate with you to design a personalized treatment plan that aligns with your needs and preferences. Whether you’re seeking medication-based solutions or exploring surgical options, our team is here to provide expert guidance every step of the way.

Coping Strategies

What to know about Living with Hidradenitis Suppurativa?

Living with HS can be challenging, but you’re not alone. Connect with others facing similar challenges through our online support groups and forums. Sharing experiences and insights can provide invaluable support along your journey.

Beyond the physical symptoms, HS can take a toll on emotional well-being. The chronic nature of the condition and the visible nature of the lesions can lead to feelings of self-consciousness, shame, and isolation. Anxiety and depression are common among individuals living with HS, highlighting the importance of getting help not just for the physical symptoms but also asking your healthcare provider for support with your emotional well-being.

Hidradenitis Suppurativa

Frequently Asked Questions

What can trigger hidradenitis suppurativa symptoms?

Triggers may include heat, friction, stress, and hormonal changes

Can hidradenitis suppurativa go into remission?

While HS is chronic, symptoms can be managed, and some patients experience periods of remission with proper treatment.

Does hidradenitis suppurativa affect only certain parts of the body?

It primarily affects areas with apocrine sweat glands, like the armpits, buttocks, and thighs, but it can appear elsewhere.

What surgical options are available for severe hidradenitis suppurativa?

Severe cases may require surgical removal of affected tissue to reduce symptoms and improve quality of life.

How can lifestyle changes help with hidradenitis suppurativa?

Maintaining a healthy weight, wearing loose-fitting clothing, and avoiding known triggers can minimize flare-ups.

Experience matters. Our surgeons have achieved the highest standard of recognition for their expertise and skill.

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Years of Combined Experience

More importantly, our team of world-renowned surgeons have saved countless lives, and have enabled countless more to live healthy, happy lives.

Schedule a consultation with a Hidradenitis Suppurativa (HS)
Doctor Near Me

Seeking care from Hidradenitis Suppurativa (HS) specialists is essential for effective management. Our dedicated team of doctors is experienced in HS treatment, ensuring that you receive expert care tailored to your condition. We're here to answer your questions and guide you on your journey to better health.

310-861-7493

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