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Hidradenitis Suppurativa

Jul 5, 2022 | Conditions

Close up photo of a microneedling treatment done on the forehead of a patient

What is Hidradenitis Suppurativa?

Hidradenitis suppurativa (hi-drad-uh-NIE-tis sup-yoo-ruh-TIE-vuh) is a condition that causes small, painful lumps to form under the skin. The lumps usually develop in areas where your skin rubs together, such as the armpits, groin, buttocks and breasts. The lumps heal slowly, recur, and can lead to tunnels under the skin and scarring.

Common Causes

Develops when hair follicles become blocked. The exact cause for this isn’t known. Experts think it could be connected to hormones, genetic predisposition, cigarette smoking or excess weight.

Hidradenitis suppurativa is not caused by an infection or being unclean, and it can’t be spread to other people.

Factors that increase your chance of developing hidradenitis suppurativa include:

  • Age
  • Sex
  • Race
  • Family history
  • Certain conditions
  • Smoking

How to Treat Hidradenitis Suppurativa

Treatment with medications, surgery or both can help control symptoms and prevent complications of hidradenitis suppurativa. Talk with your doctor about the risks and benefits of the treatment options and how to develop an approach tailored to you.

  1. Medications
    • Antibiotics applied to the skin / Pain medications
    • Steroid injections
    • Hormonal therapy
    • Biologics
    • Retinois
  2. Surgery
    • Uncovering the tunnels
    • Punch debridement
    • Laser therapy
    • Surgical removal
    • Incision and drainage

Book your appointment 

At Stratica, we emphasize a rejuvenated and confident you. We want to find a personalized approach to your skin goals and emphasize your desired results. Book your free consultation today to discuss with one of our expert providers to learn how filler treatments fit into your aesthetic goals. 

How should I prepare for my treatment?

Before your appointment, it is advised to adhere to the following pre-treatment guidelines: 

  • Avoid sun exposure 2 weeks prior to your treatment
  • Avoid the use of active ingredients one week prior (such as retinoids, glycolic acid, lactic acid, salicylic acid, or kojic acid) 
  • Avoid abrasive scrubs or exfoliants for 2 weeks prior
  • Avoid cosmetic injections such as Botox, Dysport, or Filler 2 weeks prior 

To maximize results, we recommend discontinuing the following substances at least 3 days before your treatment: 

  • Isotretinoin / Accutane or Epuris
  • Aspirin / ASA
  • Ibuprofen / Advil
  • Naproxen / Aleve
  • Antibiotics
  • Ginkgo Biloba
  • Vitamin-E
  • Alcohol
  • St. John’s Wort
  • Green Tea extract
  • Omega 3- Fatty acids
Is there any downtime or aftercare?

Post-treatment, the area may feel like a sunburn with slight redness, tightness, dryness, and sensitivity to touch, which is considered normal healing. 

Peeling may occur 3-7 days after treatment, it is advised to not rub, scratch, or pick at the treated area. 

A follow-up appointment with your service provider is essential two weeks after your initial session.

After the appointment, refrain from touching, rubbing, or manipulating the injection areas unless instructed by your physician or nurse injector. Avoid exposure to extreme heat (sun, saunas, hot yoga, tanning beds) and strenuous activities for 2-3 days post-appointment. Refrain from applying makeup for at least 24 hours. Showers are permitted, but gently cleanse the area then pat dry. Do not rub with a towel or washcloth as the area is extremely delicate.

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