How To Treat Hidradenitis Suppurativa

Punch Debridement

Punch debridement is a surgical procedure recommended for patients with moderate or severe hidradenitis suppurativa who have frequent relapses and significant pain. Also known as a mini-unroofing or surgical deroofing, punch debridement can be performed using a local anesthetic and is most often used to remove a single inflamed nodule. Punch debridement uses the same type of skin punch used to perform skin biopsies.

For patients with hidradenitis suppurativa, the goal of debridement is to turn painful patches of inflamed skin into scar tissue, which reduces pain and creates a more cosmetically pleasing result. Patients with severe cases of hidradenitis suppurativa may need to have multiple punch debridement procedures. Before the procedure, patients should ask their healthcare providers about the risks of punch debridement, wound healing, and recovery time.

Development Of A Careful Skincare Routine

The development of a careful skincare routine for daily use may help provide pain relief for patients and decrease inflammation. While a skincare routine is not a cure for hidradenitis suppurativa, it can help reduce the size of current breakouts and may prevent new ones from forming. Typically, most patients with hidradenitis suppurativa use a skincare routine that includes a cleanser, toner, and moisturizer. These can be purchased over-the-counter, and dermatologists often recommend patients purchase products formulated for acne.

These products often contain salicylic acid, an anti-inflammatory ingredient that reduces flare-ups. Since acne products can irritate and dry out the skin, patients may need to try several different formulations to find one that works for their skin. They may also need to start with applying topical acne products every other day at first. If over-the-counter products are not sufficient, dermatologists can prescribe stronger topical gels or oral medications.