Hidradenitis Suppurativa Beverly Hills
Hidradenitis suppurativa, also known as acne inversa, is a chronic inflammatory disease affecting the sweat glands. It is estimated to affect between 1-4% of the population. It commonly occurs in the creases or folds of the skin and is characterized by chronically recurring painful nodules that may form abscesses. The infection underneath the skin in turn leads to the discharge of pus. Drainage from the skin may result in constant soilage of the clothes, which can be a source of embarrassment. The underlying inflammation leads to scar formation and distortion of the skin. If left unchecked, this repetitive cycle of inflammation and infection can cause tunnels under the skin, resulting in sinus tracts that connect the various affected areas. The overlying skin ultimately becomes thickened.
The preferred treatment for hidradenitis suppurativa is complete excision of the affected areas. Oftentimes, however, surgeons with less experience do not remove the affected tissues in their entirety, resulting in recurring infections of these areas. Dr. Hadeed is a double board-certified plastic surgeon with an emphasis in reconstructive procedures. He is highly experienced with issues plaguing those who suffer from hidradenitis suppurativa. Dr. Hadeed offers surgical treatment for the affected skin area through a unique combination of advanced plastic surgery techniques to ensure the optimal cosmetic outcome.
The surgical procedure is usually performed under general anesthesia as an outpatient procedure. In order to achieve the best possible results, Dr. Hadeed will widely excise the affected area to minimize the chance of recurrence. Since this will leave a large open area, Dr. Hadeed will then use advanced plastic surgical techniques to close the wound and heal the area. The options for closure of the areas include either skin grafts or flap closure. You may have surgical drains which can remain in place for several weeks. Most people are able to return to work once these drains are removed. Although you may resume most normal activities after surgery, you may be asked to refrain from exercise or vigorous activities until complete healing has occurred. The surgery can provide extreme physical and psychological benefits for those suffering from this chronic, debilitating disease.
What causes HS?
Although there is no one specific factor that causes hidradenitis suppurativa, contributing factors in some individuals may include obesity, smoking, and possibly diets high in dairy products.
Is HS contagious?
Hidradenitis suppurativa is not a contagious disease. Cultures taken from the drainage are routinely negative. It is thought to be an inflammatory disease involving follicular structures.
Is HS hereditary?
Although hidradenitis suppurativa occurs sporadically in most individuals, there is a family history in approximately 30% of individuals.
What are my treatment options?
The treatment for hidradenitis suppurativa must be individualized for each patient. For many patients, medical therapy may help to improve the disease process. Patient with sinus tracts or draining tunnels may require surgery to improve their symptoms.
How effective is surgery in treating HS?
Wide excision of the affected area followed by reconstruction can be very effective managing the symptoms of hidradenitis suppurativa.
Will HS ever go away?
Generally speaking, hidradenitis suppurative is a persistent condition that lasts for many years. Some areas may remain clear after treatment.