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Advanced Treatment for Hidradenitis Suppurativa

Hidradenitis Suppurativa (HS) causes painful lumps under the skin that can lead to scarring. Early treatment can help manage symptoms and improve quality of life.

Published: May 09, 2023
Last reviewed: August 27, 2026
Read time: 2 min read

Hidradenitis Suppurativa (HS) is a long-term skin condition that causes painful lumps to form under the skin. These lumps most often appear in areas where skin rubs together, such as the armpits, groin, buttocks, and under the breasts.

The lumps can take a long time to heal and may come back repeatedly. Over time, they can lead to scarring and the formation of tunnels under the skin.

HS can cause significant pain and discomfort, making everyday activities more difficult. Early diagnosis and treatment are important. Treating the condition before extensive scarring develops can help reduce symptoms and may prevent the need for surgery later.

At MetroHealth, our experienced dermatology team takes a comprehensive approach to treating HS. Depending on the severity of the condition and each patient's needs, treatment may include medications that help reduce inflammation, lifestyle changes such as weight management, laser treatments, or surgery.

For patients with localized HS, a procedure called unroofing may be recommended. During this procedure, tunnels beneath the skin are opened and removed to help reduce symptoms and improve healing. In more severe cases, larger areas of affected skin may need to be surgically removed.

If you are experiencing painful, recurring lumps or other symptoms of HS, talking with a healthcare provider early can help you find the treatment option that's right for you.

Schedule an Exam

Referrals are not required. Call 216-778-DERM (3376) to schedule an appointment. For more information, visit metrohealth.org/dermatology.

Need urgent skin care?

Your skin health shouldn’t wait. If you have a rash, acne flare-up, itchy skin or a concerning spot, our specialists are ready to help.

  • Appointments can be scheduled at any dermatology location with openings that day.
  • Pediatric appointments may be limited.
  • Does not include cosmetic consultations or services.

Get same-day appointments Monday through Friday.

Call 216-778-DERM (3376) between 7 and 8 a.m. to schedule.

Your Questions Answered

Q. What are the early signs of hidradenitis suppurativa (HS)?

A. HS often starts as painful bumps or lumps under the skin. These bumps usually appear in places where skin rubs together, like the armpits, groin, buttocks, or under the breasts. The lumps may come back over and over and can sometimes leak fluid.

Q. When should I see a doctor for HS?

A. You should see a doctor if you have painful lumps that keep coming back, do not heal, or leave scars. Getting treatment early can help control symptoms, reduce pain, and prevent the condition from getting worse.

Q. How is hidradenitis suppurativa treated?

A. Treatment depends on your symptoms and how severe your HS is. Your doctor may recommend medications, weight management, laser treatments, or surgery. The goal is to reduce pain, prevent new flare-ups, and help your skin heal.

Medical Disclaimer: The information presented here is intended for general informational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider before making medical decisions.