Can hidradenitis suppurativa be removed with liposuction?

Question

I was diagnosed with this about 3 years ago. It is so deep it can take a week to drain and two more to heal. When I have a flare up I feels as big and deep as a baseball.

Raffy Karamanoukian, MD, FACS · Answer

There are biologic, immune 
modulating, and surgical treatments for Hidradenitis. In my office, we 
begin by controlling the onset of HS and the longterm scarring is 
mitigated. Treatments for hidradenitis scarring are many including 
topical treatment protocols and laser therapy.

Best,

Dr. Karamanoukian

Realself100 Surgeon

Ravinder Jarial, DO · Answer

Greetings. In general, hidradenitis suppurative is not treated with liposuction. It is treated with excision. Definitely consider a consultation with a plastic surgeon in order to determine what is needed in your particular situation. Good luck!

Kiran Polavarapu, MD · Answer

Unfortunately, the best solution for hidradenitis is surgical excision. However, there are many conservative measures that should be discussed before moving on to surgery. Speak with your primary care provider about this.

Peter A. Aldea, MD · Answer

Hidradenitis Supporativa is a recurrent, protracted infections and inflammation of the apocrine sweat glands.In the past, liposuction with aggressive scraping tubes WAS attempted in an effort to remove these glands. Unfortunately, it really does not work predictably and the best treatment is total resection of the involved glands.Peter Aldea, MDMemphis, TN

Ven Erella, MD · Answer

Thank you for your question. Hidredinitis can not be removed with liposuction. It needs to be excised completely. Pl see a PS for evaluation

Marcel Daniels, MD · Answer

Liposuction removes deposits of fat under your skin whereas hidradenitis is chronic infections of your skin. The usual "solution" for it would be to cut the involved skin out.

Mats Hagstrom, MD (license on probation) · Answer

Attempts have been made to remove the glands that cause infections with the use of liposuction. The procedure has never caught on as being significantly successful.As previously stated, direct excision is considered the gold standard. After the involved skin has been removed, it can be either sewn together directly or skin grafts or skin flaps can be used after the infected skin has been removed. If you have not done so already, I suggest consulting with a board-certified plastic surgeon. Best of luck,Mats Hagstrom, M.D.

Can hidradenitis suppurativa be removed with liposuction?

Answers (7)

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