HS Procedures: You Can Do It!

The presentation provides an overview of in-office procedures for managing Hidradenitis Suppurativa (HS) alongside medical treatments to enhance patient outcomes. It emphasizes the importance of early medical intervention and discusses specific cases where procedures can be applied. Laser hair removal is highlighted as an effective option for patients with HS, especially in early disease stages, achieving significant improvement with multiple sessions. Additionally, botulinum toxin is suggested for patients experiencing hyperhidrosis, showing benefits in reducing inflammation and improving pain management. For acute flares with painful abscesses, intralesional triamcinolone is discussed for rapid symptom relief, while incision and drainage using a punch tool is recommended for abscesses to minimize pain and complications. Surgical deroofing is introduced as a viable option for patients with draining tunnels, with an emphasis on patient optimization, procedural expectations, and postoperative care. The talk concludes with a hands-on approach to de roofing technique, encouraging practitioners to utilize available tools and assuring patient satisfaction despite potential complications. Throughout the session, the speaker reinforces that dermatologists can successfully implement these procedures in their clinics, promising improved care for their HS patients.