Hidradenitis Suppurativa

We provide focused care for patients with hidradenitis suppurativa (HS), a chronic inflammatory skin condition that often requires long-term, individualized management. Treatment may include medications, in-office procedures, and surgical approaches such as unroofing, depending on each patient’s needs.

Dr. Ash has particular experience caring for patients with HS and frequently sees patients referred by other dermatologists for evaluation and management of this condition. He is involved with the Hidradenitis Suppurativa Foundation, and this experience helps inform a thoughtful, evidence-based approach that emphasizes realistic expectations, shared decision-making, and long-term partnership.

  • HS Treatment Strategy
    • Because hidradenitis suppurativa behaves differently from person to person, care often involves a combination approach rather than a single treatment. Management may include medical therapies to reduce inflammation, procedural treatments to address active lesions, and surgical options when areas become chronically involved.
  • Unroofing Procedure
    • For select patients, unroofing procedures can be an effective way to treat persistent tunnels and reduce recurrent inflammation in specific areas. These procedures are considered as part of a broader, individualized plan that balances symptom control, prevention of progression, and long-term quality of life.