Are you suffering with hidradenitis suppurativa or HA? At Atlantic Surgical Associates in West Long Branch, New Jersey, we treat this chronic skin condition with a variety of advanced laser, medical, and surgical techniques. We welcome patients from surrounding communities of East Brunswick, New Brunswick, and Staten Island, NY.
What is Hidradenitis Suppurativa/ Acne Inversa?
This a chronic skin condition in which multiple lumps form under the arms, in the groin, and other areas
Formal definition of this disease was adopted in 2009 at a meeting sponsored by the Hidradenitis Suppurativa Foundation: “HS is a chronic, inflammatory, recurrent, debilitating, skin follicular disease that usually presents after puberty with painful deep-seated, inflamed lesions in the apocrine gland-bearing areas of the body, most commonly, the axillary, inguinal, and ano-genital regions”
Hidradenitis suppurativa develops more commonly in women in the areas where skin rubs together. It usually occurs around hair follicles with large number of deep and long oil and sweat glands. It can start at puberty and continue for many years. Commonly it worsens over time. Hidradenitis suppurativa can affect one or more areas at a time. Hidradenitis suppurativa affects up to 1-4% of US population (3-12 million people). Many authors believe that there is no racial predisposition but there is one study that suggests increased incidence in African Americans due to 3 times increased density of sweat glands. Both men and women are affected but some areas of anatomy are favored by men and others by women.
Most common areas to develop hidradenitis suppurativa are armpits, groin, perianal area, between and under the buttocks and in between and under the breasts.
What are the Signs of Hidradenitis Suppurativa?
Signs of hidradenitis suppurativa may include blackheads, or red, small pea-sized tender bumps under the skin that sometimes can break open and drain pus; chronically open wounds that drain and eventually develop scar tissue. They usually start with small red spot that later becomes tender. About 50% of patients are able to predict 1-2 days before the lesion appears with burning, stinging, pain, itching, or excessive sweating.
How is Hidradenitis Suppurativa Treated?
Dr. Volshteyn is a board certified plastic surgeon who performs medical, laser and surgical treatments of hidradenitis suppurativa.
Depending on your physical location, stage and location of the lesions, we can select a proper treatment for you or your child.
If needed, depending on extent and location of the lesions, Dr. Volshteyn may recruit other surgeons to assist him during surgery or other specialists to assist in complex medical management, including endocrinology, dermatology, pain management, as well as others.
We do offer HS related laser hair removal, ND:YAG laser, Botox, endoscopic, laser-assisted, and suction-assisted and other medical and minimally invasive treatments in addition to traditional surgery.
Will Insurance Cover the Treatment of Hidradenitis Suppurativa?
Hidradenitis suppurativa is a medical condition. Some treatments, like excisions, skin grafts and flaps, may be covered by most insurance plans. Others, like laser hair removal, liposuction of glands and Botox treatments are not covered.
Most insurance plans do not appreciate the extent and complexity of treating hidradenitis suppurativa. Even though we do not participate as in-network providers with most carriers, we are able to accept payments from most commercial plans (PPO and POS) with out-of-network benefits.
Depending on your individual insurance plan, you may be responsible for a deductible and coinsurance. We welcome payments through direct contracting (employer sponsored plans), FLEX plans or HSA accounts. Global Cash payment plans are available after evaluation. We also accept most credit cards and offer financing through Care Credit and other vendors.
Hidradenitis suppurativa can’t be cured, but treatments can reduce flare-ups and bring life-changing relief. Contact us to schedule a consultation at Atlantic Surgical Associates at our West Long Branch, NJ office. We invite patients from surrounding areas in Monmouth, Ocean, and Essex counties.