Effective and multidisciplinary treatment for HS

HS (hidradenitis suppurativa) is a chronic, inflammatory skin condition that typically appears as painful lumps, abscesses and fistulas in hair follicles near the underarms, groin and buttocks, for example. The severity of the condition varies, and it can significantly reduce quality of life due to pain and recurrent infections.

Treatment of HS often requires a multidisciplinary approach and long-term collaboration with the patient. At the Skin Hospital, we offer a wide range of effective treatments from medicines to surgery and laser techniques and a knowledgeable, experienced care team committed to providing each patient with a personalised and holistic clinical pathway.

Treatments for HS at the Skin Hospital

Surgical treatment (under general or local anaesthetic)

Surgical treatment may be necessary, especially if the areas of inflammation are extensive or repeatedly inflamed. The procedure involves removing diseased skin tissue under local or general anaesthetic, depending on the extent of the inflammation and the patient’s condition. The aim is to reduce the formation of new abscesses and improve quality of life in a more permanent way. Surgical treatment may also include reconstructive procedures to improve the aesthetic and functional outcome.

CO2 laser deroofing

CO2 laser deroofing is a precise and tissue-sparing procedure that opens up fistula passages that have formed under the skin. Laser treatment reduces inflammation, speeds up healing and can significantly improve patients’ quality of life. The procedure is performed under local anaesthetic and is particularly suitable for recurring, chronic abscesses.

Laser hair removal

Laser hair removal can be used to reduce hair in areas typically affected by HS, such as the underarms and groin. This can reduce the risk of inflammation of the sweat glands and hair follicles and thus prevent the formation of new abscesses. The treatment helps to prevent further inflammation and maintains better skin condition in asymptomatic areas. It is therefore a preventive support measure best suited to mild or moderate HS.

Botulinum injections to control sweat gland activity

Botulinum toxin can be injected under the skin in areas where hyperhidrosis is aggravating the symptoms. Reducing sweat gland activity can help to control recurring inflammation and relieve pain and discomfort associated with sweating. The effect of the treatment is temporary, but lasts for several months and can be repeated if necessary.

Systemic medicines and topical medication

Drug treatment for HS is planned on an individual basis. Topical medication, such as antibiotic ointments, can relieve mild infections. In moderate to severe HS, oral antibiotics, hormonal drugs or biological drugs that affect the immune system are often used. Drug treatment is an important part of the overall treatment and aims to prevent disease progression and reduce inflammation.

HS care team: expertise and personalised care

	Timo Ruohoalho, specialist in dermatology and allergology Timo treats HS patients holistically. He performs CO2 laser deroofing, prescribes oral and topical medications (including biological treatments) and uses botulinum to relieve symptoms when necessary. Timo also specialises in surgery and wound care, and his aim is to provide each patient with individualised and timely treatment. Book a time >
	Mari Grönroos, specialist in dermatology Mari is very experienced in the treatment of HS and has performed deroofing treatments, among others, for hundreds of HS patients. She also uses botulinum to control symptoms. Mari is a medical specialist with over 20 years of experience in laser procedures. In addition to the effectiveness of the treatment, she always focuses on an aesthetically pleasing result. Book a time >
	John Gästgifvars, plastic surgery specialist John removes abscesses and fistulas in the HS areas and also performs necessary reconstructive procedures, either under general or local anaesthetic. He is always calm, creates a feeling of trust and makes sure that the patient feels safe throughout the treatment process. John also specialises in the surgical treatment of severe scars and burns. Book a time >
	Andrew Lindford, plastic surgery specialist Andrew treats HS surgically by performing abscess and fistula removals and skin reconstructions. Andrew is an experienced and internationally trained surgeon who has worked in various countries, including New Zealand and Scotland. His diverse background and calm demeanour bring confidence and deep expertise to the treatment. Book a time >
	Kristiina Hintsanen, specialist in dermatology and allergology Kristiina treats HS with oral and topical medications. She is an efficient, clear and approachable doctor who focuses on good patient interaction. Her aim is to find the right, individualised treatment solution for each patient. Book a time >
	Liisa-Lotta Kiiski, specialist in dermatology and allergology Liisa-Lotta uses oral and topical medications to treat HS. She is a cheerful and well-liked doctor who emphasises the importance of trust and clear communication in a successful patient care relationship. Her approach is straightforward, professional and listening. Book a time >
	Tuire Hakala, practical nurse Tuire performs laser hair removal as a supportive treatment for HS. She is an experienced and meticulous professional with a long history of working in dermatology and plastic surgery. Tuire treats each client empathetically and individually, ensuring a safe and pleasant treatment experience. Book a time >