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Black woman with hidradenitis suppurativa (HS) receiving laser hair removal treatment

Hair Removal with Hidradenitis Suppurativa (HS)

Hidradenitis suppurativa (HS) can make hair removal a real challenge. Those painful bumps and abscesses often pop up in areas where we tend to remove hair, like the armpits, groin, and bikini line. But fear not! There are ways to manage hair removal with HS and minimize those dreaded flare-ups.

Why is Hair Removal Tricky with HS?

HS starts with blocked hair follicles. When a hair follicle gets clogged, it can become inflamed and lead to those painful bumps and tunnels under the skin. Hair removal can sometimes irritate the skin and worsen HS, especially if it’s done incorrectly or during a flare-up.

Hair Removal Methods: The Pros and Cons

Shaving

  • Pros: Quick, easy, and inexpensive.
  • Cons: Can cause irritation, ingrown hairs, and razor burn, which can trigger HS flare-ups. 
  • Tips: Use a sharp razor, shave in the direction of hair growth, and moisturize afterward. Avoid shaving during a flare-up. Consider trimming hairs instead of shaving.

Waxing

  • Pros: Longer-lasting results than shaving.
  • Cons: Can be painful and cause ingrown hairs and irritation, potentially worsening HS. 
  • Tips: Choose a reputable salon with experienced estheticians. Avoid waxing during a flare-up.

Depilatory Creams

  • Pros: Painless and relatively inexpensive.  
  • Cons: Chemicals in these creams can irritate sensitive skin and trigger HS flare-ups.
  • Tips: Do a patch test before using a new cream. Avoid using creams during a flare-up.

Laser Hair Removal

  • Pros: Can permanently reduce hair growth, potentially reducing HS flare-ups in the long term.
  • Cons: Can be expensive and may not be effective for all skin and hair types. 
  • Tips: Consult a dermatologist or qualified laser technician to discuss if laser hair removal is right for you.

Electrolysis

  • Pros: Can permanently remove individual hairs.
  • Cons: Can be time-consuming and expensive.
  • Tips: Choose a qualified electrologist with experience treating HS.

General Tips for Hair Removal with HS

  • Talk to your dermatologist: Discuss the best hair removal options for you based on your individual needs and the severity of your HS.
  • Avoid hair removal during flare-ups: Wait until your skin is clear and healed before removing hair.  
  • Be gentle: Avoid harsh scrubbing or pulling on the skin.  
  • Moisturize: Keep your skin hydrated to reduce irritation. 
  • Wear loose-fitting clothing: Avoid tight clothing that can rub against the skin and irritate hair follicles.

The Bottom Line

Finding the right hair removal method with HS can be a process of trial and error. Work closely with your dermatologist to find what works best for you and prioritize gentle, skin-friendly techniques to minimize flare-ups and keep your skin healthy.

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