Laser Therapy for Hidradenitis Suppurativa: A Promising Treatment Option

As we strive to improve the lives of individuals living with Hidradenitis Suppurativa (HS) through awareness and education, we are dedicated to exploring and sharing the latest advancements in Dermatology and HS treatment options. In recent years, laser therapy has garnered increasing attention as a state-of-the-art, non-invasive treatment with potential benefits for addressing HS symptoms and enhancing the quality of life for those impacted by this chronic inflammatory skin condition. As advocates for HS patients and authorities in dermatology, we feel accountable for shedding light on the potential of laser therapy and offering guidance on what to anticipate from this innovative treatment approach.

Laser therapy works by emitting focused light energy to target and destroy the hair follicles and sebaceous glands that contribute to the formation of painful lesions and abscesses in individuals with HS. In doing so, it offers the possibility of reducing the severity and frequency of HS flare-ups, potentially promoting long-term remission and relief for patients who may not have experienced significant improvement with other treatment options.

In this article, we will delve into the particulars of laser therapy for the treatment of Hidradenitis Suppurativa, discussing its mechanisms, benefits, and potential risks. Besides, we will explore the factors that may determine if laser therapy is the right option for HS patients and provide insights on what to expect during the treatment process. Our goal is to empower HS patients and their support networks with the knowledge and information needed to make informed decisions regarding their treatment options, ultimately guiding them toward a more optimistic journey toward symptom management and overall well-being.


The Science Behind Laser Therapy for HS

laser therapy for hs
Laser therapy for hidradenitis suppurativa: a promising treatment option

1. The Mechanism of Action

Laser therapy directs concentrated light energy at specific wavelengths to targeted areas of the skin affected by HS. This light energy creates heat, which selectively destroys the hair follicles and sebaceous glands responsible for HS symptoms while leaving the surrounding tissue unharmed. Over time, this process may reduce the likelihood of future flare-ups and promote symptom relief.

2. Types of Lasers Used for HS

Several types of lasers have been studied in the treatment of HS, including the Nd:YAG laser (Neodymium-doped Yttrium Aluminum Garnet) and the CO2 laser (Carbon Dioxide). These lasers differ in their wavelengths, which influences their depth of penetration and their ability to target specific structures within the skin.

The Benefits of Laser Therapy for HS Patients

a medical professional wearing a mask and gloves examines a patient in a white room, preparing for laser therapy for hs.
Laser therapy for hidradenitis suppurativa: a promising treatment option

1. Reduced Flare-Ups and Symptom Severity

Laser therapy has shown promising results in clinical trials, with many HS patients experiencing a reduction in the frequency and severity of their symptoms following treatment. This can lead to an improved quality of life, reduced pain, and increased self-confidence.

2. Minimally Invasive and Non-Surgical

One of the key advantages of laser therapy for HS is that it is non-surgical and minimally invasive, making it a suitable option for those who wish to avoid more invasive procedures, such as excision or skin grafts. Moreover, laser therapy generally involves shorter recovery periods and less risk of complications compared to surgical treatments.

3. Fewer Side Effects

Laser therapy is considered a safer alternative for managing Hidradenitis Suppurativa, especially when compared to antibiotics or biologics. It generally comes with fewer systemic side effects, effectively treating the condition while minimizing the risk of adverse reactions.

Potential Risks and Side Effects

1. Temporary Side Effects

As with any medical procedure, there may be some temporary side effects associated with laser therapy, such as redness, swelling, or minor discomfort at the treatment site. However, most side effects are mild and typically resolve within a few days.

2. Not a Guarantee of Complete Remission

While laser therapy has shown promise in providing relief for many HS patients, it is essential to note that the results may vary from person to person and may not lead to complete symptom remission for everyone.

3. Fistulas

HS can cause abnormal tunnels to form under the skin, connecting abscesses to the surface or to each other, leading to persistent drainage and infection.

Is Laser Therapy Right for You?

a medical professional is performing an ultrasound examination on a patient lying down, using a monitor and specialized equipment in a white clinical room, while discussing the potential benefits of laser therapy for hs.
Laser therapy for hidradenitis suppurativa: a promising treatment option

Consultation With a Dermatologist

If you are considering laser therapy as a treatment option for your HS, it is essential to consult with a dermatologist who has experience in treating this condition. The dermatologist will assess the stage and severity of your HS, discuss your medical history, and consider any other treatments you have tried to ascertain whether laser therapy is an appropriate option for you.

Other Factors to Consider

Ultimately, the decision to pursue laser therapy for HS will depend on several factors. Take the time to weigh the potential benefits and risks of this treatment option and discuss your concerns and expectations with your dermatologist before making a decision.

You May not be a Candidate.

Laser therapy might be a good option for some patients with mild or moderate HS, mostly stages one and two. For patients with severe HS, the therapy might be painful due to the extent of their skin symptoms. Besides, its not recommended to do laser treatment in areas with open wounds.


HS is considered a systemic condition, impacting the body as a whole. Therefore, even if HS symptoms improve through laser hair treatment, there’s still a chance that symptoms could reappear in different areas.

The Process Takes Time

Laser therapy for HS is not one-and-done. To ensure you get all the hair, you will need several sessions, often six or more. Remember, it takes six weeks in between each session. Even after all that, you may take time to see improvements in HS flares.

Its Expensive

Keep in mind that laser hair removal can be quite costly, and it’s typically an out-of-pocket expense. Even when used for treating HS, it’s mostly classified as a cosmetic procedure, meaning it’s not covered by insurance. Many private insurers include HS as an approved reason for laser hair removal coverage. This presents a significant challenge for many individuals, especially given the average cost of the procedure, which typically cost CAD 3,000 upwards for 6 to 10 sessions.

Does laser help hidradenitis suppurativa?

Laser Therapy for Hidradenitis Suppurativa has proven to be a beneficial treatment option for many individuals across the country. Through our observations at the Hidradenitis Suppurativa Foundation, we have noted a substantial decrease in the occurrence of painful nodules and abscesses characteristic of HS due to this treatment. By targeting the hair follicles where HS commonly begins, the laser works to prevent blockages that may escalate into severe lesions. It is worth noting that while many patients experience fewer flare-ups, individual results can vary based on factors such as skin type, hair color, and HS severity.

Most patients have shared their post-treatment experience, expressing relief from longer intervals between flare-ups and a significant reduction in pain. These stories highlight the potential of laser therapy as a part of an individual’s comprehensive treatment plan.

 Does Insurance Cover Laser Therapy for HS?

Navigating insurance coverage for laser therapy can be quite challenging, as it often depends on the specific policy and the perceived medical necessity of the treatment. At the Hidradenitis Suppurativa Foundation, we have encountered cases where laser therapy was deemed medically necessary and covered by insurance, especially when other treatments have proven ineffective. However, there are also numerous instances where coverage is denied.

We recommend working with your healthcare provider to thoroughly document your history with Hidradenitis Suppurativa (HS) and the treatments you have tried. This documentation can significantly strengthen your case for insurance coverage. Additionally, we advise reaching out directly to your insurance company to obtain the most accurate information about your policy. It’s important to advocate for yourself as insurance coverage policies can evolve, especially with the increasing recognition of emerging treatments.

The Promise of Laser Therapy for HS Patients

Laser therapy for Hidradenitis Suppurativa offers a promising treatment option for those who are seeking relief from their symptoms and an improved quality of life. By understanding the science behind this innovative approach, exploring the potential benefits and risks, and consulting with a knowledgeable dermatologist, HS patients can make informed decisions about their treatment options and embrace a more optimistic outlook on their journey toward better health and well-being. Learn more by getting in touch with the Canadian Hidradenitis Suppurativa Foundation today.