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Hidradenitis suppurativa is a chronic, inflammatory skin condition that can be physically painful and emotionally exhausting. It often presents as recurrent, tender nodules or abscesses in areas such as the underarms, groin, buttocks, or under the breasts. Because symptoms may flare unpredictably and evolve, many patients feel frustrated, misunderstood, or uncertain about how to manage their condition long term.
At NEO Dermatology, led by board-certified dermatologist Dr. Meredith Reimer, we recognize that hidradenitis suppurativa does not follow a single pattern. Severity, flare frequency, and areas involved vary widely from person to person. Some patients experience mild but persistent lesions, while others face more advanced disease with scarring or sinus tract formation. Our role is not only to diagnose and treat hidradenitis suppurativa, but also to help you understand what is happening in your skin and why a personalized, dermatology-led approach matters.
From a dermatologic perspective, hidradenitis suppurativa is not an infection caused by poor hygiene, nor is it simply “recurrent boils.” It is a disorder of the hair follicle and the surrounding immune response. It begins with follicular blockage, followed by inflammation that can extend deeper into the skin, leading to rupture, abscess formation, and chronic inflammation.
Over time, repeated inflammation may result in scarring, interconnected sinus tracts, and changes to skin architecture. Hidradenitis suppurativa is now understood as a systemic inflammatory condition, often associated with metabolic, hormonal, or immune-related factors. At NEO Dermatology, we believe that topical treatments alone are usually insufficient and long-term management requires a broader dermatologic strategy.
At NEO Dermatology, we approach hidradenitis suppurativa with medical precision and respect for its complexity. Dr. Reimer’s assessment-first philosophy emphasizes understanding disease severity, triggers, and individual experience before recommending treatment options.
We do not rely on one-size-fits-all protocols or rushed decisions. Instead, care is guided by dermatologic evidence, thoughtful evaluation, and open communication. Patients are encouraged to ask questions, understand their condition, and participate actively in their care planning.
NEO Dermatology offers comprehensive medical, surgical, pediatric, and cosmetic dermatology services tailored to each patient’s needs. Every service is guided by accurate diagnosis, evidence-based treatment, and a thoughtful, individualized approach, ensuring care that supports both immediate concerns and long-term skin health.
