Does laser therapy help HS?

Why This Happens

Laser therapy works in HS through several mechanisms: hair follicle destruction (reducing the source of follicular occlusion), tissue ablation of sinus tracts, and anti-inflammatory effects from specific wavelengths. Different laser types target different aspects of HS pathology.

What Research and Dermatology Guidance Say

Multiple studies have demonstrated that Nd:YAG laser (1064 nm) reduces HS lesion counts and improves quality of life scores. CO2 laser is used for surgical deroofing of sinus tracts. Low-level laser therapy (LLLT) is being investigated for its anti-inflammatory effects. Evidence quality varies, and laser therapy is not universally available or covered by insurance.

Practical Considerations

Laser therapy for HS is typically performed by dermatologists or plastic surgeons with specific expertise. Multiple sessions are usually required. Our biohacking and emerging therapies section covers laser therapy options in detail, including low-level laser therapy and red light therapy.

Learn More on War Against HS

Key Takeaways

• Nd:YAG and CO2 lasers have clinical evidence supporting their use in HS.
• Laser therapy reduces lesion counts and improves quality of life for some HS patients.
• Multiple sessions are typically required for meaningful benefit.
• Laser therapy is most effective as an adjunct to medical management.
• Availability and insurance coverage for laser therapy vary significantly.