Hidradenitis Suppurativa (HS) is a chronic skin condition that causes painful abscesses, tunneling wounds, and scarring, often in areas where skin rubs together. While medical treatments such as antibiotics, biologics, and surgery play a crucial role in managing HS, proper skincare can also help reduce irritation, prevent infections, and promote healing. Since HS-prone skin is often sensitive and inflamed, following a gentle and consistent skincare routine can make a significant difference in symptom management and overall skin health.
People with HS often struggle with friction, excessive sweating, and bacterial overgrowth, which can contribute to flare-ups. Choosing the right cleansers, moisturizers, and protective products can help keep the skin barrier strong and minimize irritation. Additionally, avoiding harsh scrubs, fragrances, and occlusive products is essential to prevent further inflammation. Since every individual’s HS is different, finding a personalized skincare routine that works for you is key.
Beyond basic hygiene, lifestyle factors such as clothing choices, stress management, and diet can also impact HS symptoms. Wearing breathable fabrics, using anti-chafing products, and incorporating anti-inflammatory skincare ingredients can help soothe the skin and reduce the likelihood of breakouts. Furthermore, paying attention to wound care and scar treatment can support the healing process and reduce long-term skin damage.
In this article, we will explore essential skincare tips for people with HS, including the best cleansing methods, moisturizers, protective products, and lifestyle adjustments. By following these tips, individuals with HS can create a skincare routine that supports healing, prevents irritation, and enhances overall comfort. While skincare alone cannot cure HS, it can be a valuable tool in managing symptoms and improving quality of life.
Best Methods for Cleaning and Washing the Skin with HS
Proper skin hygiene is essential for managing Hidradenitis Suppurativa (HS) and reducing the risk of infections, irritation, and flare-ups. Since HS-prone skin is often sensitive and inflamed, a gentle and consistent cleansing routine can help maintain skin health while preventing excessive dryness or irritation. Below are the best methods for cleaning and washing the skin when you have HS.
1. Use a Mild, Fragrance-Free Cleanser
- Choose a gentle, non-irritating cleanser to avoid further aggravating the skin.
- Look for fragrance-free, sulfate-free, and hypoallergenic options.
- Avoid harsh soaps, scrubs, and exfoliants that can strip the skin of natural oils.
Recommended cleansers:
✔ Micellar water for sensitive skin.
✔ Gentle antibacterial washes (like benzoyl peroxide 4-10%).
✔ Aloe-based or oat-based cleansers for soothing effects.
2. Wash with Lukewarm Water (Not Hot)
- Hot water can dry out and irritate the skin, worsening HS symptoms.
- Lukewarm water is best for gently cleansing without stripping moisture.
- Avoid long showers—5 to 10 minutes is ideal to prevent excessive skin drying.
3. Use Your Hands or a Soft Cloth (No Scrubbing!)
- Harsh scrubbing can worsen irritation and inflammation.
- Instead of using loofahs or rough washcloths, gently apply cleanser with your hands.
- If needed, use a soft, antibacterial washcloth, but do not rub vigorously.
4. Try Medicated Cleansers or Antiseptic Washes
- Some medicated washes can help control bacteria and reduce flare-ups.
- Benzoyl peroxide (4-10%) can help reduce bacteria but may be drying.
- Chlorhexidine (Hibiclens) can be used as a bacterial-reducing antiseptic wash (use sparingly).
- Tea tree oil cleansers (diluted) may offer natural antibacterial benefits.
5. Pat Skin Dry with a Clean, Soft Towel
- Do not rub your skin dry, as this can cause irritation and worsen inflammation.
- Use a soft, clean towel and gently pat affected areas.
- Consider using disposable paper towels to avoid bacterial buildup from reusable towels.
6. Moisturize Immediately After Washing
- Hydrating the skin after washing helps prevent dryness and irritation.
- Use a fragrance-free, non-comedogenic moisturizer that won’t clog pores.
- Zinc-based creams, aloe vera gel, or barrier creams can help soothe and protect HS-prone areas.
7. Keep Skin Dry in Friction-Prone Areas
- If you experience excessive sweating, consider applying a moisture-wicking powder (like cornstarch or zinc-based powders) to fold areas (armpits, groin, under breasts).
- Avoid talc-based powders, as they may cause irritation.
8. Wash Affected Areas Twice Daily
- Cleanse morning and night to remove sweat, bacteria, and debris.
- If sweating or irritation occurs, consider rinsing mid-day without over-washing.
Best Moisturizers and Skincare Products for HS
Proper moisturization and skincare are essential for managing Hidradenitis Suppurativa (HS). The right moisturizers and skincare products can help reduce friction, soothe inflammation, and protect sensitive skin, while the wrong ones may cause irritation or worsen flare-ups. Below are some HS-friendly skincare products to consider.
1. Moisturizers for HS
Keeping the skin hydrated helps prevent excessive dryness, irritation, and chafing. The best moisturizers for HS are fragrance-free, non-comedogenic, and gentle on sensitive skin.
Recommended Moisturizers:
✔ Ceramide-based creams (e.g., CeraVe Moisturizing Cream, Vanicream) – Strengthen the skin barrier and lock in moisture.
✔ Aloe vera gel – Soothes irritated skin and reduces inflammation.
✔ Zinc-based creams (e.g., Desitin, Balmex, or diaper rash creams) – Provide a protective barrier against friction.
✔ Shea butter or coconut oil – Offers deep hydration but should be used sparingly to avoid clogging pores.
✔ Hyaluronic acid-based lotions – Hydrate without feeling greasy.
Moisturizers to Avoid:
✖ Fragrance-heavy lotions – Can cause irritation.
✖ Heavy occlusive creams like petroleum jelly – May trap sweat and bacteria.
✖ Alcohol-based lotions – Can dry out and irritate HS-prone skin.
2. Barrier Creams to Reduce Friction & Irritation
Barrier creams help protect high-friction areas such as the inner thighs, underarms, and under the breasts from irritation and chafing.
✔ Zinc oxide creams (e.g., Desitin, Balmex) – Help prevent irritation and protect against excessive moisture.
✔ Lanolin-based creams (e.g., Aquaphor, Lansinoh) – Reduce friction while locking in moisture.
✔ Silicone-based gels (e.g., Body Glide Anti-Chafe Balm) – Create a protective layer on the skin, reducing rubbing and irritation.
3. Antiseptic and Medicated Skincare Products
Antiseptic products help keep bacteria under control, reducing the risk of infection and flare-ups.
✔ Benzoyl peroxide wash (4-10%) – Reduces bacteria and clogged pores.
✔ Chlorhexidine wash (Hibiclens) – A strong antibacterial wash (use sparingly).
✔ Tea tree oil (diluted in a carrier oil) – Has natural antibacterial properties.
✔ Salicylic acid cleansers – Help with mild exfoliation and prevent follicle blockages.
⚠ Caution: Medicated washes can dry out the skin, so it’s important to moisturize after use.
4. Powders to Absorb Sweat & Reduce Moisture
Since excess moisture can worsen HS, powders help keep the skin dry in high-friction areas.
✔ Cornstarch-based powders – Absorb sweat without irritating the skin.
✔ Zinc oxide powders – Help protect the skin while keeping it dry.
✔ Arrowroot powder – A natural alternative to talc-based powders.
⚠ Avoid talcum powders, as they may irritate sensitive skin and clog pores.
5. Wound Care & Healing Products
If you experience open wounds, abscesses, or draining lesions, using proper wound care products can prevent infection and promote healing.
✔ Hydrocolloid bandages – Help keep wounds moist and promote healing.
✔ Antibiotic ointments (e.g., Bacitracin, Polysporin) – Help prevent infections.
✔ Manuka honey-based creams – Have natural antibacterial properties to aid in healing.
✔ Hypoallergenic adhesive bandages – Protect wounds without causing skin irritation.
Lifestyle Changes to Complement a Good Skincare Routine for HS
In addition to proper skincare, making lifestyle adjustments can help reduce flare-ups, minimize discomfort, and improve overall well-being for those with Hidradenitis Suppurativa (HS). Since HS is a chronic inflammatory condition, incorporating healthy habits can support skin health and help manage symptoms effectively.
1. Wear Loose, Breathable Clothing
✔ Choose soft, moisture-wicking fabrics like cotton or bamboo to reduce friction and irritation.
✔ Avoid tight clothing and synthetic materials that trap sweat and cause chafing.
✔ Wear seamless or tagless garments to prevent rubbing against sensitive skin.
✔ Consider anti-chafing shorts or bandages in friction-prone areas like the thighs or underarms.
2. Maintain a Healthy, Anti-Inflammatory Diet
✔ Eat foods that reduce inflammation, such as leafy greens, berries, fatty fish, nuts, and turmeric.
✔ Limit or avoid dairy, processed sugars, refined carbohydrates, and fried foods, which may trigger flare-ups.
✔ Stay hydrated by drinking plenty of water to support skin healing and reduce dryness.
✔ Some individuals find benefits from gluten-free or dairy-free diets, but personal food triggers vary.
3. Manage Stress Levels
✔ Chronic stress can exacerbate inflammation and worsen HS symptoms.
✔ Practice stress-reducing activities, such as meditation, yoga, or deep breathing exercises.
✔ Prioritize quality sleep to allow your body to recover and heal properly.
✔ Engage in hobbies or self-care activities that promote relaxation and mental well-being.
4. Stop Smoking and Reduce Alcohol Intake
✔ Smoking is linked to more severe HS symptoms, as it increases inflammation and disrupts immune function.
✔ Reducing or quitting smoking and vaping may lead to fewer flare-ups over time.
✔ Excessive alcohol consumption can also contribute to inflammation and weaken immune response.
5. Keep Sweat and Moisture Under Control
✔ Excess sweating can worsen HS, so try to stay cool and dry throughout the day.
✔ Use moisture-absorbing powders (e.g., cornstarch-based or zinc-based) in sweat-prone areas.
✔ Carry gentle, fragrance-free wipes to freshen up if sweating occurs.
✔ Consider using an anti-chafing balm to reduce friction.
6. Engage in Gentle, Low-Impact Exercise
✔ Exercise can help reduce stress and inflammation, but high-friction activities (e.g., running, weightlifting) may trigger symptoms.
✔ Opt for low-impact exercises like walking, swimming, cycling, or yoga to stay active without irritating HS-prone areas.
✔ If exercising causes sweating, shower or cleanse affected areas afterward to prevent flare-ups.
7. Track Symptoms to Identify Personal Triggers
✔ Keep a symptom journal to log flare-ups, diet, stress levels, and skincare routines.
✔ Identify patterns between flare-ups and lifestyle factors (e.g., specific foods, tight clothing, menstrual cycles, or environmental changes).
✔ Adjust daily habits based on your personal HS triggers.
8. Seek Support and Stay Educated
✔ Connect with others who have HS through support groups, forums, or online communities.
✔ Stay informed about new treatment options and skincare innovations for HS.
✔ Talk to a dermatologist or specialist about personalized care strategies.
Final Thoughts
Managing HS requires a holistic approach that includes skincare, lifestyle changes, and medical treatment. By making adjustments such as wearing breathable clothing, eating an anti-inflammatory diet, managing stress, and reducing friction, individuals with HS can support their skin health and reduce flare-ups. Finding a routine that works for your body takes time, but small changes can lead to big improvements in comfort and quality of life.