Carbon Dioxide Laser Deroofing for Hidradenitis Suppurativa: Experience from an Asian Cohort.

Cohort studySkin appendage disorders· Jun 2026

Carbon Dioxide Laser Deroofing for Hidradenitis Suppurativa: Experience from an Asian Cohort.

Chen He, Ellie Choi, Nisha Suyien Chandran

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Inflammatory & ImmunodermatologyCohort studyTreatmentQ2IF 1.5

CO2 laser deroofing showed low recurrence in Asian patients with hidradenitis suppurativa.

Carbon Dioxide Laser Deroofing for Hidradenitis Suppurativa: Experience from an Asian Cohort.

Chen He … Nisha Suyien Chandran

Skin appendage disorders · Jun 2026 · Q2 in Dermatology

Background

Hidradenitis suppurativa (hidradenitis suppurativa) is a chronic inflammatory disorder of the pilosebaceous unit associated with recurrent flares, which significantly impair quality of life.

Methods

This retrospective study included patients who underwent clinic-based CO 2 laser deroofing for hidradenitis suppurativa lesions between November 2017 and December 2024 at a single institution.

n = 30 patients

Results

recurrence was rare after treatment

9.3%

Recurrence

23.3%

Minor bleeding

7%

Hypergranulation

4.7%

Infection

More results

The cohort included mainly Chinese (53.3%) and Indian (33.3%) patients.

At surgery, 51.2% had Hurley stage II disease, 25.6% had stage III disease, and 23.3% had stage I disease.

Most patients (95.3%) were concurrently treated with tetracyclines.

The axilla was the most treated site (63%).

“

Conclusion

CO 2 laser deroofing is a simple, effective, and minimally invasive treatment for hidradenitis suppurativa lesions. It offers low recurrence and complication rates and is feasible in an outpatient setting for Asian populations.

Carbon Dioxide Laser Deroofing for Hidradenitis Suppurativa: Experience from an Asian Cohort.

Carbon Dioxide Laser Deroofing for Hidradenitis Suppurativa: Experience from an Asian Cohort.

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