Hidradenitis Surgical Specialists

Hidradenitis Suppurativa (HS), also known as acne inversa, is a dermatological disorder characterized by inflammation, disruptions in the natural wound healing process, and recurrent infections that can significantly impair daily functioning.

We know that living with HS is a daily struggle and our team of specialists is dedicated to providing comprehensive support throughout this journey. Our top priority is your health and well-being, and we are always available to discuss your individual needs and treatment options. If you or a loved one has been diagnosed with Hidradenitis Suppurativa and is seeking medical attention, we are here to assist.

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How the Surgery Works

Dr. Max Pekarev

Board-certified plastic surgeon

Credentials

  • Board Certified Plastic Surgeon.
  • Plastic surgery fellowship at the University of Massachusetts Medical School.
  • General surgery residency at Drexel University College of Medicine.
  • Medical degree at the University of Medicine and Dentistry of New Jersey in Newark.
  • Princeton University undergraduate.
  • 4-Time All-American athlete.
  • Won the NCAA Saber Fencing Championship in 1996.

Hospital Affiliations

  • Texas Health Harris Methodist Fort Worth.
  • Texas Health Harris Methodist HEB.
  • Texas Health Harris Methodist Southwest.
  • Medical City of Fort Worth.
  • Kirby Plastic Surgery Center.
  • Plaza Day Surgery Center.

What are the Signs and Symptoms of HS?

If you have this skin disease, you may notice breakouts on your skin that look like pimples or boils. The following picture show how HS develops and how it can worsen without treatment:

3 Stages of Hidradenitis Suppurativa

1

Single or multiple abscesses without tunneling or scaring

2

Recurrent abscesses with tunnel formation separated by normal skin

3

Numerous abscesses across a large area with no normal skin separation

Patients with Stage 2 and 3 Hidradenitis Suppurativa (HS) require thorough evaluation and surgical treatment consideration due to the severity of their infection.

Early symptom detection can significantly impact treatment outcomes by addressing issues when they are more manageable.

When is surgery a viable option to consider?

Surgery for Severe Hidradenitis Suppurativa (HS):

Surgery for Severe Hidradenitis Suppurativa (HS):

  • Considered when other treatments fail or are ineffective.
  • Crucial for managing pain, preventing complications, and improving quality of life.
  • Especially necessary for draining abscesses and fistulas in advanced HS cases.
Surgical options:

Surgical options:

  • Excision followed by skin reconstruction for extensive scarring and skin deformities.
  • Eligibility for surgery depends on individual’s overall health and ability to undergo the procedure, assessed through medical evaluation.

When is surgery a viable option to consider?

Surgery for Severe Hidradenitis Suppurativa (HS):

Surgery for Severe Hidradenitis Suppurativa (HS):

  • Considered when other treatments fail or are ineffective.
  • Crucial for managing pain, preventing complications, and improving quality of life.
  • Especially necessary for draining abscesses and fistulas in advanced HS cases.
Surgical options:

Surgical options:

  • Excision followed by skin reconstruction for extensive scarring and skin deformities.
  • Eligibility for surgery depends on individual’s overall health and ability to undergo the procedure, assessed through medical evaluation.

What Sets Our Practice Apart?

Distinguished Expertise in Hidradenitis Suppurativa (HS)

Distinguished Expertise in Hidradenitis Suppurativa (HS)

  • Our medical professionals have extensive knowledge and unparalleled expertise in Hidradenitis Suppurativa.
  • Exceptional success rates in numerous surgical procedures.
Dedicated Physicians and Compassionate Nursing Team

Dedicated Physicians and Compassionate Nursing Team

  • Healthcare practitioners prioritize patient’s best interests.
  • Surgeons known for friendly and approachable demeanor.
  • Genuine bedside manner.
Patient-Centric Approach

Patient-Centric Approach

  • Consultations within a week, surgeries within two weeks.
  • Commitment to delivering consistent, superior care.
  • Multiple accessible locations and live phone support for utmost convenience and care.
Meticulous Case Assessment

Meticulous Case Assessment

  • Each case undergoes meticulous evaluation for the most appropriate treatment strategy.
  • Personalized treatment plans tailored to unique medical requirements.
Establish Collaborative Relationships

Establish Collaborative Relationships

Close relationships with wound centers, dermatologists and physicians in the Dallas Fort-Worth area.
Committed Support Staff

Committed Support Staff

  • Exceptionally friendly and dedicated support staff.
  • Our experienced billing staff will assist you with insurance providers and financial concerns.
  • Accepts and bills all insurance plans.

What Sets Our Practice Apart?

Distinguished Expertise in Hidradenitis Suppurativa (HS)

Distinguished Expertise in Hidradenitis Suppurativa (HS)

  • Our medical professionals have extensive knowledge and unparalleled expertise in Hidradenitis Suppurativa.
  • Exceptional success rates in numerous surgical procedures.
Meticulous Case Assessment

Meticulous Case Assessment

  • Each case undergoes meticulous evaluation for the most appropriate treatment strategy.
  • Personalized treatment plans tailored to unique medical requirements.
Dedicated Physicians and Compassionate Nursing Team

Dedicated Physicians and Compassionate Nursing Team

  • Healthcare practitioners prioritize patient’s best interests.
  • Surgeons known for friendly and approachable demeanor.
  • Genuine bedside manner.
Establish Collaborative Relationships

Establish Collaborative Relationships

Close relationships with wound centers, dermatologists and physicians in the Dallas Fort-Worth area.
Patient-Centric Approach

Patient-Centric Approach

  • Consultations within a week, surgeries within two weeks.
  • Commitment to delivering consistent, superior care.
  • Multiple accessible locations and live phone support for utmost convenience and care.
Committed Support Staff

Committed Support Staff

  • Exceptionally friendly and dedicated support staff.
  • Our experienced billing staff will assist you with insurance providers and financial concerns.
  • Accepts and bills all insurance plans.

Patient Stories

Alexis’s Story

Janet’s Story

Uneka’s Story

What they say about us

‟Overall I am happy with the experience. As soon as I called, I was in the office the next day. Felt I was well informed and had a good reality of the location to start and the plan moving forward”.

- Brooke D.

‟I am beyond grateful to have found Dr. Max. I am overwhelmingly grateful to have found a doctor that knew what it was and could help me. I am 100% so glad I went through the surgery and I wish I would have done it sooner. It was the best thing for me”.

- James C.

‟The surgery and recovery went a lot smoother than I thought it would be. Healed very quickly. Less intimidating than expected”.

- DESTINY B.

‟My life afterward was 100% better. I did not realize how bad it was holding me down. I am more active, feeling better, and more confident. My activity level increased profusely so I am able to do so much more”

- Janet P.