This study focuses on using a 1726-nm laser called AviClear for treating a skin condition known as hidradenitis suppurativa (HS). HS is a chronic condition that causes painful lumps and abscesses, especially in areas where skin rubs together. It affects people with Hurley stage I-II HS, where the condition is dominated by issues related to hair follicles rather than more severe symptoms. The study aims to see if using the 1726-nm laser can effectively reduce the formation of new inflamed lumps and abscesses by targeting the hair follicles and sebaceous glands, which may help in managing the symptoms better and complement other treatments like antibiotics or hormonal therapy. Participants in this study will receive treatment using the AviClear laser, which is applied directly to the skin. By delivering controlled heat to the sebaceous glands, the laser aims to reduce their activity without harming surrounding tissues. The effectiveness of this treatment will be evaluated based on its ability to lower the frequency and severity of HS symptoms, such as nodules and abscesses. The study is designed as a randomized, split-body trial, meaning participants will receive the laser treatment on one side of their body while the other side receives a sham treatment for comparison. This approach helps in accurately assessing the laser's effectiveness. The trial also focuses on ensuring that the treatment is safe and well-tolerated by participants.
Inclusion Criteria: * Adults 18-60 years; any sex; Fitzpatrick I-VI. * Clinical HS, Hurley I-II (Investigator confirmed). * At least one inflammatory nodule in a paired, bilateral region (axilla, groin/inguinal, inframammary, inner thigh, or buttock) within 4 weeks prior to baseline. * Able to read/speak English/Chinese/Spanish/Vietnamese and sign consent. * Willing/able to comply with visits, pre/post-care, standardized photography. * Agree to avoid new HS procedures/therapies in study areas through Week 24. * No laser contraindication; agrees to shave/clip hair before treatments. * Optional translational cohort: willing to undergo 4-mm punch biopsy at baseline and Week 16 from the randomized regions (separate consent). Exclusion Criteria: * Hurley III (extensive sinus tracts). * No qualifying nodule(s) in paired bilateral regions in past 4 weeks. * Prior device/procedure to target areas within 3 months (chemical peel, dermabrasion, microneedling/RF, other lasers/LBB, cryo/chemo-destruction) * Had Botulinum toxin in target areas within 3 months or planned during study. * Had systemic retinoid (e.g., isotretinoin) within 3 months. * Photosensitizing meds that, in PI's judgment, materially increase risk and cannot be held. * Pregnancy/breastfeeding/plans to conceive during study. * Active infection, still healing wounds (investigator judgment) in target areas. * History of keloids/hypertrophic scars, radiation to target areas, malignancy in target areas, diagnosed immunodeficiency, uncontrolled coagulation disorder or therapeutic anticoagulation that cannot be safely managed. * Excessive tanning or inability to avoid tanning. * Any condition (medical/mental) or prisoner status that in PI's opinion compromises safety or adherence.
are designated in this study
of being blinded to the placebo group