Office surgical management of recalcitrant axillary lesions.

Hidradenitis suppurativa, hyperhidrosis, and Fox-Fordyce disease represent some of the surgical conditions seen by the dermatologist in office practice. These chronic, distressing, socially inhibiting diseases are extremely difficult to treat conservatively and ultimately require surgical intervention. Using local anesthesia, we have successfully managed these disorders on an outpatient basis by surgical excision, achieving excellent cosmetic and functional results, minimal discomfort, and absence of recurrence.