Recurring painful bumps in your underarms, groin, or under the breasts may seem like acne – but they could be hidradenitis suppurativa (HS), a chronic, often misunderstood skin condition. HS affects up to four percent of people in the U.S., yet it’s frequently misdiagnosed or dismissed. What can those impacted do to heal and prevent these bumps? What are the misconceptions about HS? And how can patients advocate for themselves? We spoke with Vivian Shi, MD, a board-certified dermatologist, about the early warning signs of HS, treatment options ranging from topical therapies to biologics and surgery, and debunked myths linking HS to poor hygiene. We also hear from Ebone Colbert, who shares her 15-year journey with HS, from symptoms to diagnosis, and why support and the right care team matter.