Hello, emorrell! This is such a frustrating disease, isn't it? Long term, it seems like we have better luck with the biologics, laser treatments, and spot surgeries with the extra stubborn areas. It seems like we have to hit HS with a really wave of treatments sometimes and antibiotics just don't do anything, at least with what I have had to do. Fingers crossed that you can come up with a new plan. ~Chelsea (Team Member)