Application: Recommended at bedtime. Apply with fingertip evenly over the entire affected area and massage twice a day until it is totally absorbed. Wash or shower with warm to hot water in the morning. The length of time from when you start using Dermalean HC cream until you see results varies with each person. While some people see changes as soon as 15 days, it may take others longer or sooner to see a difference. Caution for optimum results: Flare-ups may be triggered by fragrance, dairy products, perspiration, hormonal changes (such as monthly cycles in women), humidity and heat, and friction from synthetic clothing. Do not use fragranced antiperspirant, avoid smoking and tight clothing. Lifestyle modification is imperative if you want to get rid of Hidradenitis Suppurativa or any o.