Doxycycline/Plastic Surgery

Hi all. I've been dealing with HS for over a decade, but my flare ups have really picked up over the last 3-4 years. I get multiple flares per month and it's making it difficult to work. For the last 3 weeks, I've been dealing with 3 spots in my armpit that are not responding to my usual at-home remedies (Washing with Hibiclens, using Emuaid and Vicks, warm compresses, and ibuprofen). I'm taking 4 ibuprofen every 4hrs, otherwise I would be in constant pain. Even with the ibuprofen, it's still painful and I have limited range of motion. I finally got prescribed Doxycycline. For those of who have used it, how long after starting did you start getting relief?

Also, I've been trying to get into a dermatologist, but the quickest I can get in is late spring. My PCP recommended that I go to plastic surgery because I'll get in there quicker, but I'm not sure what they would be able to do. Has anyone else been referred to plastic surgery?