Ann Dermatol.  2003 Dec;15(4):139-143. 10.5021/ad.2003.15.4.139.

Treatment of Axillary Hyperhidrosis; Manual Subdermal Excision Combined with the Tumescent Liposuction and Subcutaneous Tissue Shaver

• Young MY
• Yu DS

• KMID: 2171841
• DOI: http://doi.org/10.5021/ad.2003.15.4.139

Abstract

BACKGROUND
Axillary osmidrosis is a distressing problem characterized by unpleasant odor, profuse sweating, and occasional wetting of clothes that may handicap those affected both socially and psychologically. A variety of surgical methods have been developed for the treatment of axillary osmidrosis. OBJECTIVE: To introduce the manual subdermal excision combined with the tumescent liposuction and subcutaneous tissue shaver for axillary osmidrosis. METHODS: Twenty-five patients with axillary osmidrosis were treated by the manual subdermal excision combined with the tumescent liposuction and subcutaneous tissue shaver. RESULTS: Twenty-one(84%) patients had good results, four(16%) fair, and none had a poor result or recurrence. Complications included one case of hematoma, two cases of partial skin necrosis. The wound complication rate was 6.0%(3/50) for the axilla and 12%(3/25) for patients. CONCLUSION: The manual subdermal excision combined with the tumescent liposuction and subcutaneous tissue shaver is effective surgical procedure for the treatment of axillary osmidrosis with a low complication rate and recurrence.

Keyword

Axillary osmidrosis; Manual subdermal excision; Tumescent liposuction; Subcutaneous tissue shaver

MeSH Terms

Axilla
Hematoma
Humans
Hyperhidrosis*
Lipectomy*
Necrosis
Odors
Recurrence
Skin
Subcutaneous Tissue*
Sweat
Sweating
Wounds and Injuries