Stop Underarm Odor/ Minimally Invasive Rotating Shaver Bromhidrosis Surgery
What is bromhidrosis?
Bromhidrosis, commonly known as underarm odor, is the unpleasant armpit smells. It does not hamper one's health but it is a resource of extreme embarrassment to the individual and has negative impact on social interaction.
Some people consider axillary hyperhidrosis to be equal to bromhidrosis but they are actually not the same. Bromhidrosis refers to the unpleasant odor arising from secretions of apocrine gland, a type of special sweat gland that can be found in the armpits. The apocrine glands become active in adolescence. The thick, odorless, milky sweat produced by apocrine glands gains its characteristic odor (i.e. underarm odor) upon bacterial decomposition and can cause stains on the clothes.
With the constant innovation in cosmetic medical devices, laser has also been applied to treat underarm odor, such as 1,064 nm Nd:YAG laser therapy. During the laser treatment, the hair-bearing area of the axilla is shaved and the apocrine glands at the target area are destroyed by irradiating laser using a fiber probe via needle puncture sites. With the DCD cooling system integrated in the laser system, injury to the epidermis and hair follicles is minimized to prevent post-inflammatory hyperpigmentation.
Comparison of Rotating Shaver Surgery and Laser Therapy for Bromhidrosis Treatment
Minimally Invasive Rotating Shaver Bromhidrosis Surgery
Minimally Invasive Rotating Shaver Bromhidrosis Surgery is an innovative technique evolved from suction-curettage technique. Orthopedic cartilage shaver has been recently applied in the surgical procedure showing merits of smaller surgical wound, faster recovery and better outcome, thus is becoming more popular. This is particularly favored by young female patients, as the tiny surgical wound is barely noticed when wearing swimsuits or sleeveless tops.
The above is purely a case description, and the actual situation will vary from person to person.
In addition to surgery and laser, botox is an alternative to treat bromhidrosis. Botox that has been applied to treat a wide array of medical conditions works by blocking the release of acetylcholine from nerve cells and acetylcholine is the primary neurotransmitter responsible for sweat secretion. Botox injection blocks the nerve impulses to sweat, resulting in less underarm sweating and subsequent less armpit odor comes from bacterial degradation of sweat.
It usually takes 3-7 days to notice the effects of botox treatment for palmar hyperhidrosis, axillary hyperhidrosis and bromhidrosis. The effect will last for 4-6 months. For patients who suffer from excessive sweat or body odor only during summer time, once per year botox treatment is recommended. Otherwise twice per year botox injection is recommended for those who suffer from the symptoms all year long. Although botox's effect wears off with time, it is an easy and fast treatment option that suits for patients who have great concerns about surgical complications, or who underwent axillary surgery but sweating problem remains.
The surgery is performed under local anesthesia, which lasts approx. 40 minutes.
Dr. Yi-Sheng Kao Director | Plastic Surgery Aesthetic Clinic
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