Effectiveness and Complications of Improved Liposuction–Curettage Through Mini-Incisions for the Treatment of Axillary Osmidrosis

Hu, Yang; Xu, Gang; Huang, Chunlan; Xia, Ying; Wang, Xiaowei; Chen, Qiang; Wang, Shoujie; Zhang, Liyun; Tan, Wei‐Qiang

doi:10.1177/2292550317728038

Cited by 10 publications

(7 citation statements)

References 17 publications

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“…Hu et al . describe a surgical technique that involves making mini-incisions in the axilla and using liposuction-curettage to remove the apocrine glands [ 12 ]. A study involving 449 axillae found that patients who underwent well-organised liposuction-curettage and received appropriate post-operative care experienced excellent elimination of malodor in 89.81% of cases.…”

Section: Discussionmentioning

confidence: 99%

Minimally invasive removal of apocrine glands: a study of 100 cases using three maneuvers with blunt scissors

Ho¹

2023

Journal of Surgical Case Reports

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A case series study describes a minimally invasive surgical technique for removing axillary apocrine glands using blunt scissors. The technique involved making two small incisions, removing the glands using three maneuvers, and evaluating patient satisfaction and post-surgery complications. Of 100 patients, 92% reported being satisfied with the results, with no reported complications. The study suggests this technique is safe and effective, offering a minimally invasive alternative to traditional surgery with fewer negative cosmetic outcomes. However, further research is needed to assess its long-term efficacy and safety.

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Section: Discussionmentioning

confidence: 99%

Minimally invasive removal of apocrine glands: a study of 100 cases using three maneuvers with blunt scissors

Ho¹

2023

Journal of Surgical Case Reports

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“…23 Many surgeons have modified the liposuction technique to decrease the high recurrence rate of osmidrosis, including suction pressure, cannula size, aperture number, and aperture edge sharpness. 13,24,25 Recurrence after liposuction is highly associated with the tools and methods used. The whole procedure of liposuction is difficult to standardize.…”

Section: Ta B L E 3 Operation Areas and Timesmentioning

confidence: 99%

Radical treatment of axillary osmidrosis using the VERSAJET™ II Hydrosurgery System or traditional open excision: A prospective cohort study

Xie

Fang

et al. 2019

J of Cosmetic Dermatology

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Background Axillary osmidrosis, characterized by an unpleasant odor, renders social life difficult for young adults. This study aimed to compare traditional open excision and use of the VERSAJET™ II Hydrosurgery System for effectiveness and treatment complaints in the treatment of axillary osmidrosis. Aim The current study aimed to assess the curative effect of VERSAJET™ for axillary osmidrosis in a prospective cohort study, comparatively to traditional open excision. Method In this prospective cohort study, from October 2016 to March 2018, 31 and 34 patients treated with the VERSAJET™ II Hydrosurgery System and traditional open excision, respectively, were recruited and followed up for 6 months post‐treatment. Treatment outcomes were assessed, including surgical field size, operation time, postoperative complications, odor elimination, hair growth reduction, scarring, and patient satisfaction. Results The VERSAJET™ group had significantly shorter operation (P < .001) and lower rates of complications, including hematoma (P = .014), wound dehiscence (P = .048), and epidermal erosion (P = .022) compared with the open excision group. A similar rate of good odor elimination (P = .925) was observed in both groups (96.77% and 97.05% in the VERSAJET™ and open excision groups, respectively). Most patients experienced sparsity of armpit hair following both procedures. Based on a comprehensive consideration of the whole operation process, recovery process, postoperative odor and scar, patients in the VERSAJET™ group were more satisfied compared with those in the open excision group (P = .008). Conclusion The VERSAJET™ II procedure is shorter, with less postoperative scarring and fewer postoperative complications, compared with the traditional method. Therefore, the VERSAJET™ II procedure is superior to traditional open excision, as a new, radical treatment method for axillary osmidrosis.

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“…The main characteristic of axillary bromhidrosis is an excessive foul odour in the axillary region due to the interaction of secretions from the apocrine glands with microorganisms. 1 The treatment methods include nonsurgical approaches, such as the use of topical antiperspirants, the injection of botulinum toxin A, 2 ethanol injection, 3 antibiotic administration, the use of fragrances, and surgical methods, such as laser surgery, 4 surgical epilation, 5 and liposuction curettage. 1 Among these approaches, the surgical methods are more effective and have longer lasting results than the nonsurgical methods.…”

Section: Introductionmentioning

confidence: 99%

“…1 The treatment methods include nonsurgical approaches, such as the use of topical antiperspirants, the injection of botulinum toxin A, 2 ethanol injection, 3 antibiotic administration, the use of fragrances, and surgical methods, such as laser surgery, 4 surgical epilation, 5 and liposuction curettage. 1 Among these approaches, the surgical methods are more effective and have longer lasting results than the nonsurgical methods. 6 However, surgical methods, according to some reports, can also be accompanied by complications such as hematoma, scars, and necrosis.…”

Section: Introductionmentioning

confidence: 99%

Hidden Blade Scalpel: A Useful Tool for the Treatment of Axillary Osmidrosis

Zhao

Meng

et al. 2020

Plast Surg (Oakv)

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Background: Axillary osmidrosis is a distressing problem that can particularly affect a patient’s social life. In severe cases, patients may seek a surgical treatment to achieve a permanent effect. Many treatment techniques involving destruction or removal of the apocrine and eccrine glands have been developed. However, previous treatments have been hindered by surgical or aesthetic concerns. The purpose of this study was to evaluate the effect of the hidden blade scalpel procedure in treating axillary osmidrosis. Methods: From December 2012 to December 2016, 372 patients with axillary osmidrosis underwent the hidden blade scalpel procedure. One 5-mm incision was made at approximately 1 cm beyond the axillary hairline. A hidden blade scalpel was then used to remove the subcutaneous tissue, including the plexus, apocrine and eccrine glands, and hair follicles, from the skin. The clinical efficacy was evaluated using a questionnaire. Results: The hidden blade scalpel procedure resulted in a high percentage of patient satisfaction, a much shorter recovery time, and a low complication rate. Conclusion: The hidden blade scalpel procedure is an effective method for the treatment of axillary osmidrosis.

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Effectiveness and Complications of Improved Liposuction–Curettage Through Mini-Incisions for the Treatment of Axillary Osmidrosis

Abstract: These data suggest that LC with a final phase of improvement through mini-incisions is effective for AB treatment.

Cited by 10 publications

References 17 publications

Minimally invasive removal of apocrine glands: a study of 100 cases using three maneuvers with blunt scissors

Minimally invasive removal of apocrine glands: a study of 100 cases using three maneuvers with blunt scissors

Radical treatment of axillary osmidrosis using the VERSAJET™ II Hydrosurgery System or traditional open excision: A prospective cohort study

Hidden Blade Scalpel: A Useful Tool for the Treatment of Axillary Osmidrosis

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