Liposuction for axillary hyperhidrosis

Abstract

Excessive axillary sweating is a common problem for which many patients frequently seek dermatological advice. The removal of axillary sweat glands using liposuction with tumescent anaesthesia in an outpatient setting is a relatively short and simple procedure with few complications, as seen in this case series. We present 10 patients treated with axillary liposuction under tumescent anaesthesia. Of the 10 patients treated, four relapsed with axillary hyperhidrosis and required additional liposuction to the same area. The longest time to relapse was 15 months, with 4 months being the shortest time. Six patients have not required additional liposuction, with 7 years being the longest time of remission. The complications reported were bruising in the axillae of two patients and relapse of hyperhidrosis in four patients.

Tumescent Suction Curettage in the Treatment of Axillary Hyperhidrosis: Experience in 63 Patients

“…In the last few years, tumescent suction curettage has emerged as one of the surgical treatment modalities in axillary hyperhidrosis [4,5,6]. This technique is performed under local anesthesia, and the tumescent fluid containing saline, bicarbonate, epinephrine and lidocaine is used as the only source of pain control.…”

“…In the last few years, the removal of axillary sweat glands using liposuction with tumescent anesthesia in an outpatient setting has emerged as a simple procedure with few complications [4,5,6]. We aimed to evaluate the effect of tumescent suction curettage in a larger series of patients with localized hyperhidrosis of the axillary cavity.…”

Local Procedural Approaches for Axillary Hyperhidrosis

“…6 The hole of the cannula is oriented toward the skin surface, and the sweat glands are scraped away from the underside of the dermis using a back-and-forth motion in a crisscross pattern. 7,8 Incisions are generally not closed, but are left open for drainage. A compression bandage can be applied for 24 hours.…”

Schweißdrüsensaugkürettage bei Hyperhidrosis axillaris

“…In bisherigen Veröf-fentlichungen war entweder die Patientenanzahl recht gering [1,4,10,13,14,21] oder der Beobachtungszeitraum sehr kurz gewählt [1,4,15].…”

“…Der Saugdruck betrug 1 bar. Wichtig ist bei dieser Methode, nicht im Scheibenwischerprinzip zu verfahren, sondern im "crisscross"-Prinzip kreuzweise durch die drei bis vier angelegten Zugänge zu arbeiten, um Septen stehen zu lassen, die eine rasche Regeneration der Haut gewährleisten[14]. Abb.…”