9810-1479 Ou
Ou LF, Yan RS, Chen IC, Tang YW.
Treatment of axillary bromhidrosis with superficial liposuction.
Plast Reconstr Surg. 1998 Oct;102(5):1479-85. PMID: 9774001
Comment in:
Plast Reconstr Surg. 1999 Oct;104(5):1580-1.
Division of Plastic and Reconstructive Surgery, Taichung Veterans General
Hospital, Taiwan.
Axillary bromhidrosis or osmidrosis is a distressing problem that causes a
serious personal and social handicap, especially in an Asian society. Surgical
excision of the subcutaneous tissue, with or without skin excision in the
axillary hair-bearing area, has been the treatment of choice for several
decades. However, the complications of partial necrosis of wound edges or
hematoma, and the possibility of the obvious unsightly scars, are always
problems. We report our method of treatment of modified superficial liposuction
with subdermal scraping under local anesthesia with tumescent infiltration. By
using two tiny stab wounds, these two steps of liposuction can be done in the
two-directional crisscross pattern. From August of 1995 to May of 1997, 20
patients (16 women and 4 men) received this surgery for bilateral axillas on an
outpatient basis. The follow-up period ranged from 6 months to 27 months, and
the mean follow-up period was 14 months. Eighteen patients (90 percent) had
excellent to good results. Complication included only one minor wound infection
that was cured easily. Two patients experienced transient subdermal fibrotic
bands in one side of the axilla, and one patient experienced axillary skin with
marked induration and retraction. All of these symptoms disappeared after 1
month or so. This minimal incision operation has the advantages of a high
success rate, low complication rate, tiny to invisible scars, no change of hair
distribution pattern, minimal postoperative care with a short term of
compressive dressing (less than 2 days), and rapid recovery for daily activity
and exercise.
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