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Two-Dimensional Ablation of Apocrine Glands With the Use of Hydrosurgical Treatment of Axillary Osmidrosis

An Analysis of 480 Cases

Wu, Michael BA*; Wu, Wen-Horng MD

doi: 10.1097/SAP.0000000000001904
Aesthetic Surgery

Axillary osmidrosis is a distressing social problem. Topical antiperspirants are only transient solutions. Permanent solutions always need invasive operation. In this study, we evaluated the effectiveness and complications of a minor surgical procedure. From January 2010 to December 2017, 480 patients (376 females and 104 males) whose ages ranged from 8 to 72 years, with an average age of 28 years, were treated for axillary osmidrosis with hydrosurgery (Versajet unit surgical instruments) under local anesthesia on an outpatient basis. Patients were followed for 4 to 80 months with an average of 24 months. The total satisfaction rate was 99.6% (478/480). The patient complication rate was 2.7% (13/480) and the wound complication rate was 1.8% (17/960). There was 2 patient (3 axillae) got recurrent malodor cured with second operation. There were no contracture scars, arm abduction limitation, or any nerve injury in our series. The minor procedure can be an efficient and predictable treatment choice for axillary osmidrosis.

From the *School of Medicine, University of Maryland, Baltimore, MD; and

Division of Plastic and Reconstructive Surgery, Department of Surgery, Kuang Tien General Hospital, Hungkuang University, Taichung, Taiwan.

Received June 5, 2018, and accepted for publication, after revision January 29, 2019.

Conflicts of Interest and Source of Funding: none declared.

Reprints: Wen-Horng Wu, MD, Division of Plastic and Reconstructive Surgery, Division of Plastic and Reconstructive Surgery, 117, Sa-Ten RD, Sa-Lu, Taichung, 433 Taiwan. E-mail:

Online date: June 20, 2019

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