Axillary Gland Curettage: Is a Second Procedure Necessary? - Plastic Surgery

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Understanding the need for a second procedure after axillary gland curettage, particularly in the context of increased hair density and odor, is a nuanced topic. Axillary gland curettage, often referred to as axillary sweat gland removal or curettage, is a surgical procedure aimed at reducing excessive sweating (hyperhidrosis) and associated odor by removing sweat glands from the underarm area.
From your description, it seems that you initially experienced satisfactory results following the procedure, but over time, you have noticed a resurgence of hair growth and an increase in odor. This can be concerning, and it's understandable to question whether this is a normal progression or indicative of a need for further intervention.


Normalcy of Symptoms Post-Procedure
1. Hair Regrowth: After axillary gland curettage, some patients may experience regrowth of hair in the treated area. This can occur due to the nature of hair follicles and their resilience. While the procedure targets sweat glands, it may not completely eliminate hair follicles, leading to the possibility of hair regrowth over time. The density of hair can vary based on individual factors such as genetics and hormonal changes.

2. Odor: The increase in odor may be attributed to several factors. Even after the removal of sweat glands, the remaining glands can still produce sweat, and if the area is not kept clean or if there are changes in personal hygiene practices, odor can become more pronounced. Additionally, factors such as diet, stress, and hormonal fluctuations can influence body odor.


Considerations for a Second Procedure
1. Effectiveness of the First Procedure: If the initial procedure provided relief but has since diminished, it may be worth discussing with your healthcare provider whether a second procedure could be beneficial. However, it’s essential to evaluate the reasons for the diminished effectiveness.
2. Consultation with a Specialist: If you have concerns about the technique used in your first procedure or the results, it may be helpful to seek a second opinion from a different specialist. They can assess your current condition and determine if a repeat procedure is warranted or if alternative treatments might be more effective.

3. Alternative Treatments: Depending on your specific symptoms, there may be other options available. These can include:
- Botulinum toxin injections: These can temporarily block the nerves that cause sweating and may provide relief without the need for surgery.

- Antiperspirants: Prescription-strength antiperspirants can be effective for managing odor and sweating.

- Lifestyle Modifications: Maintaining good hygiene, wearing breathable fabrics, and managing stress can also help reduce odor and sweating.


Conclusion
In summary, while it is not uncommon for patients to experience changes in hair growth and odor after axillary gland curettage, it is essential to address these concerns with a healthcare provider. A second procedure may be appropriate depending on your specific circumstances, but it is crucial to have a thorough evaluation to determine the best course of action. Consulting with a specialist can provide clarity and help you make an informed decision about your treatment options moving forward.