Can Endoscopic Surgery Permanently Eliminate Body Odor?

Bromhidrosis

Hello, doctor.
I would like to ask if endoscopic surgery for axillary hyperhidrosis can really permanently eliminate body odor.
I also found some information online stating that this type of surgery can also remove hair in the area; is that true? How long does it typically take to recover from this surgery, and what is the approximate cost? Could you recommend a physician in the northern region who has more experience with this type of surgery? Thank you! ^_^

yinwei, 20~29 year old female. Ask Date: 2004/05/21

Dr. Lu Daokuan reply Plastic Surgery

Endoscopy is considered an auxiliary tool in the surgery for axillary osmidrosis, primarily using a curette or a scalpel to remove the apocrine sweat glands to achieve odor reduction.
This procedure can reduce body odor by approximately 90%, and there is usually a significant reduction in axillary hair, though it does not result in complete hair removal.
The surgery lasts about 90 minutes and costs around 20,000 to 30,000 NTD.
In northern Taiwan, Dr.
Dong-Dong Tsang has published related papers that can be referenced for further information.

Reply Date: 2004/05/21

More Info

Endoscopic surgery for the treatment of body odor, commonly referred to as axillary hyperhidrosis or bromhidrosis, can indeed provide a long-term solution for many patients. This procedure typically involves the removal or destruction of the sweat glands in the underarm area, which are primarily responsible for the production of odor when they interact with bacteria on the skin.
The effectiveness of endoscopic surgery in permanently eliminating body odor largely depends on the technique used and the individual patient's condition. The most common surgical method is called endoscopic thoracic sympathectomy (ETS), which involves cutting the sympathetic nerves that control sweat production. While many patients report significant improvement or complete resolution of their symptoms following the procedure, it is important to note that results can vary. Some individuals may experience a recurrence of symptoms over time, while others may develop compensatory sweating in other areas of the body.

In addition to addressing body odor, some surgical techniques can also reduce or eliminate underarm hair. This is because the removal of sweat glands often leads to a decrease in hair growth, as the glands play a role in the hair follicle's health and function. However, it is essential to discuss this aspect with your surgeon, as results can vary based on individual factors.

Recovery time after endoscopic surgery can vary, but most patients can expect to return to normal activities within a week or two. The initial healing phase may involve some swelling, bruising, and discomfort, which can typically be managed with over-the-counter pain relief. Full recovery and the final results may take several weeks to months as the body adjusts to the changes.

As for the cost, it can vary widely depending on the healthcare facility, the surgeon's expertise, and the specific techniques used. In the United States, the price for such procedures can range from a few thousand to over ten thousand dollars. It is advisable to check with your insurance provider to see if the procedure is covered, as some plans may consider it medically necessary if it significantly impacts your quality of life.

When seeking a qualified surgeon for this procedure, it is crucial to look for a board-certified plastic surgeon or dermatologist with extensive experience in treating hyperhidrosis and performing endoscopic techniques. You may want to consult with multiple specialists to find one who is well-versed in the latest techniques and has a good track record of successful outcomes. Online reviews, patient testimonials, and referrals from primary care physicians can also be helpful in your search.

In conclusion, endoscopic surgery can be an effective option for permanently eliminating body odor and potentially reducing underarm hair. However, individual results may vary, and it is essential to have a thorough consultation with a qualified surgeon to discuss your specific situation, expectations, and any potential risks associated with the procedure.

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