Effective Solutions for Treating Axillary Hyperhidrosis: What You Need to Know

Cure for axillary bromhidrosis (body odor)?

Two years ago, I underwent a curettage of the apocrine glands at your hospital, performed by the chief physician (60.05.30 B120793580, case can be verified).
However, the results have been ineffective! Although the incision was very small, there has been no improvement at all.
I even noticed that my undershirts have been stained yellow with a hint of red.
I would like to undergo treatment again, but will the aforementioned method be successful? Or should I opt for a more traditional approach that might be more effective? Could you please provide some recommendations?

Fang, 30~39 year old female. Ask Date: 2004/06/26

Dr. Lu Daokuan reply Plastic Surgery

Axillary gland curettage typically removes about 90% of the apocrine glands, but the eccrine glands remain intact.
If your primary concern is excessive sweating, the improvement may be limited.
If there is no improvement in body odor, you should return to investigate other potential causes.

Reply Date: 2004/06/26

More Info

Axillary hyperhidrosis, or excessive sweating in the underarm area, can be a challenging condition for many individuals. It can significantly impact one's quality of life, leading to discomfort, embarrassment, and social anxiety. Given your previous experience with a surgical procedure for this condition, it’s understandable that you are seeking further solutions.

Understanding Axillary Hyperhidrosis
Axillary hyperhidrosis is characterized by an overactivity of the sweat glands in the armpits, which can be triggered by various factors, including genetics, hormonal changes, and even stress. The condition can lead to excessive sweating that is not necessarily related to heat or exercise, making it a frustrating issue for those affected.

Treatment Options
1. Surgical Options:
- Endoscopic Thoracic Sympathectomy (ETS): This is a more invasive procedure that involves cutting nerves that trigger sweating. While it can be effective, it carries risks and potential side effects, such as compensatory sweating in other areas of the body.

- Axillary Gland Removal: As you mentioned, you previously underwent a procedure to remove sweat glands. If this did not yield the desired results, it may be worth discussing with your surgeon the possibility of a revision or alternative surgical techniques.

2. Botulinum Toxin Injections:
- This is a non-surgical option that involves injecting botulinum toxin into the underarm area. The toxin temporarily blocks the nerves that cause sweating. Many patients report significant improvement, and the effects can last several months. This might be a suitable option for you if you haven't tried it yet.

3. Topical Antiperspirants:
- Prescription-strength antiperspirants containing aluminum chloride can be effective for some individuals. They work by blocking the sweat glands and can be used in conjunction with other treatments.

4. Iontophoresis:
- This is a non-invasive treatment that uses electrical currents to reduce sweating. It is more commonly used for hands and feet but can be adapted for underarm use.

5. Medications:
- Oral medications such as anticholinergics can help reduce sweating, although they may have side effects that need to be considered.

6. Lifestyle Modifications:
- Wearing breathable fabrics, using absorbent pads, and practicing stress-reduction techniques can help manage symptoms.

Considerations for Further Treatment
Given that your previous surgical intervention did not provide the expected results, it is crucial to have a thorough discussion with your healthcare provider about your options. They can review your medical history, the specifics of your previous surgery, and any other treatments you may have tried.
It's also important to set realistic expectations. While some treatments may significantly reduce sweating, complete elimination may not always be possible.

Conclusion
In summary, there are several effective solutions for treating axillary hyperhidrosis, ranging from surgical options to non-invasive treatments. Given your previous experience, it would be beneficial to consult with a specialist who can provide personalized recommendations based on your unique situation. They can help you weigh the pros and cons of each option and determine the best course of action moving forward. Remember, managing hyperhidrosis is a journey, and finding the right treatment may take time and patience.

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