Can Surgery Cure My Body Odor? Costs and Options Explained

What should I do???

I am troubled by body odor.
Can it be permanently treated through surgical intervention? What is the typical cost for such a procedure?

Mr. X, 10~19 year old female. Ask Date: 2001/06/02

Dr. Luo Qihua reply Plastic Surgery

The axillary region contains apocrine glands, which become more active during the summer months.
The substances produced by these glands, combined with sweat, can lead to unpleasant odors due to the metabolism of certain bacteria.
Therefore, maintaining dryness in the area can help alleviate this issue.
To completely eliminate this phenomenon, surgical intervention is necessary.
By excising the apocrine glands, a permanent solution can be achieved.
Post-surgery, the wounds in both axillary areas must be properly bandaged, and the range of motion of the upper limbs will be restricted to prevent complications.
As for the method of using thoracoscopic techniques to ablate the nerve ganglia to reduce sweating and odor, it is not widely accepted by our plastic surgery specialists due to unsatisfactory results.
Lastly, the cost of the surgical procedure generally ranges from $15,000 to $30,000.

Reply Date: 2001/06/02

More Info

Body odor, particularly axillary odor commonly known as "sweaty armpits" or "hyperhidrosis," can be a significant concern for many individuals. Fortunately, there are surgical options available that can help alleviate this issue.

Surgical Options for Body Odor
1. Surgical Removal of Sweat Glands: One of the most effective surgical procedures for treating body odor is the excision of the sweat glands in the underarm area. This procedure, known as axillary sweat gland excision, involves the surgical removal of the glands responsible for producing sweat and, consequently, odor.
2. Liposuction: Another method that has gained popularity is the use of liposuction to remove sweat glands. This minimally invasive technique involves inserting a cannula into the underarm area to suction out the sweat glands. It is less invasive than traditional excision and may result in less scarring.

3. Endoscopic Thoracic Sympathectomy (ETS): This is a more invasive procedure that involves cutting the sympathetic nerves that control sweating. While it can be effective for hyperhidrosis, it is generally reserved for severe cases due to potential side effects, including compensatory sweating in other areas of the body.

Risks and Considerations
As with any surgical procedure, there are risks involved, including infection, scarring, and changes in skin sensation. The choice of procedure will depend on the severity of the condition, the patient's overall health, and their personal preferences. It's essential to consult with a qualified surgeon who specializes in this area to discuss the best options tailored to your specific situation.

Costs of Surgery
The costs associated with surgical treatment for body odor can vary widely based on several factors, including the type of procedure, the surgeon's experience, and the geographic location of the surgery. Generally, you can expect the following cost ranges:
- Axillary Sweat Gland Excision: This procedure can cost anywhere from $3,000 to $8,000, depending on the complexity and the facility where the surgery is performed.

- Liposuction for Sweat Gland Removal: This method may range from $2,000 to $5,000.
- Endoscopic Thoracic Sympathectomy (ETS): This is typically the most expensive option, with costs ranging from $7,000 to $15,000, depending on the hospital and the surgeon's fees.

Insurance Coverage
It's important to check with your health insurance provider regarding coverage for these procedures. Some insurance plans may cover surgical treatments for hyperhidrosis if deemed medically necessary, while others may classify them as cosmetic procedures, which would not be covered.

Conclusion
In summary, surgical options are available for treating body odor, particularly through the removal of sweat glands. The costs can vary significantly based on the procedure and other factors. If you are considering surgery, it is crucial to consult with a qualified healthcare professional to discuss your symptoms, evaluate your options, and understand the potential risks and benefits. This will help you make an informed decision that aligns with your health needs and financial situation.

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