Ultrasonic Axillary Gland Removal for Body Odor: Risks and Efficacy - Dermatology

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Ultrasonic axillary gland removal, often referred to as ultrasonic liposuction or ultrasonic axillary gland excision, is a surgical procedure aimed at treating axillary hyperhidrosis (excessive sweating) and body odor (often referred to as bromhidrosis). This technique utilizes ultrasonic waves to target and remove the sweat glands in the underarm area, which are responsible for producing sweat and contributing to body odor. While this procedure can be effective, it is important to understand the potential risks, efficacy, and alternatives.


Risks and Potential Side Effects
1. Surgical Risks: As with any surgical procedure, there are inherent risks involved, including infection, bleeding, and adverse reactions to anesthesia. These risks are generally low but should be discussed with your surgeon.

2. Changes in Sweating Patterns: One of the concerns with axillary gland removal is the possibility of compensatory sweating. This occurs when the body compensates for the loss of sweat glands in the underarms by increasing sweat production in other areas, such as the back, abdomen, or feet. This phenomenon can lead to excessive sweating in areas that were not previously problematic.

3. Nerve Damage: There is a risk of nerve damage during the procedure, which can lead to altered sensation in the underarm area or surrounding regions. This can manifest as numbness, tingling, or changes in skin sensitivity.

4. Scarring: Although ultrasonic techniques may minimize scarring compared to traditional surgical methods, there is still a possibility of visible scars at the incision sites.

5. Skin Changes: Some patients may experience changes in skin texture or pigmentation in the treated area post-surgery.


Efficacy of the Procedure
The efficacy of ultrasonic axillary gland removal can vary from patient to patient. Many individuals report significant reductions in sweating and body odor following the procedure. However, results can depend on various factors, including the severity of the condition prior to surgery, the technique used, and individual healing responses.
It is important to have realistic expectations. While many patients experience substantial improvement, some may not achieve complete resolution of symptoms. Additionally, the longevity of the results can vary; some patients may require follow-up treatments or additional procedures in the future.


Alternatives to Consider
Before opting for surgical intervention, it is worth exploring non-surgical alternatives for managing excessive sweating and body odor:
1. Antiperspirants: Over-the-counter or prescription-strength antiperspirants containing aluminum chloride can be effective in reducing sweating.

2. Botox Injections: Botulinum toxin injections can temporarily block the nerves that cause sweating, providing relief for several months.

3. Iontophoresis: This non-invasive treatment uses electrical currents to reduce sweating in targeted areas, particularly effective for hands and feet.

4. Medications: Oral medications, such as anticholinergics, can help reduce sweating but may have side effects.

5. Lifestyle Modifications: Wearing breathable fabrics, maintaining good hygiene, and avoiding triggers (like spicy foods) can also help manage symptoms.


Conclusion
Ultrasonic axillary gland removal can be an effective treatment for body odor and excessive sweating, but it is not without risks. Patients should weigh the potential benefits against the risks and consider discussing all available options with a qualified healthcare provider. A thorough consultation can help determine the most appropriate treatment plan tailored to individual needs and circumstances.