Axillary Sweating Surgery: Benefits and Side Effects

What type of surgery is performed for excessive sweating in the armpits?

Due to excessive sweating in my armpits, it is very inconvenient regardless of whether it is summer or winter, and my skin does not tolerate antiperspirants (which cause redness and swelling).
I did some research online and found a method that seems promising called "electric suction technique." I would like to ask if there are any side effects and whether, after the procedure, I will stop sweating in my armpits but start sweating more easily in other areas? Thank you, doctor!

A-Ping, 10~19 year old female. Ask Date: 2009/04/26

Dr. Lin Kecheng reply Surgery

Dear Miss Aping,
Hello! I apologize for the delay in my response as I have been on a business trip until today.
The so-called "electronic suction method" is similar to the cosmetic procedure known as "liposuction." It can remove the "apocrine glands" from the armpits without leaving scars.
This procedure is often used as an alternative to "axillary surgery for bromhidrosis" and can significantly reduce underarm sweating and the associated odor.
The results are quite satisfactory, with minimal side effects, and it does not affect sweating in other areas of the body.
However, please note that this procedure is not covered by health insurance and must be paid out of pocket.
Wishing you good health and happiness.

Reply Date: 2009/04/26

More Info

Axillary sweating, or excessive sweating in the underarm area, can be a significant concern for many individuals, leading to discomfort and social anxiety. For those who find topical antiperspirants ineffective or irritating, surgical options like suction curettage or endoscopic thoracic sympathectomy (ETS) may be considered.

Benefits of Axillary Sweating Surgery
1. Reduction of Sweating: The primary benefit of axillary sweating surgery is the significant reduction or complete cessation of sweating in the treated area. This can lead to improved quality of life, increased confidence, and the ability to wear clothing without concern for sweat marks.

2. Long-lasting Results: Many patients experience long-term relief from excessive sweating after surgery. While results can vary, many report satisfaction with the outcomes for years following the procedure.

3. Minimal Recovery Time: Procedures like suction curettage are typically minimally invasive, which can result in shorter recovery times compared to more invasive surgical options.

Side Effects and Risks
1. Compensatory Sweating: One of the most common side effects of axillary sweating surgery is compensatory sweating, where the body compensates for the loss of sweating in the treated area by increasing sweating in other areas, such as the back, abdomen, or legs. This can be distressing for some patients, as it may lead to new areas of discomfort.

2. Infection and Scarring: As with any surgical procedure, there is a risk of infection at the incision site. Proper post-operative care is essential to minimize this risk. Additionally, scarring may occur, although it is often minimal with minimally invasive techniques.

3. Nerve Damage: There is a risk of nerve damage during surgery, which can lead to changes in sensation or other complications. This is particularly a concern with more invasive procedures like ETS.

4. Anesthesia Risks: Any surgical procedure that requires anesthesia carries inherent risks, including allergic reactions or complications related to underlying health conditions.

5. Temporary Side Effects: Patients may experience temporary side effects such as swelling, bruising, or discomfort in the surgical area. These typically resolve within a few days to weeks.

Post-operative Considerations
After undergoing axillary sweating surgery, patients should follow their surgeon's post-operative care instructions closely. This may include:
- Keeping the surgical area clean and dry.

- Monitoring for signs of infection, such as increased redness, swelling, or discharge.

- Avoiding strenuous activities for a specified period to allow for proper healing.

Conclusion
If you are considering axillary sweating surgery, it is crucial to have a thorough discussion with a qualified surgeon who specializes in this area. They can provide personalized advice based on your medical history, the severity of your condition, and your expectations for the surgery. Understanding both the benefits and potential side effects will help you make an informed decision about whether this surgical option is right for you.

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