Can Underarm Surgery Cure Body Odor in Other Areas? Costs and Alternatives Explained

Axillary odor

Can axillary bromhidrosis surgery also address odor issues in the genital area? Which type of surgery does not have the problem of compensatory sweating? What is the cost? What is the size of the incision? If surgery is not an option, can oral antibiotics provide a permanent solution?

momo, 10~19 year old female. Ask Date: 2002/08/08

Dr. Luo Qihua reply Plastic Surgery

The so-called compensatory sweating you mentioned is a complication that arises after the endoscopic thoracic sympathectomy (ETS) procedure used to treat hyperhidrosis.
From an orthopedic perspective, this method is not considered effective for treating axillary bromhidrosis, nor does it address the issue of genital bromhidrosis.
Currently, the only truly effective approach is surgical excision of the apocrine glands, which is applicable for treating axillary bromhidrosis, with costs ranging from $15,000 to $35,000.
The size of the incision varies from 0.5 cm to 4 cm depending on the technique used, and it should be discussed with the physician.
As for antibiotic treatment, it is likely to be ineffective, as the causative bacteria are not directly located within the apocrine glands but rather on the surface of the local skin.
Antibiotics cannot penetrate the skin effectively to kill the bacteria.
Even if they are temporarily effective, there is a high risk of developing resistance, leading to a quick loss of efficacy.
Dr.
Luo Qihua, Orthopedic Surgeon.

Reply Date: 2002/08/08

More Info

Underarm surgery, specifically procedures like axillary sweat gland removal, is primarily designed to address body odor originating from the underarms. However, it is important to note that this type of surgery does not directly treat body odor in other areas, such as the groin or other parts of the body. Each area of the body has its own unique set of sweat glands, and the surgical removal of glands in one area does not affect the glands in another.

When it comes to addressing body odor in areas other than the underarms, there are several alternatives to consider. For instance, maintaining good hygiene, using antiperspirants, and wearing breathable fabrics can help manage odor. In some cases, individuals may opt for treatments like Botox injections, which can temporarily block the nerves that cause sweating in various areas of the body, including the groin. However, this is not a permanent solution and requires repeat treatments.

Regarding the concern of compensatory sweating, which is the phenomenon where sweating increases in other areas of the body after the removal of sweat glands, it is a potential risk with any surgical intervention aimed at reducing sweat production. However, certain techniques, such as endoscopic thoracic sympathectomy (ETS), may have a lower risk of compensatory sweating compared to traditional methods. It is crucial to discuss these options with a qualified surgeon who can provide personalized advice based on your specific situation.

In terms of costs, the price of underarm surgery can vary widely depending on the location, the surgeon's expertise, and the specific techniques used. Generally, the cost can range from $2,000 to $10,000. This estimate typically includes the surgeon's fee, anesthesia, facility fees, and any necessary follow-up care. The size of the incision will depend on the technique used, but minimally invasive procedures often result in smaller scars compared to traditional open surgeries.

If surgery is not an option you wish to pursue, oral antibiotics are sometimes prescribed for bacterial infections that can contribute to body odor. However, they are not a long-term solution for managing body odor and should not be relied upon as a permanent fix. Overuse of antibiotics can lead to resistance and other health issues, so they should be used judiciously and under the guidance of a healthcare professional.

In summary, while underarm surgery can effectively treat body odor in that specific area, it does not address odor in other regions of the body. Alternatives such as hygiene practices, antiperspirants, and Botox may be considered for managing odor in other areas. If surgery is contemplated, it is essential to weigh the risks, including compensatory sweating, and to have a thorough discussion with a qualified surgeon about the best approach for your needs.

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