Axillary Hyperhidrosis

Immunohistochemical Differentiation and Localization Analysis of Sweat Glands in the Adult Human Axilla

“…10,16 If this theory were true, the surgical method of choice was type I for bromhidrosis and type II or type III for hyperhidrosis. However, other authors 4,11 challenge this theory and are convinced that eccrine glands can be found also at the border of the dermis to the subcutaneous tissue. Still other authors 6,15,17,18 claim that both types of glands are found conjointly either in the subcutaneous tissue or in the dermis.…”

“…10 Type I removes (i.e., excises, curettes, suctions, or vaporizes) only the subcutaneous tissue and spares the skin [11][12][13] ; type II removes subcutaneous tissue and skin en bloc, mostly in the dome of the axilla 8,14 ; and type III is a combination of type I and II, with removal of subcutaneous tissue and skin en bloc centrally and removing only subcutaneous tissue in the adjacent areas. 4,10,15 Many of these surgical methods are based on the long-standing theory that eccrine glands are localized in the dermis and apocrine glands are localized in the subcutaneous tissue. 10,16 If this theory were true, the surgical method of choice was type I for bromhidrosis and type II or type III for hyperhidrosis.…”

Liposuktionskürettage versus Botox® bei axillärer Hyperhidrosis

“…Nach Hölzle besteht zwischen den apokrinen Drüsen und der menschlichen Sexualität eine Beziehung [6]. Aktuelle Untersuchungen sprechen für eine wichtige Rolle des apokrinen Sekrets bei der Geruchskommunikation zwischen den Geschlechtern [3,16].…”

Functional applications of suction-assisted lipectomy: A new treatment for old disorders

“…Surgery has consisted of excision of the involved axillary skin with or without skin grafting, or subdermal shaving of the subcutaneous fat pad containing the hypersecreting sweat glands, or a combination of both procedures [8,12]. All accepted methods to date, however, have been associated with significant morbidities stemming from wound problems and infections, operative deformities, and scarring, as well as a significant rate of recurrence [6,16,17,21,27].…”