Minimally invasive approaches to axillary osmidrosis treatment: A comparison between superficial liposuction with automatic shaver curettage, subcutaneous laser treatment, and microwave‐based therapy with a modified technique

Yang, Hung‐Hsu; Miao, Yong; Chen, Yu‐Tsung; Hu, Zhiqi

doi:10.1111/jocd.12731

Cited by 19 publications

(39 citation statements)

References 25 publications

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“…Treatment methods include en bloc excision of the skin and subcutaneous tissue, suction curettage, shaving the subcutaneous sweat glands manually with or without carbon dioxide vaporization, and selective surgical excision of apocrine and eccrine glands [1]. More recently, various other methods, such as microwave-based therapy, percutaneous ethanol injection, and Versajet-assisted hydraulic epilation, have also been introduced [3][4][5].…”

Section: Discussionmentioning

confidence: 99%

“…Though 80% of patients displayed subjective symptom improvement as assessed by doctors and nurses in our study, all patients reported symptomatic improvement after surgery. We evaluated the degree of odor using a 4-point scale, whereas other reports have evaluated degree of odor using a 10-point scale [3]. If we had evaluated degree of odor in the same way as those other reports, all patients would have shown a postoperative improvement in degree of odor.…”

Section: Discussionmentioning

confidence: 99%

“…Jung SW et al A comparative study of osmidrosis treatment cluding manual subdermal shaving of the apocrine glands and subcutaneous tissues, superficial liposuction curettage, carbon dioxide laser vaporization, and ultrasound-assisted suction aspiration [1]. More recently, various other methods, such as microwave-based therapy, percutaneous ethanol injection, and Versajet-assisted hydraulic epilation, have been introduced [3][4][5].…”

Section: Aesthetic Plastic Surgerymentioning

confidence: 99%

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Comparison of outcomes of two methods of axillary osmidrosis surgery: Subdermal excision versus liposuction combined with diode laser ablation

Jung

Lee

Park

2020

Arch Aesthetic Plast Surg

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Background Patients with axillary osmidrosis suffer from a foul odor due to the bacterial decomposition of apocrine gland secretions. This condition is stressful, especially for teenaged students and young working people in Korea, who seek a reliable method for reducing odor that allows them to quickly return to school or work after surgery. Thus, surgeons must seek ways to effectively remove sweat glands with minimal complications. The conventional subdermal excision method has been widely used for the removal of sweat glands, but it can have many complications. The purpose of this study is to determine whether liposuction combined with diode laser ablation is effective for sweat gland removal compared with the subdermal excision method. Methods From 2011 to 2017, we compared two surgical methods for osmidrosis: subdermal excision and liposuction combined with diode laser ablation. An objective analysis of sweat (apocrine) gland count, determined by histopathological examinations of preoperative and postoperative punch biopsy specimens, was combined with a subjective assessment of patients' symptoms (malodor grade) preoperatively and postoperatively. Results A larger percentage of sweat glands were removed by subdermal excision than by liposuction with diode laser ablation. However, no statistically significant difference was found between the two methods with regard to the percentage of apocrine glands removed. Liposuction with diode laser ablation had fewer perioperative complications and higher patient postoperative satisfaction than subdermal excision. Conclusions Liposuction with diode laser ablation is a useful method for axillary osmidrosis surgery in teenaged students and young working people in Korea.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Aesthetic Plastic Surgerymentioning

confidence: 99%

See 1 more Smart Citation

Comparison of outcomes of two methods of axillary osmidrosis surgery: Subdermal excision versus liposuction combined with diode laser ablation

Jung

Lee

Park

2020

Arch Aesthetic Plast Surg

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“…Chen et al [24] compared laser coagulation and suction curettage, and concluded that suction curettage produced a higher incidence of complications than laser coagulation, but was more effective than laser coagulation. Yang et al [5] recently compared the outcomes of microwave coagulation, suction curettage, and laser coagulation. They concluded that microwave coagulation and suction curettage were superior to laser coagulation, but the complication rate of suction curettage was much higher than the rates of the other two procedures.…”

Section: Previously Reported Cohortsmentioning

confidence: 99%

“…Nonsurgical treatments include the use of topical deodorant, subcutaneous injection of botulinum toxin-A, and endoscopic thoracic sympathectomy. Surgical treatments include laser technology, axillary skin excision, suction curettage, and conventional open excision of apocrine glands [2][3][4][5] .…”

Section: Introductionmentioning

confidence: 99%

Safety and efficacy of surgical treatments for axillary osmidrosis: a retrospective cohort study comparing conventional open excision with cartilage-shaver closed curettage

Tanaka¹,

Morioka²,

Akamine³

et al. 2020

PAR

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New developments in cosmetic applications of electromagnetic fields: Client and occupational hazard assessment

Stam

2024

Bioelectromagnetics

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Energy‐based devices are used to improve features of appearance for aesthetic reasons while avoiding more invasive methods. Examples of treatment targets are the reduction of wrinkles, sagging, unwanted skin lesions, body hair and excess fatty tissue, and the enhancement of muscle tissue. One treatment modality is the use of electromagnetic fields (EMF, 0‒300 GHz). The present work aims to give an up‐to‐date survey of cosmetic applications of EMF for professional use with an assessment of client and worker exposure and possible adverse effects. A systematic search was conducted for peer‐reviewed articles (2007–2022), patents, premarket notifications, manufacturer data, and adverse effects reports. Five categories of cosmetic EMF device with increasing frequency were identified: sinusoid low frequency magnetic fields for lipolysis; pulsed low frequency magnetic fields for skin rejuvenation; pulsed low frequency magnetic fields for muscle building; radiofrequency EMF for lipolysis or skin rejuvenation; microwaves for hair removal or hyperhidrosis. In the vicinity of the last four device categories, there is a potential for exceeding the occupational exposure limits in the European Union EMF Directive, which could lead to nerve or muscle stimulation, burns or overheating. There are also potential hazards for clients or workers wearing active or passive medical devices. The severity of reported adverse effects increases with EMF frequency.

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Minimally invasive approaches to axillary osmidrosis treatment: A comparison between superficial liposuction with automatic shaver curettage, subcutaneous laser treatment, and microwave‐based therapy with a modified technique

Cited by 19 publications

References 25 publications

Comparison of outcomes of two methods of axillary osmidrosis surgery: Subdermal excision versus liposuction combined with diode laser ablation

Comparison of outcomes of two methods of axillary osmidrosis surgery: Subdermal excision versus liposuction combined with diode laser ablation

Safety and efficacy of surgical treatments for axillary osmidrosis: a retrospective cohort study comparing conventional open excision with cartilage-shaver closed curettage

New developments in cosmetic applications of electromagnetic fields: Client and occupational hazard assessment

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