Tumescent Suction Curettage versus Minimal Skin Resection with Subcutaneous Curettage of Sweat Glands in Axillary Hyperhidrosis

Abstract

As shown by this study, minor skin resection with subcutaneous curettage of axillary sweat glands (Method A) is somewhat more effective in permanent reduction of hyperhidrosis than suction curettage. The minimal invasiveness of suction curettage and the minimal scarring, however, are significant advantages over excisional surgery. Downtime after surgery is significantly shorter for suction curettage. Therefore, suction curettage might be the surgical treatment of choice for axillary hyperhidrosis.

Hyperhidrosis, bromhidrosis, and chromhidrosis: Fold (intertriginous) dermatoses

“…Considering the less serious complications (and lower associated costs), better cosmetic outcome, and resolution of symptoms, liposuction-curettage provides a promising option for axillary hyperhidrosis. 43 …”

Local Procedural Approaches for Axillary Hyperhidrosis

“…The mean scar length is 5 cm, and scar formation does not lead to functional impairment, compared with a scar length of 9.3 cm, and a relatively high prevalence of functional impairment in the RSE group. 3 …”

“…The average aesthetic outcome reported by patients was graded as good, 4 58.4% of patients Intolerable and always interferes were satisfied with treatment, and 82.4% would choose the same procedure again. 3 The mean amount of time to return to work is reported to vary from 4 to 8.8 days. 1,3 Side effects and scarring are less prevalent than with en bloc excision.…”

“…3 The mean amount of time to return to work is reported to vary from 4 to 8.8 days. 1,3 Side effects and scarring are less prevalent than with en bloc excision. The mean scar length is 5 cm, and scar formation does not lead to functional impairment, compared with a scar length of 9.3 cm, and a relatively high prevalence of functional impairment in the RSE group.…”

“…A figure-of-eight dressing is applied for 10 days, 4 or a compression dressing for 24 hours. 3 Excessive sweating, as measured by gravimetric assessment, at 12 months after treatment was reduced by a mean of 63% in 1 case series. 4 An early case series, 1 using a subjective, patientassessed measure of sweat reduction after treatment, found a mean sweat reduction of 65%.…”