Versajet-Assisted Hydraulic Epilation Through Small Incisions for Axillary Osmidrosis

Abstract

BackgroundOsmidrosis is a malodorous disease caused by the breakdown of sweat secreted from the apocrine glands by surface bacteria. The aim of this study was to evaluate the effect of Versajet-assisted hydraulic epilation for the treatment of axillary osmidrosis.MethodsThirty-two patients with axillary osmidrosis (64 axillae) underwent Versajet-assisted hydraulic epilation between January 2016 and January 2017. Subjective assessments were evaluated by a patient survey at least 3 months after the procedure.ResultsThere were no complications other than one mild pigmentation in the axilla at 3 months after the procedure. Thirty-two patients evaluated malodor elimination as good. No patients evaluated it as fair or poor. There were no recurrences.ConclusionVersajet-assisted hydraulic epilation is an ideal surgical procedure for the treatment of axillary osmidrosis that decreases complications and recurrence.No Level AssignedThis journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.

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

“…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].…”

“…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].…”

Hidden Blade Scalpel: A Useful Tool for the Treatment of Axillary Osmidrosis

“…The main characteristic of axillary bromhidrosis is an excessive foul odour in the axillary region due to the interaction of secretions from the apocrine glands with microorganisms. 1 The treatment methods include nonsurgical approaches, such as the use of topical antiperspirants, the injection of botulinum toxin A, 2 ethanol injection, 3 antibiotic administration, the use of fragrances, and surgical methods, such as laser surgery, 4 surgical epilation, 5 and liposuction curettage. 1 Among these approaches, the surgical methods are more effective and have longer lasting results than the nonsurgical methods.…”

Refined tumescent liposuction-curettage with pruning in small incisions for treatment of axillary bromhidrosis

“…Various treatment modalities have been developed for axillary bromhidrosis, but the effect of nonsurgical treatment such as topical deodorants, perfumes, antiperspirants, iontophoresis as well as anticholinergic agents are temporary and limited (6,7). Surgical processes, including en bloc excision of tissue, super cial or ultrasonic liposuction, subcutaneous shaving, laser ablation, local injection of botulinum toxin A or ethanol, have been performed (8). Surgical methods seem to be the relative satisfactory treatment, but sometimes they are accompanied by complications such as wound dehiscence, infection, hematoma or seroma, skin ap necrosis and obvious scar formation.…”

“…Surgical methods seem to be the relative satisfactory treatment, but sometimes they are accompanied by complications such as wound dehiscence, infection, hematoma or seroma, skin ap necrosis and obvious scar formation. Besides, the long recovery period perhaps lead to a prolonged restriction in arm movement (8,9).…”