Whether axillary osmidrosis is treated by laser or surgical resection mainly depends on the actual situation of patients. Generally speaking, axillary osmidrosis surgery is suitable for patients with severe symptoms of axillary osmidrosis and other poor therapeutic effects.
Laser surgery has the advantages of less trauma, no bleeding and quick recovery, and is suitable for patients who love beauty and are busy at work.
What are the benefits of axillary osmidrosis surgery? The apocrine gland can be almost completely removed, and the deodorizing effect is good after operation.
Disadvantages: the recovery period is long, and the scar caused by the operation is obvious. There will be a scar about 4 ~ 5 cm long and 0.5 cm wide.
Subaxillary sweat gland aspiration and curettage can achieve about 90% improvement effect by using special etching straws or electric straws to remove subcutaneous apocrine glands, and reduce body odor to a seemingly absent degree.
Advantages: quick recovery after operation, no obvious scar.
Disadvantages: Deodorization effect may not be 100%.
Advantages of endoscopic intrathoracic sympathetic nerve cautery: it can solve the problems of hand sweat and body odor at the same time, and the scar is not obvious.
Disadvantages: Half of patients will have compensatory sweating after operation, that is to say, when it is hot, the lower body or back and abdomen may sweat like rain, and the effect of removing body odor is slightly worse than the first two.
Advantages of applying botulinum toxin under the armpit: removing body odor without leaving scars, recovering quickly after operation and hardly affecting normal work and rest.
Disadvantages: the effect can only last for six months to one year.
3 The difference between laser and surgery for bromhidrosis Advantages of traditional axillary adenoidectomy: Apocrine glands can be almost completely removed, and the postoperative deodorization effect is good.
Disadvantages: Long recovery period.
Advantages of laser in treating bromhidrosis;
1. The skin under the armpit can be preserved, and only sweat glands are removed, with little trauma and no bleeding.
2. Fast postoperative healing: scab can be formed within a few days after operation, and normal work can be resumed.
3. Beautiful wound after operation: axillary hair can be regenerated without obvious traces, which is most suitable for patients who love beauty.
Disadvantages:
1. The recurrence rate is high, not counting the circulation cost.
2. The released heat burns the skin under the armpit, and the pain is strong.
3. It will cause serious damage to the tissues around the armpit, deep blood vessels and nerves, and produce various complications, such as scar hyperplasia and axillary pigmentation.
Precautions for axillary osmidrosis surgery Precautions before operation 1. Do not shave armpit hair for one week before operation, stop using antiperspirant three days before operation, and please take a bath at home before going to the hospital for surgery.
2. Please wear a loose coat on the day of operation to facilitate postoperative dressing.
You can eat food on the day of operation, but don't eat food with soup and water. Please stop using painkillers or anticoagulants the day before the operation.
Please don't shave your armpit hair before the operation.
Postoperative precautions: 1. Don't raise your arms over your shoulders for two weeks after surgery. Strictly avoid arm abduction (such as riding a bus handlebar ring, wearing pullover clothes, riding a bicycle, steering the wheel, etc.). ), and avoid strenuous exercise and excessive sweating, because these may cause complications such as wound hematoma, partial skin necrosis and poor wound healing.
2. There is no need to change the dressing after operation, and the gauze will be taken out of the clinic by the nursing staff on the fourth day after operation.
3. On the fourth day after operation, you can change the dressing by yourself, rinse the armpit with normal saline or boiled water, then dry it, apply ointment thinly, and then cover it with gauze.
4. If there is swelling, wound hematoma or any problems after operation, you can go to the dermatological treatment room or the emergency room or outpatient clinic of the hospital for treatment.
5. In the case of traditional axillary sweat gland resection, the upper arm activities should be restricted within 1~2 weeks after operation, such as lifting heavy objects, lifting high, playing ball and holding children. To ensure the smooth recovery of the wound.
6. Patients who have received axillary sweat gland aspiration should start moderate upper limb exercise 5-7 days after operation to facilitate recovery.
7. Patients should quit smoking 1 week before and after the operation, no matter the traditional axillary sweat gland excision or suction curettage, otherwise the axillary skin will be prone to necrosis and ulceration.