Contemporary Algorithm for Treating Bromhidrosis: A Review of Treatment Available.
Qian Lin1,2, Beichen Cai1,2, Lu Chen1,2
1Department of Plastic Surgery, The First Affiliated Hospital of Fujian Medical University, No. 20, Chazhong Road, Taijiang District, Fuzhou, China.
Aesthetic Plastic Surgery
|January 2, 2025
Summary
Botulinum toxin A (BTX-A) is the top treatment for mild to moderate bromhidrosis, offering high efficacy and safety. Surgical and energy-based options exist for severe cases or when BTX-A is unsuitable.
Area of Science:
- Dermatology
- Medical Aesthetics
Background:
- Bromhidrosis negatively impacts quality of life.
- Traditional bromhidrosis treatments have significant drawbacks.
Purpose of the Study:
- To review current evidence on bromhidrosis management.
- To propose an evidence-based treatment algorithm for bromhidrosis.
Main Methods:
- Systematic review of existing literature on bromhidrosis treatments.
- Analysis of efficacy, safety, and invasiveness of various therapeutic options.
- Development of a treatment algorithm based on disease severity and patient factors.
Main Results:
- Botulinum toxin A (BTX-A) is highly effective (over 90%) and safe for mild to moderate bromhidrosis (Grade 0-2), lasting 3-8 months.
- Surgical and energy-based therapies offer alternatives for severe cases (Grade 3) or BTX-A contraindications.
- Modern surgical techniques and energy-based treatments show improved outcomes with fewer complications.
Conclusions:
- BTX-A is the recommended first-line treatment for mild to moderate bromhidrosis.
- A standardized algorithm integrating disease severity, patient preference, and cost optimizes bromhidrosis management.
- This approach enhances clinical decision-making and improves patient outcomes.
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