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Axillary hyperhidrosis: A simple surgical procedure.

B Stenquist

    The Journal of Dermatologic Surgery and Oncology
    |April 1, 1985
    PubMed
    Summary
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    A straightforward surgical technique effectively treats axillary hyperhidrosis (excessive underarm sweating) resistant to topical treatments. This outpatient procedure yielded excellent or good results in all 14 patients, with minor complications.

    Area of Science:

    • Dermatology
    • Surgical Procedures
    • Hyperhidrosis Treatment

    Background:

    • Axillary hyperhidrosis significantly impacts quality of life.
    • Topical treatments like aluminum chloride hexahydrate are often ineffective for severe cases.

    Purpose of the Study:

    • To present a simple, effective surgical method for treating axillary hyperhidrosis.
    • To evaluate the outcomes of this surgical approach in patients resistant to conservative management.

    Main Methods:

    • A bat-shaped excision of the sweat gland-bearing area under local anesthesia.
    • Preoperative mapping of hyperhidrotic zones using crepe paper.
    • Primary skin closure without undermining.

    Main Results:

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  • Excellent outcomes in 12 patients (85.7%) and good outcomes in 2 patients (14.3%).
  • No major complications reported.
  • Minor complications included three wound infections and one instance of postoperative bleeding.

    • Conclusions:

    • This surgical method offers a safe and effective treatment for axillary hyperhidrosis.
    • The procedure is suitable for outpatient settings and does not require specialized plastic surgery training.