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Axillary hyperhidrosis: surgical cure with aesthetic scars.
Annals of the Royal College of Surgeons of England
|July 1, 1979
Summary
This study presents a minimally invasive surgical technique for axillary hyperhidrosis treatment. The method effectively removes eccrine glands, offering a high cure rate with acceptable scarring.
Area of Science:
- Dermatology
- Surgical Techniques
- Hyperhidrosis Treatment
Background:
- Axillary hyperhidrosis (excessive underarm sweating) significantly impacts quality of life.
- Current treatments for hyperhidrosis have limitations in efficacy or invasiveness.
Purpose of the Study:
- To evaluate a novel surgical technique for the methodical removal of axillary eccrine glands.
- To assess the efficacy and aesthetic outcomes of this minimally invasive approach.
Main Methods:
- A surgical technique involving undermining hair-bearing axillary skin through three small incisions.
- Methodical removal of eccrine glands.
- Procedure performed under local or general anesthesia.
Main Results:
- Successful treatment in 25 patients (50 axillae).
- 23 patients (92%) experienced a total cure of hyperhidrosis.
- 2 patients (8%) showed significant improvement, negating the need for further treatment.
- Minimal and aesthetically acceptable scarring observed.
Conclusions:
- This minimally invasive surgical technique provides a highly effective treatment for axillary hyperhidrosis.
- The procedure offers excellent clinical outcomes with favorable cosmetic results.
- The technique is a viable option for managing severe underarm sweating.

