Radical excision and reconstruction of axillary skin

Radical excision and reconstruction of axillary skin is an excellent surgical therapy for a selected group of patients: those for whom all attempts at medical management have been unsuccessful. Each patient should be adequately prepared with an extended discussion of the operation, probable postoperative course, and expected result. This operation, when carefully performed in properly selected patients, can produce satisfying results for both patient and doctor. Technical considerations, dressings and postoperative care, and complications are discussed. Three case reports are presented.