Treatment of excessive axillary sweat syndromes (hyperhidrosis and osmidrosis or bromhidrosis) with liposuction

Abstract

Hyperhidrosis and osmidrosis (bromhidrosis) of the axillary area are common troublesome disorders. Hyperhidrosis can be classified into two major groups, generalized and asymmetrical hyperhidrosis that are described by the author. Discussed are the pathophysiology, mechanism of axillary odor, management of axillary hyperhidrosis and bromhidrosis including surgery technique, postoperative care, and complications. The advantages of axillary liposuction include high success rate, low complication rate, minimal postoperative care, avoidance of long-term bulky compressive dressing and restriction of movement, rapid recovery, preservation of the normal hair distribution pattern, and tiny-to-invisible scars.