I often receive calls or E-mails from patients asking specific questions about armpit odor surgery, and now I have organized most of the common and core questions in the hope that they will be helpful to our patients! Q: What kind of surgery is used to treat axillary odor in your department? A: At present, the surgical method used in our department is “modified small incision skin flip under direct vision axillary sweat gland excision surgery”, which combines the advantages of various axillary odor surgical methods, with fast recovery, good results, low recurrence rate, scar is not obvious and other advantages, is considered to be the best means of complete treatment of axillary odor. The surgery is done under local anesthesia, and the sweat glands and hair follicles are removed from the axilla, while the skin tissue on the surface is kept intact. The wound can be completely healed in about 10 days after surgery, which does not affect normal work and study, and there is generally no pulling sensation and little change in the appearance of the axilla, which can meet the treatment needs of patients with various degrees and recurrent axillary odor. Q: I would like to ask if it will be inherited to the next generation after minimally invasive axillary surgery? A: The surgery will not change the heredity. Q: Which season is better for wound healing for armpit odor surgery? A: There is no particular season or time of surgery. You can arrange a week or so of vacation after surgery. Q: Will the summer surgery cause wound infection due to the hot weather? A: If you can ensure a relatively cool recuperation environment after surgery, such as the use of air conditioning at home, it will not affect the healing of the wound. Q: I would like to ask, I heard that both plastic surgery and general surgery in Jiu Hospital do armpit surgery, is there any difference between the two? And the cost, is there a difference between the specialist and general consultation? A: Axillary odor surgery is a surgical project routinely carried out in general surgery, in recent years, the surgical technology has made leaps and bounds of innovation, and now “modified small incision direct vision sweat gland excision” has become one of the medical features of our department, is our department after the hernia surgery, breast surgery, thyroid surgery, and opened a special axillary odor The cost of the operation is about RMB 4,000. The cost of surgery is about 4,000 yuan, and the cost of surgery by a specialist is the same as that of surgery by a general practitioner. Q: How much is the cost of axillary odor surgery? A: The total cost of surgery, dressings, materials, post-operative medication changes and hospitalization is about 4,000 yuan. Q: Can I use medical insurance for axillary odor surgery? A: The cost of axillary odor surgery is not covered by medical insurance. Q: Do I need to be hospitalized for axillary odor surgery? A: Axillary odor surgery requires one day of hospitalization because the billing and checkout process is done in the ward, but you can choose not to be hospitalized and decide the time of discharge and checkout according to the time of the surgery (if the surgery is finished before 3:00 p.m. on the same day, you can checkout on the same day, if the surgery is finished after 3:00 p.m. on the same day, you need to checkout after 8:00 a.m. on the next day). Q: Fox odor is not allowed for children under 18 years old, what kind of medicine will be better to control it? A: The first point must keep the armpit local clean, diligent bathing, shaving armpit hair, disinfection with medical iodine (or medical alcohol) (except for those allergic to alcohol). If the symptoms are serious, you can apply the regular topical drops on the market to remove sweat or armpit odor. Q: Is it true that children under the age of 18 are absolutely not allowed to have armpit odor surgery? Because my child smells very bad, it is very troublesome to keep rubbing with medicine, and the skin is allergic to medicine? A: If the degree of armpit odor is relatively mild, then surgery is not recommended at this age under 18, because as the child’s body develops, there will be a small amount of newborn sweat glands, which will also lead to recurrence after surgery. But if the current symptoms are really serious, affecting the child’s normal study, interaction, then you can consider surgery, because this is the only way to cure. This is only a theoretical probability, because we are currently removing surgery up to the superficial fascia, and if that fat layer is completely removed, it would be the same as having no soil for the seed of the sweat gland, and regenerative recurrence would not be possible. Again, this is theoretical, as there are no relevant literature reports to support this. So the need to undergo surgery can be decided after taking into account the above recommendations! Q: Can I have fox removal surgery just after having a baby? Will it affect breastfeeding? A: The surgery will not affect the quality of breast milk, but it will affect the process of breastfeeding because the upper limbs will not be able to move freely in the short term after the surgery. Q: Is the limitation of movement of the upper limbs after axillary odor surgery only during the post-operative recovery period, or is it always there? A: After surgery, the upper limbs need to restrict substantial activities for about 2-3 days (during the period there are more dressings under the axilla with pressure bandages); after removing the axillary bandages can resume normal life self-care, can engage in non-manual work nature; after a week the upper limbs can resume normal free activities; sports can be performed only in January after surgery. Q: Hello doctor, I sweat a lot in my armpits, even if I don’t exercise, even in winter, but I don’t have any strange smell, but I sweat more in summer. A: The modified small incision axillary sweat gland excision surgery in our department can solve the symptoms of abnormal underarm sweating. Q: Will the removal of axillary sweat glands affect my health because there is no outlet for sweat excretion? A: The modified small incision surgery removes the sweat glands in the armpit, while some of the small sweat glands are preserved, so there will still be a small amount of sweating in the armpit after surgery, but this is odorless. Since there are several places on the body where the sweat glands exist, the surgery will not cause sweat to have no outlet for excretion, much less affect health. Q: Will the odor transfer to my head, back or pubic area after axillary sweat gland removal? A: The theory of post-operative odor transfer is only circulated on the Internet, there is no real medical evidence, nor is there any official literature on the subject. We have followed up a large number of post-operative patients in the clinic for a long time and have not found a single case of “odor transfer” due to surgery. Q: How many times do I need to change the medication after axillary odor surgery? A: Axillary odor surgery generally requires 2-3 times to come to the hospital to change the medication, live especially far away, inconvenient transportation or foreign patients can come to the hospital for the first time after surgery to remove the axillary bandage back to the local hospital to change the wound. Q: Can I go out and play after the stitches are removed 2 weeks after axillary surgery? Will it affect the wound healing? Can I go into the water or sunbathing? A: After surgery, the wound heals smoothly for 2 weeks, so you can take a shower, touch water, or even do activities such as going into the water, but only if the wound heals smoothly, because there is a certain percentage of delayed healing of the incision. Q: I would like to ask what the cost of unilateral surgery would be. Because I had a resection nine years ago, a year later it recurred but has been delayed for various reasons, now I want to solve this heart disease completely? A: The cost of unilateral surgery surgery, dressings, materials, post-operative drug changes, hospitalization costs, etc. total about 2600 yuan. Q: Is there a high recurrence rate of armpit odor surgery? I have done laser, can I do surgery again? A: The recurrence rate of modified small incision axillary sweat gland excision surgery in our department is very low, about 5%; if you have had laser or surgery, the cure rate of re-operation is between 90% and 95%. Q: I have had two minimally invasive armpit surgery and still smell bad, is it still possible to have the surgery? Please send the answer to my mailbox at the same time. A; Please visit the outpatient clinic. The condition of the skin under the armpit needs to be determined to determine if there is a condition for reoperation and to evaluate the effect of reoperation. Q: What is the cure rate of axillary odor surgery in your hospital? What if there is a recurrence after surgery? A: The cure rate of modified small incision sweat gland excision in our department is currently maintained at about 95%, if recurrence occurs after surgery, further treatment measures should be decided according to the degree of recurrence, generally there are medication, injection remedy and re-operation treatment. If you need to operate again, the cost of surgery will be reduced accordingly. Q: Are there any risks associated with minimally invasive armpit odor surgery at your hospital? Will there be any after-effects? I read online that it will affect the function of the arm, can I go to work after one week of surgery? A: Axillary odor surgery is safe, there will be no complications of upper limb activity disorders, about a week after surgery whether you can go to work according to the nature of your work, generally about 2-3 days after surgery to remove the axillary bandage that you can resume normal life on their own, you can engage in non-manual work nature of work. Q: What are the advantages of your hospital’s minimally invasive and minimally invasive scraping surgery for axillary odor? A: The modified small incision surgery adopted by our department is significantly less likely to recur after surgery compared to scratching. Q: If I have axillary odor surgery in your hospital, will the scars be obvious and is it a minimally invasive surgery? A: The modified small incision axillary sweat gland excision is the best way of minimally invasive surgery for axillary odor, the length of the surgical incision is about 2-3cm, and the axillary incision is flat after surgery, unless the patient has a scar, there is usually no obvious scar after surgery. Q: What is the difference between axillary sweat gland excision and the minimally invasive surgery with tiny incisions that are advertised a lot? Which of the above is better for me because I don’t have serious axillary odor but I sweat a lot? A: The “microscopic incision” refers to the scraping of sweat glands in a 1cm or even smaller mini-incision, which is performed under non-direct vision, with the disadvantage of unreliable results and high probability of recurrence. From the point of view of efficacy, the so-called micro-incision surgery is not recommended. Q: I want to have fox odor surgery, but I have been using Half Moon Clear before will it affect the surgery? A: Long-term use of Half Moon Clear will affect the local skin texture and have an overall impact on the surgery, so long-term and frequent application of topical medication is not recommended for patients who eventually intend to have surgery. Q: I have mild armpit odor, and although it is not hot in this weather, I still smell when I go home after working for a long time, so I want to be treated by minimally invasive surgery. How is the treatment effect? A: Hello, our department does not carry out “visual interventional positioning removal” “rice grain sickle therapy” and other ways to treat axillary odor, the above-mentioned surgical methods are not regular medical literature and follow-up information, the efficacy is not reliable. Q: How long do I need to stay in the hospital for armpit odor surgery and can I go to work immediately after the surgery? I am a general office worker? A: Axillary odor surgery does not require hospitalization. The “48-hour holiday surgery” currently carried out by our department caters to the needs of office workers and is performed for patients who do not have holidays and can only use both days off. The “48-hour holiday surgery” is performed by an axillary odor specialist, so please visit our axillary odor specialist clinic (in the Surgery Clinic on the third floor of the tenth building) on Saturday morning to make an appointment for this surgery. Q: Is the transverse incision for axillary odor surgery in the direction of the patient lying down or standing up? A: Transverse is relative to the standing position, upper limb up, and the incision is parallel to the skin line of the axilla and concealed in the folds. Q: What does the patient need to do to prepare before having axillary odor surgery? A: Before the axillary odor surgery, you need to take blood tests and clotting time tests; on the day of surgery, you need to avoid colds, fever and other diseases under treatment; girls also need to avoid menstruation; prepare a loose cardigan on the day of surgery, and after surgery, you need to wear the cardigan against the body to reduce the movement of the shoulder joint; before surgery, you should do a good job of local and general hygiene of the underarm, because it is not convenient to take a bath for a period of time after surgery. Q: I had a minimally invasive surgery three years ago, and I want to have a second surgery. I would like to ask you a question: the minimally invasive surgery is just a small incision, and the axillary skin is intact. A: Although the surgical incision is small, the subcutaneous tissues are still traumatized and form subcutaneous scars, so it is relatively difficult for the flap to heal again after surgery. Q: How should I place my hands after surgery and what should I pay attention to? A: The main thing you need after surgery is rest. Do not lift the shoulder joints of both upper limbs, and when lying down, a soft pillow can be placed under both upper limbs.