The hot summer is a test for patients with armpit odor – the high temperature causes a lot of sweating in the armpits along with the annoying smell of fox brings a lot of trouble to the patients and their friends around them, especially for the psychological health of teenagers poses a certain threat. Every summer is the peak period for patients with axillary odor, and this year is no exception. According to the situation I encountered in the clinical work, now summarize some notes related to the consultation for the reference of friends or parents of patients with axillary odor. 1, the smell of the most “smoky” when you come back to the hospital! Axillary odor is closely related to the abnormal secretion of sweat glands, so the more serious the sweating, the greater the smell is often. But in the clinical work often encountered patients just before the consultation shower, and even spray some perfume or antiperspirant drugs before coming to the clinic, that is, not only washed the armpits very clean, and there are chemical interference. This situation still has a great impact on the doctor’s judgment. The diagnosis of armpit odor is mainly based on smell, if the doctor is 10cm away from the skin of the armpit and does not smell the odor, whether you are a real armpit odor patient doctors can not give the diagnosis of “armpit odor”. Therefore, it is recommended that if you think you may have armpit odor, please come to the clinic when your symptoms are most serious, to see armpit odor is not a blind date or looking for a job, do not be embarrassed to show your smell. 2, before surgery and after treatment, please wear wide, front buttoned clothes, do not pullover! Armpit odor often requires surgical treatment to achieve a complete and permanent treatment effect. However, the activity of the shoulder joint after surgery will undoubtedly have a negative impact on the healing of the axillary skin, so the braking (i.e., inactivity) of the shoulder joint after surgery is very important. If you wear a pullover during the surgical period, it is difficult to imagine if you can keep the shoulder joint stationary while still changing clothes. Wide, front-buttoned clothing is very beneficial to the outcome of the treatment. Of course, this article is not suitable for Botox injection treatment cases. 3.Scheduling your time wisely! Armpit odor is a curable disease, but a good treatment effect depends on the joint efforts of doctors and patients. As mentioned in the previous article, postoperative shoulder joint braking is very important, but if both shoulder joints are braked, it is not difficult to imagine how inconvenient it is during the recovery period (lying down, getting up, opening doors, eating, lifting pants…). Therefore, we recommend to do only one side of the axillary joint at a time. Therefore, we advocate to do only one side of the axillary surgery at a time, and then do the other surgery when the incision is healed and stable and the shoulder joint can move moderately. In our clinical work, we have found that the safety, comfort, success rate and patient satisfaction rate of cases that are done in two sessions (about 3 weeks) are significantly higher than those that are done on both sides at the same time (about 2 weeks to complete the treatment process). Of course there are many of you who think that time is precious and you don’t have time to do it slowly like this, but as a doctor, I still think that the final result and satisfaction rate are important.