Axillary odor is treated because of its unpleasant odor, which affects the image and brings negative psychological impact to the patient. Axillary odor treatment methods are quite a lot, with different effects, and are described below. 1, traditional surgery Excision of the axillary skin with axillary hair (pike excision method). This procedure is the oldest and theoretically enables the patient to achieve the purpose of eradication. However, in practice, physicians do not dare to remove a large amount of skin when doing surgery, because it is very difficult for physicians to suture when removing too much skin, so when using this type of surgery, they often leave some skin with axillary hair, so they also leave some of the sweat glands. Later, the function of sweat gland secretion is restored, and even compensatory secretion, the smell of fox odor is still stronger, which is why there is still a recurrence of fox odor after the removal of skin. In addition, after removing a large amount of skin, the high tension during suturing often leads to scar growth, so much so that the upper limb lifting function is restricted in some patients, which is difficult for patients to accept. Nowadays, patients have higher requirements for radical effect and cosmetic effect, and this operation is difficult to meet in both aspects, so it has been gradually eliminated. 2, electro-ionic cutting machine This method uses a finer electric needle, inserted into the axillary pores, deep into the hair follicles, using the principle of thermal destruction of hair follicles, hoping to achieve the purpose of treating axillary odor. This method has certain limitations, the effect is not reliable, the recurrence rate is high, and the skin surface will also leave many dotted scars. Electric needle depth control is difficult to master, and the scope of burns is not easy to control. Years of observation results show that this method is not the ideal treatment method, can not achieve the purpose of radical treatment, but also can not avoid injury to the skin. 3, a variety of injection therapy Injection therapy for axillary odor including anhydrous alcohol, etc., this method, despite the addition of lidocaine, but still painful when injected, more importantly, the recurrence rate is too high, this technique can not be used by the clinical use of long-term treatment of axillary odor, the short-lived effect of patients can not accept, has long been eliminated. 4, laser laser treatment is roughly two kinds. An external light, this method uses laser energy to destroy the deep sweat glands under the skin, the energy is large when the skin is damaged, the skin surface color changes, and even white, very ugly. When the energy is low, it does not achieve the purpose of destroying the deep sweat glands. Another newer laser surgery method, the use of light fibers, into the subcutaneous tissue, the use of laser burning to remove sweat glands, this method of skin appearance is generally better, but there is also some skin necrosis occurs, fox odor recurrence rate is the biggest drawback. 5, minimally invasive surgery Minimally invasive surgery to treat axillary odor is also roughly two kinds. One is the tiny incision bracket suction method. This method is derived from cosmetic liposuction. In the axilla cut a 0.5cm-1.0cm incision, the use of liposuction apparatus pump or scraper suction to remove sweat glands. This method has certain effect and the skin surface color is generally better. However, the better the skin color, the higher the recurrence rate is likely to be, because the skin heals well because the blood supply is good, and if the blood supply is good, it means that there is more residual subcutaneous tissue close to the dermis, and there is a possibility that more sweat glands will remain. The sweat glands are close to the dermis, and the sphincter is so thorough that it is inevitable to damage the subdermal vascular network. If you do not want to damage this vascular network, it is difficult to ensure that all of the sweat glands are removed. In addition, clinically it is difficult to remove all sweat glands, especially in patients with dense subcutaneous tissue. In addition, to be complete, the sphincter should be sufficient, otherwise, it will also recur. This method of bracketing relies on cross dressing and compression to stop bleeding after bracketing, which is less effective and has more complications of hematoma, followed by flap necrosis and secondary infection. After surgery, it is too late to make up for it by physical therapy. The other is the thin flap sweat gland excision method. An incision is made in the axilla along the skin line 2-3 cm long, with slight increase or decrease depending on the situation. This method has a single incision and a double incision. In practice, surgeons with good surgical skills use a single incision. The incision is slightly larger, but there is enough vision to remove all of the sweat glands under direct vision. This method is currently the more recognized surgical method in the world for the treatment of axillary odor, with thorough, aesthetic and other characteristics. The disadvantage is that postoperative hematoma complications are on the high side. For this reason, many scholars have used various methods to try to prevent the occurrence of hematoma. At present, there is a better way to prevent hematoma by using the “wide U suture packing technique”, which has been observed in a large number of cases over the years, with a very low incidence of hematoma and reliable results. This in turn has advanced the development of axillary odor treatment and won the trust of patients. 6, drug treatment For some patients who are afraid of surgery, or temporarily not suitable for surgery, you can also rub a variety of topical drugs, etc., to reduce sweat secretion, to reduce the purpose of fox odor, but the symptoms are not the root cause. In short, there are many ways to treat armpit odor, and different methods should be chosen according to the situation. Various methods have advantages and disadvantages. However, minimally invasive, aesthetic, radical and less complications are the direction of axillary odor treatment. Photo 1: One week after surgery Photo 2: One year after surgery