I am 20 years old, have a relatively serious armpit odor, very low self-esteem, and want to go for surgery. I looked up some information on the Internet and found that there are many surgical methods, so I wonder which one is more appropriate? There are indeed many treatment methods for armpit odor, each with its own advantages and disadvantages. To know which method is appropriate, we must first understand the mechanism of armpit odor. Axillary odor is caused by abnormal secretion of the top sweat glands in the armpit, the bacteria that remain in the armpit and the organic matter contained in the secretions of the top sweat glands interact to produce short-chain fatty acids and nitrogen and the formation of odor. Some scholars have confirmed that the occurrence of axillary odor lies in the abnormalities of the axillary sweat glands: large in number, large in size, and highly secreted, even if these patients have the same flora as normal people in the axillary area. Therefore, the complete treatment of armpit odor requires either the elimination of bacteria or the removal of sweat glands. Eliminating bacteria is impossible, and only reducing or removing the sweat glands can effectively or completely solve armpit odor. There are many treatments for armpit odor, including topical medications, laser, freezing, local injections, surgery, etc., and each has its own advantages and disadvantages. Topical medication is a brief inhibition of bacteria or reduce sweating, the symptoms are not the root cause; laser, freezing is through the heat or cold effect will be part of the destruction of sweat glands, axillary skin to form a fatigue scar to prevent glandular fluid discharge. Local injection of sclerosing agent can destroy the sweat glands and capillaries, causing coagulative necrosis of the tissue and capillary embolism, thus achieving the purpose of treatment. It has been proven that surgical treatment of axillary odor is more reliable than non-surgical treatment. Surgical removal of axillary sweat glands is probably the only curative method available. Since the sweat glands are mainly distributed in the subcutaneous layer and the ducts open in the hair follicle funnel, the sweat glands are consistent with the hair follicles in terms of number, density and distribution, so the scope of axillary odor treatment is mostly the axillary hair distribution area …… removing the sweat glands in the axillary area is the main purpose of various surgeries. I have used a lot of topical medication, still have armpit odor. I heard that surgery is the most effective and can even cure it, which is the most suitable surgical method? Indeed, surgical removal of the axillary sweat glands is probably the only radical cure available. In the past, the most common method was to remove and sew up the skin with axillary hair in the armpit, but it left a significant scar. With the improvement of living standards and socialization, people’s requirements for the treatment of armpit odor are gradually increasing, not only to remove armpit odor completely, but also to be beautiful and not affect the function. In order to achieve not only complete removal of axillary sweat glands, but also small scar, the surgery must be safe and less traumatic, Xinhua Hospital Plastic Surgery Department after more than a decade of research and technical improvements, the current method of minimally invasive scraping large range of large sweat glands to treat axillary odor, the basic elimination of axillary odor after surgery, no scar, popular with patients. The specific method is to make a small incision in the center of the armpit (about 1cm), beyond the axillary hair growth area 0.5-1.0cm, for subcutaneous subtle separation, scratching, construction method to completely remove the subcutaneous sweat glands, and multi-point drainage, packing pressure bandage, to avoid the occurrence of common complications such as hematoma, safe and effective, almost no scar. The stitches can be removed one week after the surgery and you can basically resume normal activities. I had armpit odor surgery 5 years ago and the results were very good. I am getting married soon and my fiancé doesn’t know that I have armpit odor. I am worried that my children will have armpit odor in the future. Most people with armpit odor have a family history of armpit odor, and some parents and family members do not have armpit odor. According to statistics, if one parent has armpit odor, the hereditary rate of children is more than 50%, and if both parents have armpit odor, the hereditary rate of children is more than 80%. But whether it is passed on to male or female cannot be determined. Therefore, there is a 50-50 chance that your child will have armpit odor. Because of my work, I have more contact with foreigners and found that many of them have bad odor (armpit odor), is it that white and black people have more armpit odor? Yes, the ethnographic tendency of armpit odor is particularly obvious, white people, black people, brown people with armpit odor account for the vast majority, so they do not have fox odor rather rare, fox odor in their population is not a disease, in the West, the English word for armpit odor (B.O) body odor is the meaning of body odor. Since the body odor (armpit odor) of the yellow race is extremely light, once who has a heavy body odor (armpit odor is obvious), the surrounding people feel particularly pungent, and is generally considered a disease. With axillary odor, a heavier psychological burden will be formed as a result, affecting marriage, employment, higher education, friendships, etc. Many patients therefore cause personality, thinking abnormal, armpit odor really becomes a disease – a psychological disease. My 10-year-old daughter has armpit odor, can I have surgery? If not, will armpit odor get worse as she grows and develops? Armpit odor, which is not present in childhood, becomes more pronounced with puberty, and later, as the sweat glands shrink, it will become less and less severe in old age. In the past, the odor did not appear until after the age of 15, but nowadays, children develop early and advance to 11 or 12 years old or even earlier. If your daughter can tolerate the pain of local anesthesia and cooperate with the doctor for surgery, outpatient surgery is also possible. Without surgery, armpit odor will become more pronounced with the onset of puberty. When I sweat a lot in summer, I often feel that my armpits smell, but after I take a shower, the smell disappears. Do I need treatment? The sweat produced by patients with armpit odor is odorless at first for about half an hour, and the odor is emitted only when local bacteria break down the sweat and produce unsaturated fatty acids, etc. So your case is considered armpit odor. Need to be treated, otherwise life is not convenient. The armpits are often kept clean, which can also significantly reduce the odor. I had an armpit odor laser surgery last year, after the surgery armpit odor has been reduced, but not completely disappeared, what should I do? Laser treatment can only partially close the pores and damage a small number of sweat glands, so the odor cannot be removed. Most patients who have undergone laser treatment still need to use surgery to completely remove armpit odor. Since laser treatment leaves a scar on the skin and under the skin, it makes the surgery more difficult.