Date Published: February 20, 2018
Publisher: Springer US
Author(s): Jin Ho Han, June-Kyu Kim, Kun Chul Yoon, Hyun Woo Shin.
Osmidrosis is a malodorous disease caused by the breakdown of sweat secreted from the apocrine glands by surface bacteria. The aim of this study was to evaluate the effect of Versajet-assisted hydraulic epilation for the treatment of axillary osmidrosis.
Thirty-two patients with axillary osmidrosis (64 axillae) underwent Versajet-assisted hydraulic epilation between January 2016 and January 2017. Subjective assessments were evaluated by a patient survey at least 3 months after the procedure.
There were no complications other than one mild pigmentation in the axilla at 3 months after the procedure. Thirty-two patients evaluated malodor elimination as good. No patients evaluated it as fair or poor. There were no recurrences.
Versajet-assisted hydraulic epilation is an ideal surgical procedure for the treatment of axillary osmidrosis that decreases complications and recurrence.
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Osmidrosis is a malodorous disease caused by the breakdown of sweat secreted from the apocrine glands by surface bacteria .
The male-to-female ratio of patients who underwent the procedure was 5:27.
Various modalities have been tried for the treatment of axillary osmidrosis. Surgical epilation is known to be the most effective method for symptomatic osmidrosis. However, it is accompanied by complications such as hematoma, seroma, skin flap necrosis, wound dehiscence, and scar formation. Additionally, there is a prolonged restriction in arm movements over the course of the long recovery period. Kesselring in 1983 used liposuction as a surgical method to overcome these drawbacks. An advantage with this method is that it can be performed in an outpatient setting, with fewer wound complications, a shorter recovery time, and no dermal injury . However, this method increased the incidence of recurrence due to incomplete apocrine gland removal. In previous studies, the recurrence rate was reported to be 2–57% , and in a study by Grazer, it was reported to be as high as 30% .
Versajet-assisted hydraulic epilation is an ideal surgical procedure for the treatment of axillary osmidrosis and combines the benefits of surgical epilation and liposuction. This procedure is, therefore, associated with a low recurrence rate, low incidence of complications, and minimal scarring.