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Reply “A comparison of two different sub-dermal trimming techniques for the treatment of axillary osmidrosis”

      Axillary malodor is a common and distressing social problem for many people. Topical astringents are usually inadequate and temporary and sometimes may cause contact dermatitis. Permanent solutions often involve invasive surgical treatment. Several therapeutic options are available for the treatment of axillary malodor such as botulinum toxin, laser, microwave thermolysis, and various surgical procedures. Suction-assisted curettage was once the main technique I used for bromhidrosis in my clinic. To obtain the best outcome using the suction-assisted curettage, I would curettage the apocrine glands very carefully and thoroughly. The skin flap would become very thin and the dermis surrounding the glands would also be scraped and damaged. Sometimes, scraping the skin too thin would damage the skin. Therefore, scar contracture and subcutaneous adhesion easily made the axillary skin uneven after surgery. Intralesional steroids injected to improve this had little effect. Until I read the manuscript entitled “A comparison of two different sub-dermal trimming techniques for the treatment of axillary osmidrosis”, I did not try changing suction-assisted curettage into manual sub-dermal trimming,
      • Ding Z.
      • Zheng J.
      A comparison of two different sub-dermal trimming techniques for the treatment of axillary osmidrosis.
      which has been reported as a satisfactory solution for axillary malodor, with a higher success rate and fewer complications compared to suction-assisted curettage.
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      References

        • Ding Z.
        • Zheng J.
        A comparison of two different sub-dermal trimming techniques for the treatment of axillary osmidrosis.
        J Plast Reconstr Aesthet Surg. 2013; 66: 1569-1574
        • Chen Y.T.
        • Shih P.Y.
        • Chen H.J.
        • Chen T.J.
        Treatment of axillary osmidrosis: a comparison between subcutaneous laser and superficial liposuction curettage.
        J Eur Acad Dermatol Venereol. 2015; 29: 2019-2923

      Linked Article

      • A comparison of two different sub-dermal trimming techniques for the treatment of axillary osmidrosis
        Journal of Plastic, Reconstructive & Aesthetic SurgeryVol. 66Issue 11
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          Axillary osmidrosis is a distressing condition caused by excessive secretion by the apocrine glands. Surgical ablation of the subcutis without skin excision is the most popular solution for axillary osmidrosis. Various special operating instruments have been employed to help remove the subcutis. However, ideal results are not always achieved. This study aimed to present our experience of treating osmidrosis by two different sub-dermal trimming techniques and compare two techniques.
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