Axillary Odor SurgeryGuide
4mm Incision, Painless & Permanent Cure with Rotational Curettage
Micro rotational curettage for bromhidrosis is a permanent treatment using a 4mm micro-incision to thoroughly remove apocrine glands. Dr. Liu achieves >99% removal rate with 15 years of experience and 0% recurrence rate, using tumescent anesthesia for completely painless procedure, no compensatory sweating, nearly invisible scars, and simultaneous improvement of sweat and hair issues.
Table of Contents
What is Apocrine Gland? Why Choose Rotational Curettage?
Axillary bromhidrosis (body odor) is caused by the bacterial fermentation of apocrine gland secretions on the skin surface. Apocrine glands are mainly located in the armpits, areola, and perineal area. Body odor commonly develops after puberty and can affect social confidence and quality of life.
Causes & Genetics of Body Odor
Body odor is primarily influenced by genetics. If one parent has body odor, children have about 50% chance of inheriting it; if both parents have it, the chance increases to 80%. The oils and proteins secreted by apocrine glands, when broken down by skin bacteria, produce the characteristic odor. Hormonal changes during puberty activate apocrine glands, which is why body odor typically becomes noticeable after puberty.
Why Physical Removal is the Only Cure?
Antiperspirants and Botox only temporarily suppress secretion without curing the condition. MiraDry microwave treatment is non-invasive but can only destroy about 70-80% of glands with higher recurrence rates. Only surgical "physical complete removal" of apocrine glands provides a permanent solution. Micro rotational curettage achieves the highest removal rate with minimal scarring, making it the ideal solution.
When to Consider Surgery?
- Body odor detectable within 1 meter by self or others
- Antiperspirants and Botox prove ineffective
- Odor affects social, professional, or intimate relationships
- Avoiding sleeveless or short-sleeved clothing in summer
- Combined excessive sweating and odor issues
Body Odor Treatment Comparison
Why Choose Liusmed Micro Rotational Curettage?
| Treatment | Removal Rate | Recurrence | Incision | Recovery | Notes |
|---|---|---|---|---|---|
| Traditional Surgery | 80-90% | 15-25% | 5-10 cm | 2-4 weeks | Large wound, visible scar |
| MiraDry Microwave | 70-80% | 20-30% | None | 3-5 days | Multiple sessions needed |
| Laser/Electrocautery | 60-70% | 30-40% | Pinhole | 1 week | Incomplete removal |
| Liusmed Micro Curettage | >99% | 0% | 4mm | 1-2 days | Direct vision complete removal |
Note: Recurrence data from Dr. Liu's 15-year clinical follow-up. Liusmed technique uses direct vision operation to ensure complete apocrine gland removal.
Liusmed Micro Rotational Curettage
Traditional body odor surgery requires 5-10cm incisions to ensure complete removal, leaving obvious scars with long recovery. Liusmed Clinic uses a special micro rotational curettage probe (only 0.4cm diameter), through a 4mm micro-incision, precisely removing apocrine glands at the dermal-subcutaneous junction under direct vision, achieving >99% removal rate.
4mm Ultra-Minimal
Tiny incision, nearly invisible scar
Three-in-One
Odor 99%, Sweat 90%, Hair 80%
No Compensatory Sweating
No nerve cutting, no temperature regulation impact
Long-lasting Results
15-year follow-up, 0% recurrence
Three-in-One: Solving Three Problems at Once
Micro rotational curettage surgery removes apocrine glands while also treating eccrine sweat glands and hair follicles in the area. Therefore, one surgery simultaneously improves: body odor (>99% removal), underarm sweating (90% improvement), and underarm hair (80% reduction). For patients with both sweating and odor issues, this is the most cost-effective solution.
Why Does Liusmed Technique Not Cause Compensatory Sweating?
Compensatory sweating (like hand sweat transferring to the back) only occurs when the "sympathetic nerve" is cut. Liusmed micro-surgery only targets the "apocrine glands" under the skin, without touching the nervous system, so it won't affect temperature regulation or cause compensatory sweating. This is why we insist on not using sympathetic nerve cutting procedures.
Surgical Process
Tumescent Anesthesia × Direct Vision × Fast Recovery
Professional Consultation
Doctor personally assesses odor severity and source, using iodine-starch test to locate apocrine gland distribution
Tumescent Anesthesia
Special tumescent anesthesia technique - only the first injection has mild discomfort, procedure is completely painless afterward
Micro Rotational Curettage
Through 4mm incision, using rotational probe to thoroughly remove apocrine glands under direct vision, ensuring >99% removal rate
Post-op Care Instructions
Simple compression bandage, detailed care instructions provided, follow-up visit in 14 days
Post-Operative Recovery Guide
Very short recovery - most patients can resume light daily activities 1-2 days after surgery
- •Keep underarm dry for first 24 hours, avoid water contact
- •Avoid raising arms significantly for 3-5 days post-surgery
- •Can shower normally, but avoid direct water on underarm area
- •Strenuous exercise should wait until 2 weeks post-surgery
- •Use antibiotic ointment as prescribed to prevent infection
- •Follow-up visit in 14 days to assess recovery
About the Author
Dr. Ta-Ju Liu
Director, Liusmed Clinic
- Over 15 years of micro body odor surgery experience
- Over 10,000 successful cases
- Board-certified Dermatologist
- Expert in micro rotational curettage for apocrine glands
- Founder of "Clean First" philosophy
"I adhere to the 'Clean First' philosophy, ensuring every apocrine gland is removed under direct vision. In 15 years, our patients have had zero recurrence cases - this is the Liusmed commitment."
Frequently Asked Questions
Is the surgery really painless?
Yes, it's virtually painless. We use a special tumescent anesthesia technique. Only the first injection of local anesthesia causes mild discomfort (like a regular injection), after which there's no pain during surgery - you'll only feel the vibration of the doctor operating.
Will I experience compensatory sweating after surgery?
Absolutely not. Compensatory sweating (like hand sweat transferring to the back) only occurs with sympathetic nerve cutting. Our micro-surgery only targets the apocrine glands under the skin, without touching the nervous system, so it won't affect temperature regulation or cause compensatory sweating.
I heard odor surgery has high recurrence rates?
This depends on how thorough the surgery is. Recurrence usually happens when apocrine glands aren't completely removed. Dr. Liu follows a "Clean First" principle, ensuring >99% removal rate under direct vision. In our 15 years of clinical follow-up, we have zero recurrence cases.
How soon can I return to work or exercise?
Recovery is very quick. Most patients can resume light daily activities (like office work) 1-2 days after surgery. However, avoid raising arms significantly for 3-5 days post-surgery for better wound healing. Strenuous exercise should wait until 2 weeks after surgery.
How much does the surgery cost? Is it covered by insurance?
Micro rotational curettage surgery is a self-pay procedure. Cost varies based on severity and treatment area - we recommend an in-person consultation for accurate pricing. Traditional odor surgery may be partially covered by health insurance, but micro-surgical materials and technique fees are self-pay.
How severe should odor be before considering surgery? Can mild cases get surgery?
We generally recommend surgery for moderate to severe cases (detectable within 1 meter by self or others). Mild cases can try conservative treatments first (antiperspirants, Botox injections). If these don't work or you want a permanent solution, micro-surgery is an option. Dr. Liu provides personalized recommendations during pre-operative assessment.
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