Will having Sweat Gland Removal of the armpits stop bad odor?

Question

Hello I had botox to stop sweating due to me hating the bad odour that comes from having to wear longs leeves. The botox didn't stop the bad smell. I am thining of having this operation now after speaking to one cosmetic surgeon. Will having this operation done prevent the smell and how severe or dangerous is it? I got the feeling it was straight forward. Is this a common operation now an people just don't talk about it? Thank you

Melissa Chiang, MD, FAAD · Answer

MiraDry is a noninvasive, in-office procedure that uses microwaves to destroy sweat glands and apocrine (odor producing) glands  in the armpits. Patients typically have a greater than 80% reduction with just one treatment. This means that most patients no longer need deodorant or antiperspirant after treatment.Note: it is surprising that the odor did not resolve with botox, which also very effectively, albeit temporarily, reduces sweating.  Sometimes, certain foods, including garlic and onions, can contribute to odor.

Stephanie Beidler Teotia, MD · Answer

Our office offers an alternative to this, miraDry, which is a noninvasive, in-office procedure.  It destroys the sweat and odor glands in you underarms, permanently.  Most patients report results immediately.  The cost is $1950 for the first treatment.  If a second is necessary, that cost is $950.  The procedure usually takes about an hour and typically offers about an 80% reduction rate with one treatment.

Stewart Wang, MD, FACS · Answer

I am not sure which type of surgical procedure that you are considering for removing odor glands in the armpits. Before you commit to a permanent surgery, consider miraDry as a non-invasive, non-surgical alternative which has proven to be quite effective in sweat/odor reduction. MiraDry has very minimal risk and complication profile and has shown to be quite effective in our practice for the past 2 year. We have been able to achieve an average of 70% reduction in sweat/odor among all of our treated patients with this treatment.Sincerely,
Stewart Wang, MD FACSBoard Certified Plastic SurgeonMedical Director, Wang Plastic Surgery & Med Spa

Anil R. Shah, MD · Answer

Typically to reduce sweat and smell you need to reduce both the sudoriferous (sweat) glands as well as the apocrine glands (odor) producing.  Hair can hold onto smell so removing hair can be helpful.  In my practice, we combine the use of radiofrequency needling (fractora) with laser hair removal to maximal improve the underarm area.

Raffy Karamanoukian, MD, FACS · Answer

I have coauthored a book on the subject of hyperhidrosis and have seen very positive results with Miradry treatments with both sweating and odor. Best, DR. Karamanoukian Los Angeles

Bradley Bengtson, MD, FACS · Answer

We use the Palomar Laser Liposuction system to destroy the sweat glands and then suction out the residual glands and contents.All patients have had a dramatic decrease in both the sweating and staining/odor.  It is the gland that creates both problems.Best!Dr Bengtson

Sheila S. Nazarian, MD · Answer

Our office specializes in Miraday.  Miradry just got FDA clearance for elimination of all hair colors under the arm. It also has clearance for the elimination of underarm sweating and odor.

Larry S. Nichter, MD, MS, FACS · Answer

First of all make sure your "heart pain" is not serious and needs separate treatment. Miradry is the best way to correct your problem. Excess sweat (hyperhydrosis), and smelly armpits (bromhydrosis) are caused by eccrine (sweat) and  apocrine glands whose secretion is modified by bacteria causing a bad odor. Miradry eliminates these glands permanently and solves both problems. You will never need to use deodorant again eliminating your Aluminum toxicity issue.

Anh-Tuan Truong, MD, FACS · Answer

Precision Tx can provide 90% reduction in both apocrine and eccrine glands and can actually be done as a one-time, one-hour in-office procedure under local anesthesia.  In the hands of the right surgeon, it is very safe and there is only a single 3-4mm incision that is almost unnoticeable once healed.  Unlike external application of thermal energy, the Precision applies laser energy directly from underneath the skin, where the glands actually live.

Jed H. Horowitz, MD, FACS · Answer

There were several options besides Botox. Miradry and thermai RF as well as precision TX make help correct this disorder

Will having Sweat Gland Removal of the armpits stop bad odor?

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