There are two major surgical methods for bromhidrosis: Resection and Ultrasound-assisted liposuction of the axillary region.
Resection
Resection has the advantage of being inexpensive. However, it is not so popular because leaves a large scar on the skin and requires a long recovery period because the apocrine sweat glands are cut out.
Ultrasound-assisted liposuction
Ultrasound-assisted liposuction of the axillary region removes the apocrine sweat glands and takes around one hour. After making a small incision about 5 mm in the armpit, an ultrasound inhaler is inserted into the subcutaneous fat to suck the apocrine sweat glands and surrounding adipose tissue out. Since the cut part is not sharp, the pain and scarring are minimal. The fine marks left after the procedure are hidden in the folds of the skin remaining almost invisible, and the patient can be discharged on the same day.
In addition, bromhidrosis surgery through ultrasound-assisted liposuction has the advantage of preserving blood vessels and nerves around the armpit, thus reducing side effects of traditional surgery such as hematoma and sensory loss. After the surgery, a compression bandage should be worn for 1 or 2 days. The recovery period is very short and no hospitalization is required.
