A new form of treatment for excessive sweating in the armpit area (hyperhidrosis axillaris)
in the armpit area (hyperhidrosis axillaris) is suction curettage.
It has only been performed for a few years at individual centres in Germany.
As the name suggests, this surgical procedure is a combination of curettage and liposuction.
procedure is a combination of curettage and liposuction.
The target organs are the sweat glands located in the deeper part of the dermis.
the sweat glands or the fibres of the autonomous nervous system that lead to them.
nervous system. The tissue under the dermis with the above-mentioned structures of the adenoids is
structures of the armpits contained therein. From our point of view, this would be achieved when the patient still
still have underarm perspiration, if this were also the case in people without hyperhidrosis.
would be the case. In extreme cases, after the treatment, the patients are
patients are completely dry after the treatment, even under physical or mental stress.
In our opinion, suction curettage is currently the best compromise between the
the best compromise between the improvement of sweating, the
improvement of sweating, size of the resulting scars,
sustainability of the therapeutic success and the possibility of complications for the patient.
the patient. Although the procedure of sweat gland removal as such is in the
relatively unproblematic in the hands of an experienced surgeon, the
experienced surgeon, the success of the therapy depends on the details of the
Suction curettage can be carried out using the "tumescent method" according to Klein.
general anaesthetic or an inpatient stay is usually not necessary.
is usually not necessary. Patients should shower the evening
shower the evening before and morning of the operation. Furthermore, on the day
shave under the armpits the day before the operation.
Small wheals with local anaesthetic are placed in 3 - 4 places.
anaesthetic. After a sparing incision of the skin in these areas, a liposuction
is inserted into the subcutaneous fatty tissue and the appropriate solution is injected.
and the appropriate solution is injected.
After a reaction time of 30 minutes, the suction cannula is inserted and the liquid is sucked out accordingly. At
treatment, a compressive, absorbent pressure bandage is applied.
pressure bandage is applied. You will need to wear this for one to two days and
change the absorbent material regularly.
Wearing a tight garment and your normal clothing
usually helps to a sufficient degree to counteract serum formation
(e.g. breathable sportswear, aerobic or cycling shirts).
cycling shirts). Sports activities should be avoided for 4 - 6 weeks.
Due to the small size of the incisions, wound healing problems are rare.
are rare. Theoretically, all possible postoperative complications are conceivable.
complications are conceivable. Experience shows, however, that only swelling, haematoma
only swelling, haematoma, occasional reddening in the area of the skin incision
skin incisions and a prolonged numbness of the skin in the armpit area.
of the skin in the area of the armpits.
Due to the radical approach to the underside of the dermis
some skin damage may occur. If this occurs
most cases it is only a crust formation that disappears after a few days.
crust formation that falls off after a few days. For this reason
patients about the occurrence of skin necrosis.
The lidocaine contained in the tumescent solution can very rarely be
diffuse through the soft tissues of the armpit to the brachial plexus.
brachial plexus. Should this be the case, it can lead to
temporary signs of paralysis in the area supplied by the brachial plexus.
Suction curettage is currently the most sensible surgical procedure for the treatment of primary hyperhidrosis.
treatment of primary hyperhidrosis. The impairment for the patient is
considerably less for the patient compared to earlier surgical
less. If the work is not too physically demanding, the patient can return to work
return to work is possible after only a few days.
The decisive factor for a successful therapy with this procedure of the
procedure is the sufficient radicality of the suction and curettage on the
and curettage of the lower surface of the dermis. In the area of tension
between the success of the operation and the risk of skin necrosis.
recommendation to perform these procedures at specialised centres.
Monday - Friday: 09:00 - 18:00
Saturday: By arrangement
Innovamed Aesthetics GmbH
Königstr. 49 | Theatergasse 23 90402 Nuremberg
Phone: 0911 2369030