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Surgical Cure

A Surgical Cure for Excessive Underarm Sweating
For many years, the surgical treatment of choice for excessive armpit sweating was wide excision of the axillary skin, with or without removing subcutaneous tissue. This procedure left the patient with large scars and was subject to prolonged wound healing, uncomfortable wound care, and limited motion of the shoulders and arms for a long period of time. It also caused total hair loss of the underarm area.

Retrodermal Curettage
We, now, have a "new-old" surgical method for the treatment of excessive armpit sweating and underarm odor, which is far less invasive and traumatic to the patient. This method of treating excessive underarm sweating and excessive armpit odor is called Retrodermal Curettage. The goal of this surgical procedure is to thin the skin at the affected area while causing a minimal amount of discomfort to the patient.

The "old" aspect of the surgical technique relates to surgery that was performed over 40 years ago, which "thins" the skin under direct vision and extended exposure - i.e. large incisions.

The "new" aspect of the Retrodermal Curettage technique uses minimal incisions and scrapping of tissue with small instruments that are capable of curetting and aspirating the content at the affected area (Two small incisions-one centimeter long on the side of the chest wall and in front of the armpit). This approach to Retrodermal Curettage results in far less pain and discomfort to the patient and healing times are much less than with the "old" method.

What to Expect
The patient is put to sleep with a general anesthetic. The underarm area is then infiltrated with a solution containing saline and local anesthesia (lidocaine) that assists with the surgery and reduction of post-operative pain. Both underarm areas are then operated on during the same visit using the "new" Retrodermal Curettage method.

Following surgery, the patient rests for a few hours in the recovery room and is then discharged with instructions related to wound care and activity. The patient is advised to avoid exercise for about 3-4 weeks and is prescribed pain medication and antibiotics to prevent infection. Post-operative pain is relatively minimal to moderate and typically lasts for two to three days.

In 2-3 days, the patient is scheduled for a follow-up visit at Dr. Pnini's office for wound evaluation and removal of sutures.

If you have any questions regarding the Retrodermal Curettage proceedure, please contact us and we'll be glad to assist you.
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