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Characteristics of Refractory Sweating Areas Following Minimally Invasive Surgery for Axillary Hyperhidrosis

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Abstract

Background

Several surgical strategies have evolved for the treatment of focal axillary hyperhidrosis (FAH). However, nonresponders are found in every procedure. Until now no characterization of the recurrent sweating areas has been reported. The aim of this study was to characterize the axillary sweat area by using the iodine starch test in nonresponders prior to surgery.

Methods

Prior to minimally invasive surgery, 24 (15 females, 9 males) nonresponders underwent a repetitive iodine starch test to define the area of recurrent sweating. Size and distribution of the hyperhidrotic area were documented.

Results

Eighteen patients had undergone previous liposuction and six liposuction curettage. The size of recurrent sweating area was 10.2 cm2 (range = 5.5–24.5 cm2). We were able to identify three different patterns of recurrent sweating: crescent (33%), circular (41%), and insertion-spot type (26%).

Conclusion

Patterns of recurrent sweating areas may partially indicate insufficient planning and implementation of surgery, resulting in nonresponders. We suggest that exact preoperative identification of the hyperhidrotic area be mandatory.

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References

  1. Böni R (2006) Tumescent suction curettage in the treatment of axillary hyperhidrosis: experience in 63 patients. Dermatology 213:215–217

    Article  PubMed  Google Scholar 

  2. Lee D, Cho SH, Kim YC, Park JH, Lee SS, Park SW (2006) Tumescent liposuction with dermal curettage for treatment of axillary osmidrosis and hyperhidrosis. Dermatol Surg 32:505–511

    Article  PubMed  CAS  Google Scholar 

  3. Tung TC, Wei FC (1997) Excision of subcutaneous tissue for the treatment of axillary osmidrosis. Br J Plast Surg 50:61–66

    Article  PubMed  CAS  Google Scholar 

  4. Bechara FG, Sand M, Sand D, Altmeyer P, Hoffmann K (2007) Suction-curettage as a surgical treatment of focal axillary hyperhidrosis: recommendation for an aggressive approach. Plast Reconstr Surg 119:1390–1391

    Article  PubMed  CAS  Google Scholar 

  5. Definition and therapy of primary hyperhidrosis. Guidelines of the German Society of Dermatology (DDG), February 2007. Available at http://www.uni-duesseldorf.de/AWMF/ll/013-059.htm. Accessed 27 Oct 2008

  6. Bechara FG, Gambichler T, Bader A, Sand M, Altmeyer P, Hoffmann K (2007) Assessment of quality of life in patients with primary axillary hyperhidrosis before and after suction-curettage. J Am Acad Dermatol 57:207–212

    Article  PubMed  Google Scholar 

  7. Bechara FG, Sand M, Sand D, Altmeyer P, Hoffmann K (2006) Surgical treatment of axillary hyperhidrosis: a study comparing liposuction cannulas with a suction-curettage cannula. Ann Plast Surg 56:654–657

    Article  PubMed  CAS  Google Scholar 

  8. Park YJ, Shin MS (2001) What is the best method for treating osmidrosis? Ann Plast Surg 47:303–309

    Article  PubMed  CAS  Google Scholar 

  9. Perng CK, Yeh FL, Ma H, Lin JT, Hwang CH, Shen BH, Chen CH, Fang RH (2004) Is the treatment of axillary osmidrosis with liposuction better than open surgery? Plast Reconstr Surg 114:93–97

    Article  PubMed  Google Scholar 

  10. Heckmann M, Rzany B (2002) Botulinumtoxin in der Dermatologie. Grundlagen und praktische Anwendung. Urban & Vogel, München

    Google Scholar 

  11. Lawrence CM, Lonsdale Eccles AA (2006) Selective sweat gland removal with minimal skin excision in the treatment of axillary hyperhidrosis: a retrospective clinical and histological review of 15 patients. Br J Dermatol 155:115–118

    Article  PubMed  CAS  Google Scholar 

  12. Minor V (1929) Ein neues Verfahren zu der klinischen Untersuchung der Schweißabsonderung. Dtsch Z Nervenheilk 101:302–308

    Article  Google Scholar 

  13. Bechara FG, Sand M, Sand D, Achenbach RK, Altmeyer P, Hoffmann K (2006) Focal hyperhidrosis of the anal fold: a simple technique for diagnosis and evaluation of therapy. Br J Dermatol 155:858

    Article  PubMed  CAS  Google Scholar 

  14. Tsai RY, Lin JY (2001) Experience of tumescent liposuction in the treatment of osmidrosis. Dermatol Surg 27:446–448

    Article  PubMed  CAS  Google Scholar 

  15. Naumann M, Lowe NJ, Kumar CR, Hamm H (2003) Botulinum toxin type A is a safe and effective treatment for axillary hyperhidrosis over 16 months: a prospective study. Arch Dermatol 139:731–736

    Article  PubMed  CAS  Google Scholar 

  16. Bechara FG, Sand M, Hoffmann K, Boorboor P, Altmeyer P, Stucker M (2008) Histological and clinical findings in different surgical strategies for focal axillary hyperhidrosis. Dermatol Surg 34:1001–1009

    Article  PubMed  CAS  Google Scholar 

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Authors and Affiliations

  1. Department of Dermatology and Allergology, Ruhr-University Bochum, St. Josef Hospital, Gudrunstr. 56, 44791, Bochum, Germany

    Falk Georges Bechara, Michael Sand & Peter Altmeyer

Authors
  1. Falk Georges Bechara
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  2. Michael Sand
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  3. Peter Altmeyer
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Corresponding author

Correspondence to Falk Georges Bechara.

Additional information

F. G. Bechara and M. Sand have contributed equally to this work.

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Bechara, F.G., Sand, M. & Altmeyer, P. Characteristics of Refractory Sweating Areas Following Minimally Invasive Surgery for Axillary Hyperhidrosis. Aesth Plast Surg 33, 308–311 (2009). https://doi.org/10.1007/s00266-008-9261-4

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  • DOI: https://doi.org/10.1007/s00266-008-9261-4

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