Can surgery completely cure axillary osmidrosis (smelly armpits)?

Aug 27, 2025 Source: Cainiu Health
Dr. Liu Wenmin
Introduction
In general, axillary osmidrosis surgery refers to the removal of axillary apocrine glands through methods such as apocrine gland excision, minimally invasive surgery, or laser treatment, in order to reduce or eliminate odor. Whether axillary osmidrosis can be completely cured depends on specific factors including surgical outcomes, individual physical condition, and postoperative care. If discomfort occurs, timely medical consultation is recommended.

Generally, body odor (bromhidrosis) surgery refers to removing the axillary apocrine glands through methods such as apocrine gland excision, minimally invasive surgery, or laser treatment, aiming to reduce or eliminate unpleasant odors. Whether body odor can be completely cured depends on specific factors including surgical outcomes, individual physical conditions, and postoperative care. If discomfort occurs, timely medical consultation is recommended. Detailed analysis is as follows:

If the axillary apocrine glands are completely removed during surgery and the wound heals well postoperatively, with favorable individual response to surgery and no residual or regenerating apocrine glands, the symptoms of bromhidrosis can be effectively eliminated and significant odor recurrence is unlikely.

If the surgery fails to completely remove the apocrine glands, leaving some residual tissue, or if improper postoperative care leads to wound infection and impaired healing, the remaining apocrine glands may continue to secrete sweat, causing recurrence of bromhidrosis and preventing complete resolution.

After surgery, it is important to keep the underarm area clean and dry, avoid strenuous activities that may cause excessive sweating, and prevent wound infection. Wear loose, breathable clothing to reduce friction on the underarm skin. Follow the doctor's instructions for timely wound dressing changes, monitor the healing process, and seek medical attention promptly if any abnormalities occur.

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