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At what age is it suitable for children to undergo surgery for axillary odor?

Aug 27, 2025 Source: Cainiu Health
Dr. Liu Wenmin
Introduction
During the 14-18 age stage, children's physical development approaches maturity, and the apocrine sweat glands are nearly stabilized. Surgery at this stage allows for more complete removal of abnormal apocrine glands, thereby reducing the probability of postoperative recurrence. If body odor has seriously affected social interaction and study, caused psychological inferiority in the child, and symptoms cannot be relieved through regular hygiene and antiperspirant measures, surgical intervention may be considered after professional evaluation.

Generally, it is recommended that children with bromhidrosis consider surgery around the age of 14-18 years, after their physical development has largely stabilized. If the child is too young or the symptoms of bromhidrosis have not significantly affected daily life, early surgery is not advised. If there are concerns, it is recommended to seek medical consultation in advance. Detailed analysis is as follows:

During the 14-18 age period, a child's physical development approaches maturity, and the apocrine sweat glands are mostly fully developed. Surgery performed at this stage allows for more complete removal of abnormal sweat glands, thereby reducing the risk of recurrence after surgery. If bromhidrosis has significantly affected the child's social interactions and studies, caused psychological distress such as inferiority, and cannot be relieved through regular hygiene practices or antiperspirants, surgery may be considered after professional evaluation to improve quality of life.

Children under 14 years old are still in a developmental stage, and their apocrine sweat glands may not be fully mature. Surgery at this stage may miss underdeveloped sweat glands, leading to recurrence after surgery. If the bromhidrosis symptoms are mild and only slightly noticeable after exercise, they can often be managed with regular hygiene practices such as frequent bathing and changing clothes, without the need for urgent surgery, to avoid unnecessary physical trauma.

Prior to surgery, the child should visit a reputable medical facility for a comprehensive evaluation. Postoperative wound care is also crucial, including keeping the underarm area dry and clean, and avoiding strenuous activities that may impair wound healing. If abnormalities such as redness, swelling, or discharge occur after surgery, timely follow-up and treatment are necessary.

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