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Which is better for treating axillary odor: minimally invasive surgery or laser treatment?

Aug 28, 2025 Source: Cainiu Health
Dr. Liu Wenmin
Introduction
Minimally invasive surgery removes or destroys apocrine gland tissue through small incisions, directly addressing the source of odor. This approach results in a lower probability of odor recurrence after surgery and is suitable for individuals with severe body odor who wish to be free from the long-term困扰 (困扰 translates to "trouble" or "distress") of axillary osmidrosis. However, the procedure involves some trauma, requires a recovery period of 1-2 weeks post-surgery, during which vigorous exercise should be avoided, and may leave small scars.

Generally speaking, axillary odor treatment options such as minimally invasive surgery and laser therapy have no absolute advantages or disadvantages. Minimally invasive surgery is suitable for those seeking long-term results, while laser therapy is better suited for individuals who fear surgery or have mild odor. Selection should be based on individual needs. If uncertain, it is recommended to consult a doctor in advance. Detailed explanations are as follows:

Minimally invasive surgery removes or destroys apocrine gland tissue through small incisions, directly targeting the source of odor. It offers a lower probability of odor recurrence after surgery and is suitable for those with severe odor who wish to be free of body odor for a long time. However, the procedure involves some trauma, requiring a recovery period of 1-2 weeks during which strenuous activities should be avoided. It may leave small scars, and the outcome is highly dependent on the skill of the surgeon.

Laser treatment uses photothermal energy to destroy apocrine glands without incisions, causing minimal trauma and allowing quick recovery—normal activities can resume within 1-3 days. This method is suitable for individuals with mild odor, those afraid of surgical trauma, or those with limited time. However, the penetration depth of laser may be limited, making it less effective on deep apocrine glands. Some patients may require multiple sessions to maintain the effect, and each session is relatively expensive. The duration of effectiveness is generally shorter compared to minimally invasive surgery.

Prior to choosing a treatment method, it is important to visit a reputable medical facility for a doctor's evaluation of odor severity and apocrine gland distribution. At the same time, consider your tolerance for trauma, recovery period, and cost, to avoid making a blind choice. Postoperative care according to medical advice is essential to ensure optimal results.

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