What is the best age for a child to undergo surgery for axillary odor?
Aug 28, 2025
Source: Cainiu Health
Dr. Liu Wenmin
Introduction
Before the age of six, a child's body is still developing, and the apocrine glands may not be fully mature. At this stage, residual apocrine gland cells remaining after surgery may become active again as the child continues to develop, potentially leading to a recurrence of odor and an increased risk of secondary surgery. Moreover, surgery performed too early may carry a slightly higher risk of complications such as postoperative infection and scar hypertrophy due to the body's incomplete development, which can affect both the surgical outcome and the appearance of the skin.
Generally speaking, there is no fixed optimal age for children to undergo surgery for bromhidrosis, but it is commonly recommended after the age of 16. At this stage, the body has largely completed development, and the apocrine glands have stabilized, resulting in longer-lasting surgical outcomes. If the odor severely impacts daily life, surgery may be considered as early as 14–16 years old following professional evaluation. If in doubt, early consultation with a healthcare provider is recommended. Detailed explanation is as follows:
Before the age of 16, children's bodies are still developing, and their apocrine glands may not be fully mature. Surgery performed at this stage may leave residual apocrine gland cells that could become active again as the child continues to develop, increasing the risk of odor recurrence and the need for repeat surgery. Additionally, surgery performed too early may carry a slightly higher risk of complications such as postoperative infection or hypertrophic scarring due to the body's incomplete development, which may affect both surgical outcomes and skin appearance.
If a child's bromhidrosis is particularly severe and has caused significant distress in daily life, social interactions, and psychological well-being—for example, if the child experiences peer rejection or develops feelings of inferiority—and if symptoms cannot be relieved through topical medications or hygiene measures, surgery may be considered between the ages of 14 and 16, following evaluation by a specialist regarding physical development and the extent of apocrine gland distribution.
Prior to planning surgery for a child, it is important to choose a qualified medical institution, communicate thoroughly with the physician regarding the child's health status, surgical plan, and postoperative care requirements, and avoid pursuing surgery prematurely. Attention should also be given to the child's psychological state, with appropriate support provided to alleviate anxiety.
