Alon Pnini MD

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Surgical Cure

A Surgical Cure for Excessive Underarm Sweating

For many years, the surgical treatment of choice for excessive armpit sweating was wide excision of the axillary skin, with or without removing subcutaneous tissue. This procedure left the patient with large scars and was subject to prolonged wound healing, uncomfortable wound care, and limited range of motion for a long period of time. It also caused total hair loss of the underarm area.

Retrodermal Curettage We now have a new surgical method for treating excessive armpit sweating and underarm odor, which is far less invasive and traumatic than the old procedure. This method is called Retrodermal Curettage.

The goals of the old surgical procedure and retrodermal curettage are the same: to remove the part of the skin that contains the sweat glands, and thus eliminate the problem of excessive sweating. Retrodermal curettage achieves this with only a minimal amount of discomfort to the patient.

In contrast to the large incisions needed in the old technique, retrodermal curettage uses only two small incisions, each one centimeter long, on each side. Small instruments, called curettes, are inserted into the incisions and used to scrape away the tissue just under the skin. This method results in much less pain and discomfort, minimal scarring, and much quicker recovery times for the patient. The procedure results in a permanent cure and is successful in over 90% of cases.

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What to Expect

The procedure can be done under general or local anesthesia. If general anesthesia is used, the patient is put to sleep for the duration of the surgery. For patients who are unable to tolerate general anesthesia or would prefer not to go completely under, the procedure can be done using a local anesthetic and some sedative and anti-anxiety medications. In either case, the patient will feel no pain during the procedure.

The underarm area is then infiltrated with a solution containing saline and lidocaine, a local anesthetic, which assists with the surgery and reduction of post-operative pain. Both underarm areas are then operated on during the same visit using the Retrodermal Curettage method. The entire procedure, including preparation and anesthesia, takes about an hour, with the actual surgery taking about thirty minutes.

Following surgery, the patient rests for a few hours in the recovery room and is then discharged with instructions related to wound care and activity. The patient is advised to avoid exercise for about 3-4 weeks and is prescribed pain medication and antibiotics to prevent infection. Post-operative pain is relatively minimal to moderate and typically lasts for two to three days.

The patient returns for a follow-up visit in to or three days at Dr. Pnini's office for wound evaluation and removal of sutures.

If you have any questions regarding the Retrodermal Curettage procedure, please contact us and we'll be glad to assist you.

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Contact Us:

Office: 310-556 1166
Toll Free: 1(888) 44 SWEAT
               1(888) 44 79328
Fax: 310-556 8307

About Dr. Alon pnini.

Dr. Pnini is the pioneer of Retrodermal Curettage as a treatment for Axillary Hyperhidrosis (excessive underarm sweating). The Retrodermal Curettage procedure boasts a 90+% success rate. Alon Pnini, M.D. is a Board Certified Plastic and Recontrucive Surgeon, and Diplomat of the American Board of Plastic Surgery... If you have any questions or would like to know more about Dr. Pnini, please contact us.

Underarm Sweat | Underarm Sweating | Armpit Sweat | Armpit Sweating | Axillary Hyperhidrosis | Excessive Underarm Sweating