Areola armpit (chichiga)

Skin care Armpit gait/hyperhidrosis
Free underarm check in progress!
Please feel free to contact us.
Areola armpit moth (chichiga) - Treatment using EL method
Areola Waikiga(Chichiga)
-Treatment using EL method
Causes of areola armpit moth (chichiga)
The chest odor is caused by the apocrine sweat glands present on the skin of the areola.
It is the same as the so-called Wakiga, and some people are concerned about the smell around their breasts.It is common for underwear and shirts to smell bad, and many people give up because they do not know how to improve it.

There are many apocrine sweat glands in the hairy part of the areola, and it is characterized by the same smell and bitter taste as wakiga.
Of course, chichiga can occur in both men and women, so men can also smell it.
People who originally have armpits are more likely to develop armpits.Women may only get chichiga when there is a change in their hormonal balance.
Choose a hospital carefully!
Not only did he not easily recover from the procedure, and he could suffer a lifetime with scars. Especially Chichiga (areola wakiga) is a very delicate part, so it is recommended to use the least burdensome method.
At our hospital, treatments are tailored to the patient, and there are methods that cause less damage to the body. Please feel free to contact us.
miraDry® is a microwave-based medical device that acts on eccrine sweat glands to treat severe primary axillary hyperhidrosis. Recently, a case report has been made of a death that is likely due to the use of miraDry® on an unsuitable area (Wen S, et al. Legal Medicine 2022;58:102095). According to the report, a healthy woman who received miraDry® treatment on the perineum, genitals, and perianal area due to body odor experienced severe side effects after treatment, such as persistent fever, persistent pain, and bleeding from the treatment area, and died on the sixth day due to a rapid deterioration of her general condition, which is thought to be due to Fournier's gangrene complicated by toxic shock-like syndrome (case pending). It is unclear at this time whether the miraDry®️ treatment was directly related to the cause of death. In addition, in this case, miraDry®️ was not used to treat severe primary axillary hyperhidrosis. However, we would like to ask you to confirm the content of the appropriate use of miraDry®️ again. miraDry® is a specially-managed medical device and a special maintenance-managed medical device, meaning that if side effects or malfunctions occur when the device is used properly for its intended purpose, it may have a serious impact on human life and health, and therefore requires proper management. The package insert (6nd edition) of August 2019 includes the following warning:
[Purpose or effect of use]
This product is a device used to treat severe primary axillary hyperhidrosis.
【warning】
When diagnosing primary axillary hyperhidrosis, follow the latest guidelines for the treatment of primary focal hyperhidrosis. * [Incorrect diagnosis of hyperhidrosis, assessment of severity, and identification of sweating sites can make it difficult to balance risks and benefits.]
[Taboos and Prohibitions]
Applicable subjects (patients)
1. This treatment should not be applied to the following patients: • Patients with pacemakers or other electronic devices embedded in their bodies [This may cause malfunctions in the embedded medical electronic devices, leading to serious accidents] • Patients with metal implants near the armpits or with tattoos [The embedded metal may generate heat and cause burns] • Patients with malignant tumors or skin malignant tumors in the treatment area [There is a concern that the malignant tumor may become activated]
How To Use
1. Do not use lubricants that are not water-soluble (such as ultrasound gel or IPL laser gel). [Lubricant may become clogged in the suction holes of the biochip, preventing adequate suction of the skin and resulting in burns.] 2. Do not operate this product near flammable gases, including oxygen or anesthetics. [Microwaves may ignite, resulting in a risk of fire or burns.] 3. Do not use in areas where hyperhidrosis occurs other than the armpits. [The efficacy and safety of using this product in areas where compensatory sweating, a complication, occurs, has not been established, and there is a risk of serious malfunctions or adverse events.] (*) The latest treatment guidelines for primary focal hyperhidrosis are currently being revised and will be published soon. When using miraDry®, please make sure to use it appropriately at a facility that can handle side effects, carefully consider the patients to whom it is applicable, and obtain sufficient informed consent regarding its effectiveness and side effects.
January 2023, 1 Masayuki Amaya, President of the Japanese Dermatological Association Naoki Morimoto, President of the Japanese Society of Plastic and Reconstructive Surgery Kei Takeda, President of the Japanese Society of Aesthetic Dermatology Yuki Yamamoto, President of the Japanese Society of Aesthetic Dermatology Yoshihiko Nakazato, President of the Japanese Society of Sweating Ritsu Aoki, President of the Japan Association of Aesthetic Medicine All Directors of the NPO Hyperhidrosis Support Group
Source: From the website of the Japanese Dermatological Association (Public Interest Incorporated Association): Consensus on school-related skin infections
[Purpose or effect of use]
This product is a device used to treat severe primary axillary hyperhidrosis.
【warning】
When diagnosing primary axillary hyperhidrosis, follow the latest guidelines for the treatment of primary focal hyperhidrosis. * [Incorrect diagnosis of hyperhidrosis, assessment of severity, and identification of sweating sites can make it difficult to balance risks and benefits.]
[Taboos and Prohibitions]
Applicable subjects (patients)
 1. This product should not be used in the following patients:
  • - Patients with pacemakers or other electronic devices implanted in their bodies [This may cause the implanted medical electronic devices to malfunction, leading to serious accidents]
  • • Patients with metal implants near the armpits or with tattoos [The implanted metal may generate heat and cause burns]
  • • Patients with malignant tumors or skin malignancies in the treatment area [concerns about activation of malignant tumors]
How To Use
  • 1. Do not use lubricants that are not water-soluble (such as ultrasound gel or IPL laser gel). [The lubricant may get stuck in the suction hole of the biochip, causing the skin to be insufficiently suctioned and resulting in burns.]
  •  
  • 2. Do not operate this product near flammable gases, including oxygen or anesthetics. [Microwaves may cause ignition, resulting in fire or burns.]
  •  
  • 3. Do not use in areas where hyperhidrosis occurs other than the armpits. [The efficacy and safety of using this product in areas where compensatory sweating, a complication, occurs, has not been established, and there is a risk of serious malfunctions or adverse events.]
(*) The latest treatment guidelines for primary focal hyperhidrosis are currently being revised and will be published soon. When using miraDry®, please make sure to use it appropriately at a facility that can handle side effects, carefully consider the patients to whom it is applicable, and obtain sufficient informed consent regarding its effectiveness and side effects.
January 2023, 1 Masayuki Amaya, President of the Japanese Dermatological Association Naoki Morimoto, President of the Japanese Society of Plastic and Reconstructive Surgery Kei Takeda, President of the Japanese Society of Aesthetic Dermatology Yuki Yamamoto, President of the Japanese Society of Aesthetic Dermatology Yoshihiko Nakazato, President of the Japanese Society of Sweating Ritsu Aoki, President of the Japan Association of Aesthetic Medicine All Directors of the NPO Hyperhidrosis Support Group
Source: From the website of the Japanese Dermatological Association (Public Interest Incorporated Association): Consensus on school-related skin infections
MiraDry is not effective against body odor. The Ministry of Health, Labor and Welfare has approved it as a medical device only for patients who suffer from "primary axillary hyperhidrosis," which is excessive sweating in the armpit area. The Ministry of Health, Labor and Welfare's website clearly states that it has not been approved as a treatment for body odor because it has not been found to be effective against body odor.
According to a statement from the Pharmaceuticals and Medical Devices Agency, "The clinical trial results for MiraDry showed that it was unable to meet the clinical trial criteria for odor. Overall, therefore, the review has concluded that the product is only suitable for treating hyperhidrosis, and that it did not demonstrate any odor-reducing effect."
The examination was based on the procedure performed by a doctor, but most beauty clinics use nurses for the procedure. This further reduces the effectiveness and increases the risk. MiraDry is not intended for use in treating anything other than underarm sweating. Neither safety nor effectiveness has been confirmed. It does not reduce odor.
Do you have any problems?
When you are with a partner
I was pointed out that my chest smelled
When changing clothes
My bra underwear is wet with sweat... There are yellow stains...
During everyday life
Breast odor suddenly becomes stronger due to life changes such as menstruation, childbirth, and menopause
Easy self-check method
Are you worried about whether you have chichiga (areola armpit gas) or not?Let's do a simple self-check.
Underwear has yellow spots
There is a possibility of chichiga (areola wakiga) if yellow stains appear on the area where the areola of the brassiere is in contact with the brassiere for women, and on the area where the areola is in contact with the shirt for men.Apocrine sweat is highly pigmented, which can cause your underwear to turn yellow.
Dark areola hair
There are also many apocrine sweat glands around the areola.If the hair follicles are well developed, it is highly likely that the apocrine glands that cause chichiga (areola wakiga) are also well developed.
Changes in hormone balance
Symptoms may appear before and after menstruation, after childbirth, and during menopause, when the hormone balance changes significantly.People who originally have a lot of apocrine sweat glands may have a strong odor due to hormonal imbalance.
Those who are worried about recurrence of areola armpit moth (chichiga)
Approximately half of our patients have received treatment at other hospitals.
Those who have had no effect after receiving medical treatment or surgery with the instrument, or those who have had complications.The EL method of our hospital is supported by many doctors because it can be re-treated.
Treatment method for areola armpit moth (chichiga)
In our hospital, we use the following four methods.
EL method (electrolysis method)
High-frequency energy destroys the source of odor, sweat, and yellowing with pinpoint accuracy. The EL method is a treatment with less burden on the body.
HIFU (High intensity focused ultrasonic method)
It is a treatment for chichiga (areola wakiga) that irradiates and destroys sweat glands with focused energy from ultrasound.Suitable for low to moderate chichiga (areola wakiga), it is a treatment with little damage to the skin.
Sweat injection
Just by hitting the injection, you can easily reduce sweat and odor in a short time.The effect varies from person to person, but it takes about half a year.
Wakiga cream
Since it is for medical use, rashes and post-inflammatory pigmentation are less likely to occur even after long-term use.Prescriptions can also be covered by insurance.
Comparison of treatment methods
If you are not sure which one is right for you, please do not hesitate to contact us.
EL method HIFU Sweat injection Wakiga cream
Time About 20 minutes About 20 minutes About 5 minutes 1 day 2 application
Pain Few Few Injection pain level None
Scar Does not remain Does not remain Does not remain -
Outpatient 1-6 times About 3 times None None
Daily life restrictions Sauna pool None None None
Effect Long term Long term About half a year short term
Immediate effect Yes Yes 2-7 days later A few days later
Target From elementary school 4 Over 18 years old From elementary school 3 Anyone
Recommended Mild to severe Mild to moderate For hyperhidrosis Those who are not good at injection
About EL method
Director is in charge of everything
The director is responsible for everything from counseling to treatment.
Less scarring and less pain after surgery
The scar is scarcely left because the hair follicle is treated with pinpoint.
Can be treated from children
We encourage parents to take care of their children so that they do not feel anxious.
Possible to deal with recurrence
More than half of our patients will be re-treated if wakiga recurs.
Medical expenses deduction
Those who have paid more than a certain amount of medical expenses will return part of the tax paid by filing a tax return.
Daily life possible from the same day
There is no downtime so you can work or exercise without any restrictions on your daily life.
risk
Notes on EL method
Anesthesia is shot by injection and internal bleeding may occur temporarily, but it will disappear after about 1 weeks.

In the EL method, a thin needle generates heat, causing mild inflammation that matches the hair follicle, and redness may remain for 1-2 weeks.In addition, the surrounding tissue under the skin also shrinks due to heat coagulation, so you may feel a taut and uncomfortable sensation for about 1-2 weeks.There may be temporary pigmentation that matches the hair follicles, but this will disappear after a short period of time.

Mechanism of EL law
EL (Electrolysis) method destroys apocrine sweat glands (source of odor), eccrine sweat glands (source of sweat), and sebaceous glands (source of yellow spots) with high frequency energy. It is a method to reduce sweat, smell and yellow spots. We can cope with skirt and chichiga (areola wakiga).

The EL method is a treatment that places little burden on the body. Reasons for the dissemination are that the acquisition of technology is extremely difficult, special equipment must be purchased, much more labor and time than surgery, and the profits of medical institutions cannot be expected.
EL method treatment flow
1. Disinfect the affected area
We perform disinfection to perform hygienically.
2. Anesthetic injection
Use extreme care to avoid pain.
3. Implementation of EL method by the director
4. Cooling and application of ointment
Apply ointment and cool to prevent redness and folliculitis.
Sweat injection
Just by giving an anti-perspirant injection, you can suppress the function of eccrine sweat glands, which are the source of sweat, and reduce sweat and odor.There are almost no restrictions on your daily life from the day you receive the treatment, and it is very simple as all you have to do is get an injection.The effect lasts for about half a year, so it is recommended for those who want to suppress sweat and odor only during a limited period of time, such as during the summer, and in combination with the EL method.
Treatment time About 5 minutes
Number of treatments 1 times
pain None
Side effects There is a possibility of internal bleeding due to injection.
Features of sweat injection
  • Suitable for people with hyperhidrosis
  • Can handle sweat on hands, feet and scalp
  • Because there is no injection, there are no restrictions on daily life
Sweat injection treatment flow
1. Marking the affected area
Mark the affected area.
2. Disinfect the affected area
Disinfect for sanitary purposes.
3. Anti-perspirant injection by the director
Cool at the same time as the injection.
4. Compression after injection
Press the affected area for several minutes to prevent internal bleeding.
Wakiga cream
Our hospital's wakiga cream is selected from many drugs based on the results of research and development by specialists and is an ingredient that is uniquely formulated, and the main component is a new quinolone antibiotic.

It is for medical use, so it will not rash or cause pigmentation after prolonged use. Can be used for a long time.
Number of treatments 1 day 2 application
pain None
Side effects Report does not.
Features of Wakiga Cream
  • Since it is for medical use, it can be used for a long time
  • Very little pigmentation after inflammation
  • There is no restriction of daily life because it is only applied.
Flow of using wakiga cream
1. Prescription of armpit cream
2. Apply to the area where you are concerned about the odor.
Flow of treatment
1. Reservation by phone
We accept reservations by phone.
2.Explanation of treatment from counselor
In a private room, a professional counselor will listen to your request in detail and explain the treatment method and content.
3. Counseling by a specialist
Specialist Suetake, the director of the clinic, will examine you and present you with a picture of the case to provide you with easy-to-understand counseling on the effects, risks, specific treatments, and mechanisms of wakiga.
4. Application and payment for treatment
If you are satisfied with the contents, you will sign a letter of consent and pay the fee. In case of course, we accept consultation of interest-free division.
5.Implementation of each treatment
EL method HIFU Sweat injection Wakiga cream
6. After-sales follow-up
Aftercare is included in the price. If you have any concerns after returning home, please do not hesitate to contact us via toll-free or email counseling.
Prices
The entire amount is eligible for medical expense deduction. (Transportation costs to hospital are also eligible.)
EL method (once)For those suffering from sudden onset 90,000(99,000)
EL method (once)For those who have been worried all the time 190,000(209,000)
EL method (once)For those who aim for complete cure 310,000(341,000)
Sweatproof injection (areola)For those who want to stop sweating 50,000(55,000)
*Separate needle fee: 20,000 (22,000) is required.
HIFU once 180,000(198,000)
HIFU once 380,000(418,000)
EL method + HIFU combination method 310,000(341,000)
* Treatment is free medical care (not covered by insurance).
*The EL method requires a separate needle fee (3 (20,000) for 22,000 treatments).
Wakiga cream Initial consultation fee 3,000(3,300)
20gFor those who want to care at home 2,500(2,750)
FAQ

© 2025 For Cosmetic Surgery, Dermatology, and Plastic Surgery in Nagoya City [Sakae Clinic]. All rights reserved.


free

Free consultation

Content of medical treatment

Fee

Access