June 28, 2024

Hype of underarm treatment

Reading Time: <1 minute (* The photo is for illustration purposes only.) As the temperature rises, we are receiving more inquiries from patients suffering from armpit irritation and hyperhidrosis. Isn't miraDry the treatment that is currently being advertised and promoted the most? This MiraDry hype and trouble are noticeable. Sakae Clinic's underarm bloat/hyperhidrosis treatment "EL method" (sakae-clinic.net) Approximately half of the new patients at our clinic are patients who had poor response, recurrence, or no response after miraDry surgery. Consultation for re-treatment. You can immediately lead a pain-free daily life without using a scalpel... Attractive keywords are lined up in MiraDry advertisements. However, the reality is that it is not possible to expect a complete recovery with just one treatment, which is extremely painless. In particular, there is the fact that MiraDry, which is administered by nurses, has little effect or frequently causes burns. Underarm odor is a disease called armpit odor syndrome, and doctors should be in charge of the treatment directly, but currently the treatment is left to nurses. As a result, there are a large number of patients who have had severe burns and scars that have no effect at all. What we can say is that there is absolutely no way that legitimate medical effects or safety can be expected from treatments performed by nurses. The same doctor who is in charge of the treatment from start to finish should provide explanations, treatment, guarantee efficacy, and ensure safety. I have received many consultations from patients at my local doctor's office who have had no effect on the treatment given by nurses, and I feel very sorry for him because this is a commercial-oriented treatment that is far from medical care. In aesthetic medicine, there are many medical institutions, managers, and doctors who prioritize profit over patient satisfaction and safe medical practices. In less than six months, she became the director of a major cosmetic surgery clinic...There is no way that a doctor with no experience in cosmetic medicine could even instruct her to treat her armpits. Is anesthesia before armpit treatment a problem? I think there is a possibility that this is happening. At our hospital, we never recommend high-interest medical loans, pushy up-sales, or same-day treatments. There is no need for nurses to even draw blood; I, as the director who is a specialist, am responsible for all counseling, examination, treatment, care, etc. When it comes to underarm pain treatment, she is superior to MiraDry in all aspects, including cost, safety, downtime, pain, and effectiveness.We hope you will consider using the EL method.
June 23, 2021

Treatment method in which a nurse is in charge of armpit pain treatment

Reading Time: <1 minuteUnderarm surgery is, of course, performed by a doctor.However, recently there has been a lot of trouble caused by nurses treating armpit bugs.He uses miraDry, Beauhot, etc. as treatments for armpits other than surgery.Recently, treatments using ultrasound, such as HIFU, have become popular.The common feature of these treatments is that they all use equipment, and he uses a method in which a special probe is pressed against the affected area and irradiated.Therefore, the procedure is simple and can be treated by a nurse.However, nurses did not study medicine.Even if you study nursing, you are not an expert in dermatology, wound healing, or aesthetic medicine.Both nurses and doctors simply press a probe against the skin and irradiate it, so they are not the same.First of all, since there are individual differences, it is necessary to set detailed parameters such as output, irradiation time, range, etc. according to the condition of each individual patient, such as skin condition and treatment area. Not only do they not occur, but extremely serious skin injuries, burns, and nerve damage actually occur as medical accidents.So, why do nurses treat armpit bugs?The reason is assumed to be as follows. XNUMX: The procedure takes a long time and it is not worth it considering the doctor's fee. XNUMX: The doctor performs the surgery, but due to the reservation situation, only nurses are available. XNUMX: The procedure is a simple treatment that can be done by a nurse as it is a business operation. XNUMX. If you think about how to reduce treatment costs due to price competition, you won't be able to run a business if nurses don't perform the treatments XNUMX. Doctors don't know anything about armpit pain, so nurses There are not only risks but also legal issues associated with the treatment.Since it is a medical practice, even if it is under the supervision of a doctor, it cannot be said that there is no problem under the Medical Practitioners Act for a nurse to treat armpits.Ethically, it is absolutely unacceptable for her to have a nurse treat her armpits.We have been advising manufacturers regarding this issue for many years, but they have ignored us, and what we feared happened.This is not an armpit treatment, but a nurse used high frequency treatment for wrinkles and sagging (according to reports it was laser treatment) without the supervision of a doctor, which caused severe burns on the neck, which took six months to fully recover. A cosmetic medical problem occurred during a medical diagnosis, and a certain clinic was searched for an injury due to work-related negligence.The report included her real name and even the name of the cosmetic medical equipment. https://news.yahoo.co.jp/articles/98c0df8670df62a988c3d9b40ea6cdbff7afabcc It is unusual for a police investigation to involve a medical institution in cases other than fatal accidents.This incident is just the tip of the iceberg, and the reality is that many troubles occur due to nurse treatments.Our hospital receives many inquiries after problems with nursing treatments.It is very unfortunate, but a business system is being established in the beauty medical industry where nurses perform treatments by lowering the unit price and attracting customers through PR.In order to avoid compromising the quality of aesthetic medicine, perhaps it is time to reconsider the gray area aesthetic medical practices performed by nurses.  
June 20, 2021

Body odor treatment Suction surgery

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Body odor treatment suction method

What is the suction method?

Suction method is a suction method surgery, which is a surgical method developed by a procedure to remove and remove sweat glands that cause body odor by suction operation with a suction tube.

As a treatment for armpits, suction surgery was performed at cosmetic surgery clinics more than XNUMX years ago.

Suction method From the day of surgery, it is possible to date, there is no pain, scars do not remain, it is easy, etc. As a treatment method for armpits that can be easily received without downtime, a catch phrase by a certain cosmetic surgery clinic has been used in the past with a large advertising strategy. It is a treatment for armpits that has been carried out for a certain period of time.

At that time, surgery was performed by using a thin suction tube for liposuction, incising the skin of the armpit for several millimeters, and rubbing the subcutaneous tissue from the back side of the skin without peeling the skin as in the conventional armpit surgery method. Was carried out.

It was postoperative care that gauze fixation was not necessary because the armpit skin was not peeled off, but in reality, there were not a few complications such as postoperative bleeding and speciation.It is less effective than various conventional surgical methods because it is an operation that only scrapes out the subcutaneous tissue containing the sweat glands that cause the odor with a suction tube, and even if the odor and sweat are slightly reduced for several months, it is almost the same. It was an incomplete surgical procedure that returned to.For this reason, many complaints were made by patients who underwent suction surgery, and its effectiveness was denied. Currently, few medical institutions carry out suction surgery as a treatment for body odor.

Comparison of suction surgery and MiraDry

Unlike MiraDry, which is a non-invasive treatment method, suction surgery is inferior in effectiveness despite being performed by a doctor, and it cannot be said that it is actually an easy treatment method for body odor.

Unlike MiraDry, damage to the epidermis was characterized by almost no pain as long as it did not cause speciation.

Aspiration method for treating children's body odor

Treatment of body odor in children is more difficult than in adults.Aspiration is not the treatment of choice for children.Children have a high ability to regenerate tissues, and if sweat glands are not removed and destroyed more firmly than adults, there is an extremely high possibility of recurrence, and suction methods cannot be used to completely cure them.

Is the suction method possible at any part?

There was a case where it was also performed on Susowakiga, but treatment on the areola and anus is not indicated because treatment is not possible with the I line.

Suction surgery flow

XNUMX: Design of treatment range

XNUMX: Disinfection

XNUMX: Local anesthesia with xylocaine

XNUMX: Small skin incision

XNUMX: Insertion of suction tube, removal of subcutaneous tissue including sweat glands from the back side of the skin

XNUMX: Suture of the incision

XNUMX: Compression fixation Some medical institutions perform simple treatments such as applying gauze to the affected area to prevent skin peeling.


Most patients do not need to fix and remove the affected area after surgery, and most patients visit only the suture wound.Or, depending on the case, it is not necessary to remove the thread by using a meltable thread.

Completed with just one outpatient surgery There were many cosmetic surgery clinics that were attracting customers by complaining about.The pain was less because the skin was not exfoliated, but there were cases where bleeding at the exfoliated site and speciation occurred after surgery because the fixation was not performed firmly.Since the range of treatment is small compared to other surgical methods, there is almost no risk of leaving ugly widespread scars or scar contractures.

Suction method market price

Although it is a suction surgery that is rarely performed nowadays,At that time, the market price was about XNUMX to XNUMX yen for surgery.

Concept of suction method surgery at Sakae Clinic

In our hospital, the suction method is

XNUMX: No effect can be expected

XNUMX: There is a considerable risk of postoperative blood speciation

XNUMX: As another treatment method for body odor, a highly satisfying EL method that ensures a permanent effect with less downtime. https://sakae-clinic.com/skin_care/axillary_odor/ Can be provided to patients

The suction method is not used for the reason.

Who recommends the suction method?

Nowadays, there are more choices of treatments, and if you want a permanent effect, it is meaningless, so no one recommends it.

Features of suction method

It is a naming and surgical method developed for the purpose of attracting customers in the PR of a major cosmetic surgery clinic group during the heyday of surgery, and it is a half-finished treatment method that is not effective and most of them recur.It has no clinical significance.

Precautions for suction method

It is not a treatment for body odor that you should receive.It can be said that the operation of sucking the subcutaneous tissue including the sweat glands does not completely cure the hircismus and hyperhidrosis, and it is not only meaningless but also has a great negative effect as it leaves the skin wound.The late Dr. Masumi Inaba also enthusiastically stated that the suction method is a fraudulent operation as a treatment for body odor and that it can be asserted that it is not a treatment method that should be performed from an academic and ethical point of view. I remember.

June 19, 2021

Wakiga Inaba surgical method

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Inaba surgical method

A landlord representing Japan in the treatment of body odor,Using the Inaba-type armpit remover developed by the late Dr. Masumi Inaba, the skin was peeled off with a surgical scissors called a long sweat gland from an incision of less than XNUMX cm, and then the Inaba-type remover was inserted subcutaneously into the skin. A surgical method to remove the Ecklin sweat glands, apocrine sweat glands, and sebaceous glands by pressing the upper side of the skin with the blade of a sword with a roller from the back side and sliding the blade applied to the back side..
When I was training as a cosmetic surgeon more than XNUMX years ago, I visited Dr. Masumi Inaba's Inaba Cosmetic Surgery in Asagaya, Suginami-ku, Tokyo many times. rice field.And he is one of the few doctors who received direct guidance on Inaba surgery.
At that time, I remember as yesterday that I was guided to my laboratory about hair growth theory, the mechanism of body odor, etc., and Professor Masumi Inaba and the best radical treatment method for body odor and hyperhidrosis.As it is now, armpit surgery and other treatments are not widespread, and Inaba surgery was famous as the only treatment that could be completely cured.Inaba Cosmetic Surgery attracted patients suffering from hircismus and hyperhidrosis from all over the country, but nowadays, the length of downtime and risks are due to the long downtime and the scars remaining after surgery. Due to the problem of scars and the lack of guidance, the number of doctors performing the procedure has dropped sharply.
At certain medical institutionsRoller clamp methodA similar modification of the surgical method is being implemented under the name.

Disadvantages of Inaba surgery

It is a method of exfoliating the armpit skin extensively and inserting an Inaba type remover to remove the sweat glands from the back side of the skin as much as possible, but it requires a long-term strong fixation of about XNUMX weeks called double tie-over, so originally If so, there are restrictions on daily life and physical restrictions due to downtime that requires long-term hospitalization.
No matter how small the skin incision is, the area of ​​peeling is wide and bleeding is likely to occur, and there is a risk of extensive skin necrosis when speciation occurs.
It is difficult to fix it firmly, and if you do not fix it firmly to the surgical site of the armpit with gauze etc., the shape of the peeled skin will be deformed into an accordion-like folded bellows shape, or a cyst will be formed after the operation, or it will become scarred. increase.
There were not many doctors who could perform Inaba-style surgery well because of the high skill of craftsmanship.
Currently, compared to Ladry, which is the mainstream treatment method that does not use a scalpel for the treatment of hircismus and hyperhidrosis, the current situation is that it is not widespread even if the effect can be expected to be completely cured due to advanced technology and downtime. ..

Inaba surgical procedure flow

XNUMX: Marking of the peeled area on the skin

XNUMX: Local anesthesia

XNUMX: Incision to the insertion site of the Inaba-type deleter

XNUMX: Skin exfoliation in the therapeutic range

XNUMX: Inaba-type remover inserted, sweat gland tissue removed from the back of the skin

XNUMX: Hemostasis

XNUMX: Make a small drain incision on the skin

XNUMX: Double tie-over fixing of peeled part

Inaba surgical method downtime

The incision is as small as XNUMX cm or less, but the peeling range of the skin is wide and strong fixation is required, and it is necessary to keep rest until the peeled skin engrafts with the mother bed.A minimum of XNUMX-XNUMX weeks of rest and fixation is required.
The arm must be raised and maintained at a right angle while it is fixed.
Downtime is a long remedy.
Fixed removal is XNUMX to XNUMX weeks later.It takes at least half a year for the scar to be inconspicuous as a skin color because the skin from which the tissue is scraped from the back side turns brown and pigmentation often occurs.

Treatment costs for Inaba surgery

The specific market price is currently unknown because there are few facilities that actually perform the Inaba ceremony.
In the case of a similar method, it will be around XNUMX yen.

Indication of Inaba surgical method

Those who do not mind scars, can tolerate long-term rest and downtime, and want to aim for radical cure with one treatment.

Significance of Inaba surgical method

The purpose is to complete one operation aiming for complete cure by implementing extensive treatment.
The downtime is long, and there are many complications such as skin necrosis due to blood type formation, postoperative skin scar contracture, epidermoid cyst, and folliculitis.
The incision is small and unobtrusive, but the exfoliated skin often causes pigmentation and scarring, which makes the skin at the surgical site discolored or bumpy.

Risks of Inaba Surgery

・ The possibility of pigmentation and shape changes of exfoliated skin
・ May be accompanied by postoperative pain due to firm fixation
・ If not rested, blood speciation will occur and widespread skin necrosis will occur.
・ There is a possibility that a state of cyst formation and accumulation of liquid secretions called seroma will appear after surgery.
・ The peeled skin may shrink and form an ugly shape called scar contracture.

The future of Inaba surgery

* Before treatment with the EL method, I had been performing reduction surgery for Inaba surgery for many years.
The skin is peeled off only in a narrow area in the center, no complications occur after surgery, fixation is released in XNUMX days, and a method with less downtime and less pain for postoperative patients is devised. I have had an operation.
You will prioritize either taking effect or making scars less noticeable.Ideally, surgery should be effective and scars should be inconspicuous, but this is contradictory to surgery for hircismus and hyperhidrosis.
 In search of a new treatment method, we have developed the EL method, which is a treatment method that does not leave scars, can be expected to be completely cured, has no downtime, has no complications, and does not cause postoperative pain.
Currently, Inaba surgery is completely canceled and EL method is used as the main treatment for hircismus and hyperhidrosis. With more than XNUMX years of experience as a cosmetologist, EL is the best treatment for patients, including shearing, Inaba surgery, and many surgeries. ..
In recent years, a beauty surgeon who has never performed a case of armpit / hyperhidrosis surgery purchases only treatment equipment and entrusts all the treatment to a nurse, and treats armpit / hyperhidrosis extensively using advertising media. There are many medical institutions that carry out PR. Unless a specialist who has experienced all types of surgery and treatment is in charge of direct treatment, the results will not be satisfactory for the patient.We recommend a medical institution where a specialist with abundant treatment experience directly implements body odor and hyperhidrosis.There are few patients who are satisfied with the treatment of hircismus and hyperhidrosis by the nurse's treatment, and troubles occur frequently.We believe that the treatment of hircismus and hyperhidrosis, which is a medical practice, should be performed by a skilled specialist, not a nurse.
June 18, 2021

What is Wakiga Surgery Insurance Coverage?

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Wakiga Surgery What is Hair Resection?

There is an insurance-listed surgical procedure called hair resection, which removes the hairy skin of the armpit.Reducing the number of apocrine sweat glands in the armpit can be expected to suppress the armpit odor, but since the skin is lost by excision, not only ugly scars remain but also the contracture of the suture wound becomes stronger and the elevation of the upper limbs is restricted. There are big risks and disadvantages that can occur. Surgical costs are covered by insurance, so you can keep your own costs low...This hairy skin resection was a treatment for axillary odor that was performed in the early Showa period.It is a simple idea that is carried out in a surgical hospital and the skin where the odor comes out is cut and removed.Although the odor is reduced, the skin with normal function is excised, so naturally the defective part shrinks and a biological reaction occurs to heal the scar, causing a phenomenon called contracture.This is a method that not only causes so-called twitching and increases downtime, but also limits daily life and even risks dysfunction.I have experienced several cases since I became a cosmetologist.In each case, the patient was an elderly person who had been treated for axillary odor a long time ago, but he asked me to heal the torn area. Indications for axillary odor surgery with insurance The indications for axillary odor surgery under insurance are as follows. "If the fact that the stench is so bad that it hinders the employment of others is clear and it is necessary to provide medical care objectively, it may be provided.Mild ones are not covered. Therefore, it does not matter whether the patient is "worried" or not, and unless the patient is in a state of being severely annoyed, the surgery is not originally covered by insurance. 6870 Flap method 3000 points 1660 Skin hair resection XNUMX points XNUMX Others XNUMX points XNUMX point is XNUMX yen If the initial examination fee, drug cost, surgical material cost, etc. are added to the above, XNUMX% will be surgery It will be an expense. The operation time is about 60 minutes, but there is no need to be hospitalized and one-day surgery is possible.is.Since it is a simple excision, no special surgical technique or technique is required.


Hairy skin resection is a treatment in the Showa period and is not a treatment that should be done in Reiwa.It is an extremely outdated treatment that simply removes the odorous skin tissue, ignoring postoperative scars and dysfunction.Skin resection can leave large scars and can limit the range of motion of the skin, such as scar contracture.It is a procedure and treatment that should never be performed in the present age of advanced medicine.I wonder why such anachronistic treatments are listed in the insurance medical treatment.It can be said that it is a treatment that no one is doing now.

Is there an adaptation?

Even if it is listed in the insurance, there should be few medical institutions in Japan that actually do it.Never take it.We recommend the EL method, which is the treatment method for Reiwa of armpits.https://sakae-clinic.com/skin_care/axillary_odor/ It is an excellent treatment for hircismus and hyperhidrosis that can be expected to have a permanent effect with little downtime.  

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