For cosmetic surgery, dermatology, and plastic surgery in Nagoya City [Sakae Clinic] Underarm odor - For cosmetic surgery, dermatology, and plastic surgery in Nagoya City [Sakae Clinic]

2021/12/04

Supervision of the Darkness of Cosmetic Surgery series

Aside, Side surgery, Armpit treatment, The smell of aside, Susoga, Susowakiga, Chichiga, Armpit smell, Wakiga, Wakiga surgery, Wakiga treatment, Areola Waikiga, Hyperhidrosis, Armpit treated, armpit odor, Odor, Axillary odor surgery, Axillary odor treatment

Reading Time: <1 minuteThe dark side of cosmetic surgery Cosmetic surgery has become a familiar medical treatment It has been more than 30 years since I started working as a cosmetic surgeon, and many cosmetic surgery clinics have opened, resulting in more problems than ever before and many people suffering from complications and aftereffects caused by cosmetic surgery. In order to avoid these risks as much as possible, I asked a friend to create an easy-to-understand comic to explain the risks. Although armpit odor surgery is no longer performed as it used to be, it is one of the surgeries that used to have many complications. For those considering armpit odor treatment, I have created a comic to explain the risks of surgery in an easy-to-understand manner. If you are looking for cosmetic surgery, cosmetic surgery, small plastic surgery, armpit treatment, or diet in Nagoya, please contact Sakae Clinic.

2021/11/18

What is Wakiga Surgery Insurance Coverage?

Aside

wakiga, Aside, Treatment of armpits, Side surgery, Armpit treatment, Armpit smell, Wakiga, Treatment of body odor, The smell of armpit, Wakiga surgery, Wakiga treatment, Hyperhidrosis, Odor, Axillary odor, Axillary odor surgery, Axillary odor treatment, Odor

Reading Time: <1 minute

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 eligibility of surgery for axillary hyperhidrosis under insurance is determined as follows: "If the odor is so severe that it clearly interferes with the work of others and there is an objective need for additional medical treatment, it may be paid for. Mild cases are not covered." Therefore, it doesn't matter if the patient is "bothered" by it, but unless it is causing severe trouble to others, the surgery is not eligible for insurance. 6870. Skin flap method 3000 points 1660. Hairy skin excision XNUMX points XNUMX. Other XNUMX points XNUMX point is XNUMX yen If the initial consultation fee, drug costs, surgical material costs, etc. are added to the above and the patient is responsible for XNUMX% of the cost, that XNUMX% will be the cost of the surgery. 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.

downtime

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.

2021/11/18

What is the armpit surgery shearing method?

Aside

Aside, Armpit surgery, Side surgery, Armpit treatment, View hot, Mira Dry, Armpit smell, Wakiga, Body odor surgery, Treatment of body odor, Wakiga surgery, Wakiga treatment, Odor, Axillary odor surgery, Treatment of axillary odor, Axillary odor, Axillary odor surgery, Axillary odor treatment

Reading Time: <1 minute

The standard armpit surgery, the shearing method

The most standard and most widely performed armpit odour surgery in Japan is the excision method. Armpit odour is caused by the decomposition of secretions from the apocrine sweat glands by resident bacteria on the skin. In one or two places in the centre of the hairy part of the armpit, where the density of the apocrine sweat glands that cause armpit odour is high, an incision is made a few centimetres in length, the skin is peeled and turned over, the apocrine sweat glands are exposed and actually visually inspected and removed with surgical scissors. After removing the apocrine sweat glands, the excision method involves firmly fixing the skin flap with gauze so that it can be attached to the base of the skin.

Effect

The part where the apocrine sweat glands can be removed by surely shearing like the skin of the armpit can be expected to be effective, but this surgical method requires a peeling technique of peeling the subcutaneous tissue from the skin.It is difficult to remove the skin over a wide area for armpits such as the hem and areola.For this reason, the areas where treatment can be performed are limited. Regarding the armpits, only the area around the center can be peeled off, and the skin around the armpits, that is, the upper arm and torso, cannot be peeled off completely. If a procedure is performed to peel off a wide area of skin, hospitalization is required as a general rule, and a special method called double tie-over is used to fix the peeled skin with gauze in place, and long periods of rest are required in order to allow the peeled skin to attach to the base. downtime The postoperative downtime is long because the skin is incised and peeled off. This is because it takes time for blood flow to resume in order for the peeled skin to completely attach to the host bed. Strong pressure fixation is required to prevent the peeled skin from floating and forming a hematoma. If strong pressure fixation is not performed, bleeding may occur in the space, causing blood flow to be insufficient in the skin above the hematoma, leading to skin necrosis. Pressure fixation is required for at least one to two weeks. When fixing, the skin and gauze are firmly sewn together with thread, leaving unsightly thread marks. Not all cases of wounds after surgery are good. There are many cases where a capsule of a mass called a sebaceous cyst develops some time after the wound has completely healed and requires surgery to remove it. Therefore, this treatment was performed in an era when there was no appropriate treatment other than surgery, and it is rarely performed nowadays. It can be said to be a Showa-era armpit odor treatment. The surgical scars of the excision method are noticeable for several months, but after about six months the scars become less noticeable to a certain extent, and after several years they become less noticeable. This is not a treatment option for those who absolutely do not want to be left with scars. Patients for whom the shearing method is indicated

Surgery is also an option if you want to expect a certain degree of certainty and permanent therapeutic effect with one treatment.Considering the risk of downtime, scars and various postoperative complications, it is not recommended due to its few advantages over current medical levels and other treatments.

However,Since the pruning method is covered by insurance, you can have surgery at an insurance medical institution with insurance.

The cost of treating body odor is relatively low and the financial burden is reduced.

However, in the case of outpatient surgeryExtensive shearing is difficult and risky, so it is inevitably ineffective. If you wish to receive a wide range of pruning methods that are highly effective, you will need to be hospitalized at a medical institution with a specialist who has an inpatient facility, undergo surgery, and perform resting and fixation for about XNUMX to XNUMX weeks.

Surgery in the hospital is physically and financially burdensome, and considering the cost of hospitalization, it is not always cheap because it is an insurance treatment compared to cosmetology treatment.

Why is the shearing method covered by insurance?

Axillary odor is a disease that should be treated and is covered by insurance.

In the early Showa period, there is a history of rough surgery such as cutting and removing armpit skin, which is called the excision method, at a surgical hospital.Later, a relatively minimally invasive shearing method was developed and covered by insurance.

What is the failure of the shearing method?

If you have surgery with an inexperienced doctor, not only will it not be effective, but the chances of complications will increase.

The cause of the failure isWhen the doctor's achievements / experience and skill level are low.

What is the recurrence with the shearing method?

The biggest cause of recurrence is the halfway removal of the sweat gland tissue that causes the odor.It is exhausted.

When skin grafting is done as thinly as possible, the same technique is required to scrape it.andExcessive use can lead to skin necrosis due to poor circulation and postoperative skin contracture, leaving ugly scars such as contracture scars and hypertrophic scars.

It is difficult to adjust, and surgery is always experienced and can handle postoperative care. You need to see a specialist.

Importance of choosing a clinic

It is necessary to have surgery by the attending physician who clearly knows the number of cases of axillary odor surgery and years of work experience.

You need to choose a surgeon, not a clinic. There are no specialists with experience in armpit surgery at major cosmetic surgery clinics or well-known clinics.

I'm a cosmetic surgeon, so I'm a plastic surgeon, so I'm not good at pruning...There are also plastic surgeons and cosmetologists who have never seen or experienced treatment for axillary odor.

Especially at major cosmetic surgery clinics, there are actually cases where the director who has never experienced armpit surgery is in charge of armpit surgery.

You should thoroughly check your doctor's medical expertise, experience, and treatment record before undergoing surgery.

The price of the shearing method?

Insurance medical treatment depends on the out-of-pocket rate of insurance.

The total amount depends on the number of hospital visits, the presence or absence of treatment, the presence or absence of drugs, and the presence or absence of complications.

Outpatient surgery costs for insurance medical treatment,

One armpit about XNUMX to XNUMX yen　

Both armpits are about XNUMX to XNUMX yen.

At the cosmetic surgery clinic, you will have to pay for it, so it will range from XNUMX to XNUMX yen.

Scraping method FAQ

What is the postoperative pain?

The skin is exfoliated, but if it is firmly engrafted and bleeds and there is no speciation, there is no strong pain.

Anesthesia method?

We use a local anesthetic called xylocaine. It is a vasoconstrictor that contains epinephrine to prolong the anesthetic effect. Xylocaine with epinephrine is injected locally to achieve anesthesia. As a rule, surgery using general anesthesia is not performed due to the risks involved.

downtime?

Since it is necessary to fix the wound with gauze and tape after the operation, it is necessary to rest for XNUMX days after the operation so that the armpit cannot be lifted at all. Everyday life is possible.If you are hospitalized, you will have XNUMX-XNUMX weeks of downtime.

Complications / risks after surgery?

The most common complication is speciation due to bleeding from the exfoliated site after surgery.If not treated immediately, skin necrosis on the bloodline will definitely occur.There is almost no infection in the surgical site, but some time after surgery, cysts such as epidermoid cysts, folliculitis, and seromas may develop at the surgical site.

Is the effect certain?

Unfortunately, despite the heavy physical burden, the odor does not disappear completely.The reason is that the apocrine sweat glands cannot be removed at all in areas where the skin cannot be exfoliated.

Age for surgery?

The age at which the odor becomes a concern varies from person to person, but it can be as early as 10 years old or as early as the 4th or 5th grade of elementary school. Girls tend to become concerned about the odor earlier than boys. As a general rule, surgery is performed after high school age, when bed rest can be ensured.