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

2021/11/21

When did you start treating your child's body odor?

Reading Time: <1 minute

Considering that children's armpits have stronger regenerative ability than adults and that the number of sweat glands that cause odor increases during the growth period, we recommend treatment after junior high school if the person does not care too much. To do.Especially in the case of girls, there are cases where the odor suddenly appears from the XNUMXth grade of elementary school and it is worrisome, and if the child himself is troubled, treatment is performed even from the XNUMXth grade of elementary school.The treatment for body odor in children is a treatment that suppresses pain as much as possible and finishes in a short time. You need to be careful.Unfortunately, the only treatment option that meets all of these conditions and allows children to be treated safely is the EL method, that is, the electrolysis method.MiraDry and View Hot treatments are very painful. First of all, in children, severe postoperative pain causes great mental damage.Also, although it is effective for adults, it is not effective for children, and it is necessary to continue treatment while enduring pain many times.With surgery, MiraDry, and View Hot, the amount of anesthesia increases and it cannot be said that treatment is reliable and safe. The EL method can be treated in a short time, and it can be sufficiently treated with an anesthesia amount of XNUMX/XNUMX to XNUMX/XNUMX compared to MiraDry, Viewhot, and various surgeries.This is an extremely safe method.https://sakae-clinic.com/body-care/wakiga/child

2021/11/20

Body odor treatment Suction surgery

Aside

Aside, Treatment of armpits, Side surgery, Armpit treatment, Wakiga, Treatment of body odor, Wakiga surgery, Wakiga treatment, Hyperhidrosis, Hyperhidrosis surgery, Hyperhidrosis treatment, Odor, Treatment of axillary odor, Axillary odor surgery, Axillary odor treatment

Reading Time: <1 minute

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.

downtime

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.

2021/11/19

Wakiga Inaba surgical method

Director's Blog

Aside, Treatment of armpits, Side surgery, Armpit treatment, The smell of aside, Wakiga, Treatment of body odor, Wakiga surgery, Wakiga treatment, Hyperhidrosis, Sweaty, Inaba formula, Inaba surgery, Odor, Treatment of axillary odor, Axillary odor, Axillary odor surgery, Axillary odor treatment

Reading Time: <1 minute

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 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.

Risks of Inaba Surgery

·downtime

・ 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.

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 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.

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

Among the armpit surgery performed in Japan, the most standard and numerous surgery is the shearing method.The cause of body odor is that the indigenous bacteria on the skin break down the secretory substances from the apocrine sweat glands.A few centimeters of incision is made in one or two places in the center of the hairy part under the armpit where the apocrine sweat gland density that causes body odor is high, the skin is peeled off and inverted, and the apocrine sweat gland is exposed and actually visually observed. Then, while checking, remove it with surgical scissors.After removing the apocrine sweat glands, the method of firmly fixing with gauze so that the flaps engraft on the mother bed is the flow of the shearing method.

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.As for the armpit, only the part centered on the center can be exfoliated, and the skin cannot be sufficiently exfoliated around the armpit, that is, to the upper arm side or the trunk side.If the procedure is to exfoliate the skin over a wide area, hospitalization is required in principle, and in order to engraft the exfoliated skin on the mother bed, compression fixation is performed by a special method called double tie-over to fix the gauze, and long-term rest is required. It will be. downtime Postoperative downtime is long because the skin is incised and peeled off.It takes time for the blood flow to recirculate for the exfoliated skin to completely engraft on the mother bed.Strong compression fixation is required to prevent the exfoliated skin from floating and forming blood species.This is because if strong compression fixation is not performed, bleeding blood speciation may occur in the space, and the skin above the site where the blood seeds are formed may become blood flow insufficiency and cause skin necrosis.A minimum of XNUMX to XNUMX weeks of compression fixation is required.When fixing, the thread is firmly sewn on the skin and gauze to fix it, leaving ugly thread marks.The postoperative course of wounds is not always good.In many cases, the wound is completely healed and a lump of capsule called a cyst is formed shortly after the operation, and surgery is required to remove it.Therefore, it was a treatment in an era when there was no appropriate treatment other than surgery, and it is rarely performed now.It can be said that it is a treatment for body odor in the Showa era.The surgical scars of the shearing method are noticeable for several months, but after about half a year, the scars become less noticeable to some extent, and after several years, they become less noticeable.It is not the treatment of choice for those who absolutely dislike scarring. 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?

A local anesthetic called xylocaine is used.It is a vasoconstrictor and is contained for the purpose of prolonging the anesthetic effect. Epilenamine-added xylocaine is locally injected to perform anesthesia.As a general rule, surgery with general anesthesia is not performed due to the risk.

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?

There are individual differences in the age at which the odor becomes a concern, but the earliest is from about XNUMX years old to the XNUMXth to XNUMXth grades of elementary school.It seems that girls often notice the odor earlier than boys.As a general rule, surgery should be performed after high school students who can be surely rested.

When did you start treating your child's body odor?

Body odor treatment Suction surgery

Body odor treatment suction method

What is the suction method?

Comparison of suction surgery and MiraDry

Aspiration method for treating children's body odor

Is the suction method possible at any part?

Suction surgery flow

downtime

Suction method market price

Concept of suction method surgery at Sakae Clinic

Who recommends the suction method?

Features of suction method

Precautions for suction method

Wakiga Inaba surgical method

Inaba surgical method

Disadvantages of Inaba surgery

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

Treatment costs for Inaba surgery

Indication of Inaba surgical method

Significance of Inaba surgical method

Risks of Inaba Surgery

The future of Inaba surgery

What is Wakiga Surgery Insurance Coverage?

Wakiga Surgery What is Hair Resection?

downtime

Is there an adaptation?

What is the armpit surgery shearing method?

The standard armpit surgery, the shearing method

Effect

Why is the shearing method covered by insurance?

What is the recurrence with the shearing method?

Importance of choosing a clinic

The price of the shearing method?

Scraping method FAQ

What is the postoperative pain?

Anesthesia method?

downtime?

Complications / risks after surgery?

Is the effect certain?

Age for surgery?