Body Procedures

SmartLipo Triplex Treats Excessive Sweating and Under Arm Odor treated

Excess sweating and odor from axillary sweating is a common problem. Although many treatments have been proposed, they have the disadvantage of invasive surgery, complicated and risky surgery such as sympathectomy and scarring. Botox has also been used with some success, but this is very expensive, requires a lot of botulinum toxin, and must be repeated when it wears off.

We can offer patients who have the problem of excess axillary (armpit) sweating, whether or not accompanied by bad odor, the option of Smartlipo Triplex laser treatment for excess sweating.

The procedure is done under local tumescent anesthesia. Tiny incisions hidden in skin folds in the armpit are made and the area under the hair-bearing skin is infiltrated with anesthetic solution. The multiple wavelength SmartlipoMPX laser fiber is then used to destroy the sweat glands in the layer just under the skin. The laser fiber is passed back and forth from two directions until sufficient energy is delivered, and tissue resistance to passage of the fiber is achieved. The Thermal Guide on the Smartlipo Triplex platform is programmed to raise the temperature to the therapeutic level and shut off if this level is exceeded, thus preventing any thermal injury or burn to the skin.

In a study by Alberto Goldman, MD, from Porto Alegre Brazil, in the Journal of Dermatologic Surgery, 2008, 60 % of patients had 75% or better reduction in sweating area, and 23.5 % had 51-75% reduction. This means that 82% had good or excellent results.

The recovery was quick and post-operative pain was minimal. Swelling lasted about a week, there was temporary decrease of sensation for about 3-5 weeks, which gradually returned to normal in all patients. Temporary hair reduction was noted in 47% of patients.

With our long experience in liposuction, both vaser and traditional, and the addition of SmartlipoMPX to our practice in early 2009, and the Smartlipo Triplex and Cellulaze in early 2012, we are pleased to offer patients with the problem of excess sweating, whether or not accompanied by excess underarm odor, the benefits of this technology. We do not expect that insurance will cover this procedure, which affects 1.4 % of the population or about 4 million people in the US.

  • Goldman A, Wollina U., Clinica Goldman of Plastic Surgery, Porto Alegre, Brazil Subdermal Nd-YAG laser for axillary hyperhidrosis. Dermatol Surg. 2008 Jun;34(6):756-62. Epub 2008 Mar
  • Klopper M, Fischer G, Blugerman G. Laser-assisted suction of
    axillary sweat glands and axillary epilation. In: Shiffman MA, Di
    Giuseppe A, editors. LiposuctionFprinciples and practice. Berlin: Springer-Verlag Berlin; 2006. p. 505–15.
  • Kim IH, Seo SL, Oh CH. Minimally invasive surgery for axillary osmidrosis: combined operation with CO2 laser
  • Park JH, Cha SH, Park SD. Carbon dioxide laser treatment vs subcutaneous resection of axillary osmidrosis. Dermatol Surg 1997;23:247–51.
  • Kunachak S, Wongwaisayawan S, Leelaudomlipi P. Noninvasive treatment of bromidrosis by frequency-doubled Qswitched Nd:YAG laser. Aesthetic Plast Surg 2000;24: 198–201.
  • Ichikawa K, Miyasaka M, Aikawa Y. Subcutaneous laser treatment of axillary osmidrosis: a new technique. Plast Reconstr Surg 2006;118:170–4.
  • Guillet G, Zampetti A, Aballan-Colloc M. Correlation between bacterial population and axillary and plantar bromidrosis. Eur J Dermatol 2000;10:41–2.
  • Heckmann M, Teichmann B, Pause B, et al. Amelioration of body odor after intracutaneous axillary injection of botulinum toxin A. Arch Dermatol 2003;139:1.

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    "Outstanding results come from superb surgeon skills. I have dedicated my working life to the art of medicine and surgery. My artistic vision and intense attention to detail, as well as my real concern for my patients' happiness, are what have lead to such high satisfaction."