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Hyperhidrosis / Bromhidrosis is a common issue primarily characterized by excessive sweating and unpleasant odour in the underarms. The underarm area is one of the regions with the highest density of sweat glands, which include two main types: eccrine glands and apocrine glands.
Eccrine glands are small sweat glands whose primary function is to secrete clear, odourless sweat to help regulate body temperature. When the body becomes overheated, these glands release sweat, which cools the body through evaporation. This normal sweating process is essential for the body’s proper functioning.
Apocrine glands are larger glands that primarily secrete a fluid containing proteins and lipids. When this fluid interacts with bacteria on the skin’s surface, it can produce an odour. During episodes of underarm sweating, these secretions may accumulate in the armpit area, providing an ideal environment for bacterial growth, leading to odour issues.
Underarm hyperhidrosis and bromhidrosis are not just physical problems; they can also negatively impact an individual’s psychological and social life. Patients often feel embarrassed and anxious, especially in public settings or when interacting with others. This distress can lead to decreased self-confidence, social avoidance, and increased psychological stress, even affecting work and interpersonal relationships.
Maintain good personal hygiene: Regular bathing, especially focusing on cleaning the underarm area, can reduce bacterial growth and odor. Choose soaps or detergents that contain antibacterial ingredients to help inhibit the growth of bacteria.
Choose appropriate clothing: Choose breathable clothing, such as cotton or moisture-wicking fabrics, to help absorb excess sweat and reduce the chance of sweat accumulation in the armpits. At the same time, avoid tight-fitting clothing or synthetic fabrics that may restrict air circulation and increase the likelihood of sweat retention.
Use antibacterial products: Underarm disinfectants or antibacterial sprays with antibacterial ingredients can be used to help reduce bacterial growth and effectively control odor.
Managing stress: Emotional stress is a common trigger for hyperhidrosis, so learning ways to cope with stress and relax, such as deep breathing, meditation or exercise, can help reduce the frequency of excessive sweating and odor.
Dietary modifications: Avoid stimulating foods and drinks such as spicy foods, caffeine and alcohol, as these substances may stimulate sweat gland secretion. At the same time, increase the intake of fiber-rich foods and adequate water, which can help promote the body’s metabolism and detoxification, reducing the production of odor.
Related Treatments
💡Botulinum toxin injections are approved for hyperhidrosis affecting the armpits. They reduce or stop sweating for three to six months.
💡HIFU for destroying the sweat glands and reducing sweats
💡In recent years, the use of fiber optic lipolysis minimally invasive technology to treat bromhidrosis has become common. Through a small puncture in the skin, fiber optic energy is introduced into the subcutaneous tissue of the armpit, targeting the subcutaneous glands. This can cause the apocrine glands to atrophy, achieving an effective treatment for odor. Fiber optic lipolysis is safer than traditional bromhidrosis surgeries and leaves no scars, making it a convenient and effective treatment method. Additionally, the energy released by the fiber optic system generates a photothermal effect, which promotes collagen proliferation and contraction in the dermal layer, resulting in smoother skin in the armpit area post-surgery.
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