Elimination of the apocrine glands by a radical surgical procedure
has been known to be the best solution for axillary
osmidrosis; however, it is often accompanied with a marked
scar. Ultrasonic tumescent liposuction is a safe procedure for
removal of subcutaneous fat tissue. Herein, we describe our
modification of the traditional osmidrosis operation(subdermal
excision or superficial liposuction). The first, pre-suction “scrape”
could require adequate plane of skin flap; the second, “ultrasound-
assisted liposuction”; the third, post-suction “rasp” helped
subdermal curettage; the last, “endoscopic approach” could
visibly remove remaining apocrine glands. It is named SURE
technique. From April 2007 to September 2008, 43 patients
underwent our “SURE” method for axillary osmidrosis. All patients
were followed up for 3 to 12 months with an average of 6
months. The total satisfaction rate was 91 percent(39/43). The
complications(skin slough and subdermal band formation) rate
was 14 percent(6 of 43). However these complications were
temporary and complete recovery occurred without special
cares. We emphasize four components of our SURE method
procedures. In conclusion, “SURE” method can be one of alternatives for osmidrosis treatment.