{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T12:44:52Z","timestamp":1792241092846,"version":"4.4.0"},"reference-count":27,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2018,9,10]],"date-time":"2018-09-10T00:00:00Z","timestamp":1536537600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Cosmetic Dermatology"],"published-print":{"date-parts":[[2019,4]]},"abstract":"<jats:title>Summary<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Minimally invasive techniques, including superficial liposuction with automatic shaver curettage (LC), subcutaneous laser treatment, and microwave\u2010based therapy have been developed to treat osmidrosis. Few studies have compared these three techniques in relation to clinical efficacy, life quality improvement, and downtime.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>We aim to evaluate clinical results and life quality improvement, in addition to downtime and complications, between these three techniques.<\/jats:p><\/jats:sec><jats:sec><jats:title>Patients\/Methods<\/jats:title><jats:p>Clinical records of patients treated with these three minimally invasive techniques for axillary osmidrosis were retrospectively reviewed. Hyperhidrosis disease severity scale, Dermatology Life of Quality Index, clinical improvement, complication, and recurrence were assessed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Among 403 patients, 168 received microwave\u2010based therapy, 119 received subcutaneous laser treatment, and 116 received LC. All treatments showed significant improvements (<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.001) in HDSS, DLQI and clinical result after 3 and 12\u00a0months comparing to the baseline. But the improvements of subcutaneous laser were significantly inferior to microwave\u2010base therapy and LC. Patients who received LC had a significantly longer downtime (<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.001) than those who received other treatments. The recurrence rate was significantly higher in the subcutaneous laser treatment group, and the microwave\u2010based therapy group exhibited a longer recurrence duration (<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.001). LC group presented higher complication rate than other treatments.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Comparing to other treatments, microwave\u2010based therapy was effective in treating osmidrosis with minimal downtime, recurrence, and complications. It could be a durable and effective therapeutic modality for osmidrosis and is less operator\u2010dependent. It may be considered as a first\u2010line treatment for axillary osmidrosis.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jocd.12731","type":"journal-article","created":{"date-parts":[[2018,9,11]],"date-time":"2018-09-11T00:58:16Z","timestamp":1536627496000},"page":"594-601","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":22,"title":["Minimally invasive approaches to axillary osmidrosis treatment: A comparison between superficial liposuction with automatic shaver curettage, subcutaneous laser treatment, and microwave\u2010based therapy with a modified technique"],"prefix":"10.1111","volume":"18","author":[{"given":"Hung\u2010Hsu","family":"Yang","sequence":"first","affiliation":[{"name":"Department of Plastic and Aesthetic Surgery Nanfang Hospital of Southern Medical University Guangzhou City, Guangdong Province China"},{"name":"Department of Dermatology, Shuang Ho Hospital Taipei Medical University Taipei Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yong","family":"Miao","sequence":"additional","affiliation":[{"name":"Department of Plastic and Aesthetic Surgery Nanfang Hospital of Southern Medical University Guangzhou City, Guangdong Province China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8536-9397","authenticated-orcid":false,"given":"Yu\u2010Tsung","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Shuang Ho Hospital Taipei Medical University Taipei Taiwan"},{"name":"School of Public Health, College of Public Health and Nutrition Taipei Medical University Taipei Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhi\u2010Qi","family":"Hu","sequence":"additional","affiliation":[{"name":"Department of Plastic and Aesthetic Surgery Nanfang Hospital of Southern Medical University Guangzhou City, Guangdong Province 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