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Can Severe Axillary Odor and Severe Bromhidrosis Symptoms Improve?

김헌곤성형외과의원 · 명의100인 김헌곤성형외과 · February 8, 2025

* This post is an informational article intended to provide accurate information * Can Severe Axillary Odor and Severe Bromhidrosis Symptoms Improve? Kim Heon-gon Plastic Surgery B...

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This page is an English translation of a Korean Naver Blog archive entry. For exact wording and source context, verify against the Korean archive original and the original Naver post.

Clinic: 김헌곤성형외과의원

Original post date: February 8, 2025

Translated at: April 20, 2026 at 6:30 PM

Medical note: This translation does not guarantee medical accuracy or suitability for treatment decisions.

| * This post is an informational article intended to provide accurate information * |

Can Severe Axillary Odor and Severe Bromhidrosis Symptoms Improve?

Kim Heon-gon Plastic Surgery Bromhidrosis Clinic

Hello, everyone^^

This is Kim Heon-gon Plastic Surgery Bromhidrosis Clinic, where a board-certified plastic surgeon with 20 years of experience treating bromhidrosis and hyperhidrosis is on staff.

Do you, or anyone around you, have severe underarm odor? This symptom is called bromhidrosis.

Bromhidrosis can not only cause inconvenience in daily life, but also affect interpersonal relationships. So, what are the symptoms and causes of bromhidrosis? And can it be overcome with SIT surgery?

Today, our clinic will take a closer look at the symptoms and causes of bromhidrosis, as well as SIT surgery.

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Kim Heon-gon Plastic Surgery Bromhidrosis Clinic (Bromhidrosis/Hyperhidrosis Treatment)
With the know-how and technical skill built over many years of practice, no one can ignore them.​From the first consultation when we meet patients to the end of their final visit, we promise responsible care so they can feel comfortable throughout.
​Board-certified plastic surgeonGraduated from Seoul National University College of MedicineGraduated from Seoul National University Graduate SchoolFormer specialist at Samsung Medical Center (Samsung Seoul Hospital)Visiting professor of plastic surgery at Samsung Medical CenterFull member of the Korean Society of Plastic and Reconstructive SurgeonsFull member of the Korean Society for Aesthetic Plastic SurgeryFull member of the International Society of Aesthetic Plastic SurgeryFull member of the Japan Society of Aesthetic Plastic SurgeryMember of the American Facial Plastic Surgery Association​
▶ Main phone: 080-080-3080▶ KakaoTalk ID: Kim Heon-gon Plastic Surgery Bromhidrosis Clinic▶ Address: Room 201, Boramae Nasan Suite, 24 Boramae-ro 5ga-gil, Dongjak-gu, Seoul

Bromhidrosis refers to a condition in which an abnormal odor is caused by the sweat glands in the underarm area. It is known that about 10% of Koreans experience this condition, and the unpleasant odor occurs because substances secreted by the apocrine glands are broken down by bacteria, producing fatty acids and ammonia.

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The main symptoms of bromhidrosis include a foul smell when you place tissue under both armpits and sniff it after 5 minutes, yellowing under the armpits by evening when wearing white clothes, or damp earwax.

More than half of patients with bromhidrosis also have hyperhidrosis, so many people experience inconvenience in daily life because of this.

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The causes of bromhidrosis vary. Genetic factors are the biggest cause, and after puberty the symptoms worsen as hormonal influences make the sweat glands more active.

In addition, conditions such as obesity or diabetes, as well as stress or tension, can also act as factors that worsen bromhidrosis.

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The causes of underarm odor vary. The representative causes are as follows.

  1. Bromhidrosis

This is a condition in which sweat secreted from the apocrine glands, the sweat glands in the armpits, is broken down by bacteria, producing fatty acids and ammonia that cause a bad odor. Bromhidrosis has a strong genetic component, and symptoms worsen after puberty.

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  1. Hyperhidrosis

This is a condition in which excessive sweating occurs in the armpits, and it often appears together with bromhidrosis. Hyperhidrosis is a phenomenon in which excessive sweating occurs due to an overreaction in nerve transmission. Symptoms may worsen due to mental stress or emotional stimulation.

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  1. Bacterial infection

If bacteria infect the armpit and cause inflammation, an odor can occur. The main causative bacteria are usually Staphylococcus aureus or E. coli.

Odor can also arise when underarm hair or dead skin cells rot due to bacteria or fungi, and conditions such as diabetes or kidney disease can also cause underarm odor.

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SIT surgery for removing underarm odor is one of the surgical methods used to treat bromhidrosis, and it is a technique that removes sweat glands through a small incision.

Unlike conventional surgical methods, it is performed through a small incision of about 3 mm, so it has the advantage of leaving almost no scar and having a short recovery period. It also has a low recurrence rate because the sweat glands are removed directly.

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  1. First, anesthesia is administered.

  2. A specially designed instrument is inserted through a small incision to scrape out the sweat glands.

  3. The scraped sweat glands are removed by suction.

  4. The incision is sutured.

  5. During the recovery period, rest while following the precautions.

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In addition to SIT surgery for removing underarm odor, there are several non-surgical options for treating bromhidrosis. Below are some commonly tried methods.

  1. Laser treatment: A method that uses lasers to destroy the sweat glands. It has the advantage of being relatively simple and having a short recovery period, but there is a possibility of recurrence.

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  1. Ultrasound treatment: A method that uses ultrasound to destroy the sweat glands. Like laser treatment, it is simple and has a short recovery period. However, there is also a possibility of recurrence.

  2. Botox injections: A method that uses Botox to paralyze the function of the sweat glands. The procedure is simple and requires almost no recovery time. However, the drawback is that repeat treatments are needed periodically.

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To achieve satisfactory results from SIT surgery for removing underarm odor, postoperative care and the recovery process are also important. In general, you should rest for about 2 to 3 days after surgery, after which light daily activities are possible.

For about one week, bathing or showering should be avoided, and it is also recommended to refrain from drinking alcohol or smoking. Recovery time may vary from person to person, and if side effects such as inflammation or bleeding occur at the surgical site, it is important to seek immediate evaluation by a specialist.

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If you are a bromhidrosis patient considering surgery, SIT surgery for removing underarm odor may be a good option.

Compared with other surgeries, the recurrence rate is low, and the surgery time and recovery period are short. However, before surgery, it is essential to consult with a specialist and choose the surgical method that is right for you.

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Also, do not forget that steady care and effort are still needed after surgery. Through this, we hope you can overcome bromhidrosis and enjoy a healthy and happy life.

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If you have any questions, please feel free to contact us anytime.

Thank you.

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If you would like to know more, please click the link below!

  • This post is a medical advertisement for Kim Heon-gon Plastic Surgery Bromhidrosis Clinic,

and was written directly by our clinic in compliance with Article 56, Paragraph 1 of the Medical Service Act regarding medical advertising.

Depending on the individual, side effects may occur after surgery/procedure,

so be sure to fully understand the precautions before and after treatment after sufficient consultation with the attending medical staff. -

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