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Why Underarm Bromhidrosis Does Not Disappear Even in Winter Cold Waves, and the SIT Surgery Method

김헌곤성형외과의원 · 명의100인 김헌곤성형외과 · February 10, 2025

* This post is informational and is intended to provide accurate information * Why Underarm Bromhidrosis Does Not Disappear Even in Winter Cold Waves, and the SIT Surgery Method Ki...

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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 10, 2025

Translated at: April 20, 2026 at 6:18 PM

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

| * This post is informational and is intended to provide accurate information * |

Why Underarm Bromhidrosis Does Not Disappear Even in Winter Cold Waves, and the SIT Surgery Method

Kim Heongon Plastic Surgery Bromhidrosis Clinic

Hello, everyone^^

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

Recently, the cold wave with temperatures dropping below -10°C has continued. In such cold weather, many people think that because they sweat less, bromhidrosis symptoms will improve.

Is that really the case?

For bromhidrosis patients, symptoms often worsen in winter because they wear thick clothes and ventilation is poor. In fact, dry weather can cause dead skin cells to build up, making it easier for bacteria to multiply and potentially making the characteristic ammonia-like odor of bromhidrosis even stronger.

So what causes underarm bromhidrosis? And let’s take a closer look at the treatment method, SIT surgery.

Why Underarm Bromhidrosis Does Not Disappear Even in Winter Cold Waves, and the SIT Surgery Method image 1

Kim Heongon Plastic Surgery Bromhidrosis Clinic (Bromhidrosis/Hyperhidrosis Treatment)
The expertise and skill built up over many years of practice cannot be ignored by anyone.​From the very first consultation to the last follow-up, we promise responsible care so that patients can remain 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 in plastic surgery at Samsung Medical CenterMember of the Korean Society of Plastic and Reconstructive SurgeonsMember of the Korean Society for Aesthetic Plastic SurgeryMember of the International Society of Aesthetic Plastic SurgeryMember of the Japanese Society of Aesthetic Plastic SurgeryMember of the American Facial Plastic Surgery Society​
▶ Main phone: 080-080-3080▶ KakaoTalk ID: Kim Heongon Plastic Surgery Bromhidrosis Clinic▶ Clinic address: Room 201, Boramae Nasan Suite, 24 Boramae-ro 5ga-gil, Dongjak-gu, Seoul

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Underarm bromhidrosis refers to a condition in which an abnormality in the sweat glands in the underarm area causes a distinctive odor. It is related to sweat glands called apocrine glands.

These sweat glands secrete fatty acids and organic substances together, and when they combine with bacteria on the skin surface, they create an unpleasant odor.

Bromhidrosis is a common condition affecting about 10% of Koreans, and because it has a strong hereditary tendency, if one parent has it, the chance of a child developing bromhidrosis is as high as 50%.

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Underarm bromhidrosis can occur regardless of the season, but why does it not disappear even during winter cold waves?

First, cold weather increases indoor activities where ventilation is difficult. This leads to more sweating and makes it easier for bacteria to grow, which can worsen bromhidrosis symptoms.

Second, people wear thick clothing. In winter, thick clothes are often worn for warmth, but because ventilation is poor, sweat can easily build up in the underarm area, which may intensify bromhidrosis symptoms.

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Third, dry weather makes it easier for dead skin cells to accumulate. The underarms are one of the areas where dead skin cells tend to build up easily, and when they accumulate in dry weather, they create an environment where bacteria can multiply, which may worsen bromhidrosis.

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Underarm bromhidrosis can do more than just cause odor; it can also make others feel uncomfortable, leading to difficulties in interpersonal relationships. It can also make the person themselves feel self-conscious, lower their confidence, and interfere with social life.

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This can cause psychological stress, and in severe cases it may lead to mental health conditions such as social anxiety or depression, so active treatment is necessary.

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SIT surgery is one of the surgical methods used to remove the apocrine sweat glands that cause bromhidrosis.

Because it is performed through a small incision under local anesthesia, it has the advantages of leaving almost no scar and having a short recovery period. It also has a relatively low recurrence rate, so it is known as a surgery with high patient satisfaction among bromhidrosis patients.

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Before the actual surgery begins, the patient’s underarm hair is shaved cleanly and the area is disinfected. After that, a blood test is performed to check the patient’s overall health and assess whether they are suitable for surgery.

The procedure is performed with the patient lying face down, and specially designed instruments are used to remove the apocrine sweat glands in pieces of about 3 mm.

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At this time, since it is a highly difficult procedure that must be performed precisely while minimizing damage to surrounding tissues, it is important to receive treatment from a specialist with extensive experience and expertise.

The recovery period varies from person to person, but usually light daily activities are possible after 2 to 5 days, and the stitches are removed after one week. Several care guidelines are needed for a smooth recovery.

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First, keep the surgical site clean. Avoid getting it wet, and if there is moisture, gently wipe it off with a soft towel. When drying, use a hair dryer or fan, but be careful not to blow directly on the area.

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Also, refrain from using cosmetics or perfumes with irritating ingredients, and it is best to wear well-ventilated clothing. Alcohol and smoking should be avoided because they constrict blood vessels and slow recovery, and excessive exercise or activity should also be avoided.

Underarm bromhidrosis is one of the conditions that can significantly reduce quality of life. If you are experiencing discomfort in daily life because of bromhidrosis, it is best to seek active treatment.

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SIT surgery is one of the options that can help treat bromhidrosis. It has the advantages of a low recurrence rate and a short recovery period. I hope you can break free from bromhidrosis this winter and enjoy a fresh daily life.

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

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Thank you.

Why Underarm Bromhidrosis Does Not Disappear Even in Winter Cold Waves, and the SIT Surgery Method image 14 Find out more by clicking the link below! ▼

  • This post was written directly by Kim Heongon Plastic Surgery Bromhidrosis Clinic as medical advertising, in compliance with Article 56, Paragraph 1 of the Medical Advertising Act. Depending on the individual, side effects may occur after surgery/procedure, so please be sure to fully understand the precautions before and after treatment through 충분한 consultation with the attending medical staff. -

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