An Objective Assessment of Long-term Postoperative Hyperpigmentation in Patients With Apocrine Gland-eliminated Osmidrosis Surgery

Background:. Radical surgery is the best treatment for axillary osmidrosis to eliminate the apocrine glands. However, marked postoperative hyperpigmentation may occur. Clinicians need an objective skin pigmentation examination to identify and treat hyperpigmentation. In this study, we aimed to use t...

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Main Author: Wen-Tsao Ho, MD
Format: Article
Language:English
Published: Wolters Kluwer 2025-01-01
Series:Plastic and Reconstructive Surgery, Global Open
Online Access:http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000006424
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author Wen-Tsao Ho, MD
author_facet Wen-Tsao Ho, MD
author_sort Wen-Tsao Ho, MD
collection DOAJ
description Background:. Radical surgery is the best treatment for axillary osmidrosis to eliminate the apocrine glands. However, marked postoperative hyperpigmentation may occur. Clinicians need an objective skin pigmentation examination to identify and treat hyperpigmentation. In this study, we aimed to use the Taylor Hyperpigmentation Scale (an objective visual scale) for evaluating long-term hyperpigmentation after osmidrosis surgery. Methods:. Twenty female patients with Fitzpatrick skin type III–IV who had undergone osmidrosis surgery were included in this study. Results:. The findings demonstrated that although there is an initial variation in the intensity of hyperpigmentation, in the majority of patients, there is a peak in hyperpigmentation between the third and sixth months after surgery. This is then followed by a gradual decline over the ensuing months. Some patients resolve hyperpigmentation completely, suggesting reversibility. Conclusions:. These results can help guide patient expectations and provide suitable postoperative management, thereby improving patient satisfaction and overall quality of life.
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series Plastic and Reconstructive Surgery, Global Open
spelling doaj-art-b82343dcc8dd469fadf5e271006ce7912025-01-24T09:19:58ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742025-01-01131e642410.1097/GOX.0000000000006424202501000-00008An Objective Assessment of Long-term Postoperative Hyperpigmentation in Patients With Apocrine Gland-eliminated Osmidrosis SurgeryWen-Tsao Ho, MD0From the Department of Dermatology, Ho Wen Tsao Skin Clinic, New Taipei City, Taiwan.Background:. Radical surgery is the best treatment for axillary osmidrosis to eliminate the apocrine glands. However, marked postoperative hyperpigmentation may occur. Clinicians need an objective skin pigmentation examination to identify and treat hyperpigmentation. In this study, we aimed to use the Taylor Hyperpigmentation Scale (an objective visual scale) for evaluating long-term hyperpigmentation after osmidrosis surgery. Methods:. Twenty female patients with Fitzpatrick skin type III–IV who had undergone osmidrosis surgery were included in this study. Results:. The findings demonstrated that although there is an initial variation in the intensity of hyperpigmentation, in the majority of patients, there is a peak in hyperpigmentation between the third and sixth months after surgery. This is then followed by a gradual decline over the ensuing months. Some patients resolve hyperpigmentation completely, suggesting reversibility. Conclusions:. These results can help guide patient expectations and provide suitable postoperative management, thereby improving patient satisfaction and overall quality of life.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000006424
spellingShingle Wen-Tsao Ho, MD
An Objective Assessment of Long-term Postoperative Hyperpigmentation in Patients With Apocrine Gland-eliminated Osmidrosis Surgery
Plastic and Reconstructive Surgery, Global Open
title An Objective Assessment of Long-term Postoperative Hyperpigmentation in Patients With Apocrine Gland-eliminated Osmidrosis Surgery
title_full An Objective Assessment of Long-term Postoperative Hyperpigmentation in Patients With Apocrine Gland-eliminated Osmidrosis Surgery
title_fullStr An Objective Assessment of Long-term Postoperative Hyperpigmentation in Patients With Apocrine Gland-eliminated Osmidrosis Surgery
title_full_unstemmed An Objective Assessment of Long-term Postoperative Hyperpigmentation in Patients With Apocrine Gland-eliminated Osmidrosis Surgery
title_short An Objective Assessment of Long-term Postoperative Hyperpigmentation in Patients With Apocrine Gland-eliminated Osmidrosis Surgery
title_sort objective assessment of long term postoperative hyperpigmentation in patients with apocrine gland eliminated osmidrosis surgery
url http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000006424
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