Ultrasonic lipoplasty treatment with Ultracut-2000 is a method of removing sweat glands by sucking them out of armpits.Under a local anesthetic,the surgeon remove a section of skin obout 4*1.5 cm in size, taking away the most troublesome sweat glands.
This procedure can completely stop underarm sweating with no compensatory sweating,using a one-time process performed.
A safe, minimally invasive procedure for the treatment of axillary hyperhidrosis and bromhidrosis,and it has a very high success rate.The procedure actually removes the sweat glands in the armpits using a tiny liposuction cannula.
This process is similar to traditional ultrasonic liposuction which is used for the removal of excess fat in areas.The cannula opening is directed toward the surface of the skin where the apocrine and eccrine glands are located.
This procedure generally results in a permanent 90% to 100% reduction in the amount of sweating under the arms with temporary numbness being the most common side effect.
A suction adenectomy with a liposuction technique has been used to attempt axillary adenectomy in hyperhidrosis and has been recommended recently.
Asmall-bore liposuction cannula is used,with the suction opening turned toward the underside of the skin.As the cannula is raked across the underside of the skin bearing the hypertrophic sweat glands, the expectation is that a high proportion of the glands are emuisified.The early disappearance of excess sweating is conjectured to be the result of local denervation and gland disruption.
A variant method of suction adenectomy using ultrasonic lipoplasty is thought to produce a better long-term result by producing more ablation than resection of gland tissue.
Ultrasound-assisted lipoplasty treatment for axillary bromidrosis.
Bromidrosis is a condition of abnormal offensive body odor caused mostly by apocrine gland secretion from the axilla.Although no morbid sequelae are known,the odor can be disturbing enough to cause social impairment and psychological distress.Medical care is available but is temporary and yields limited clinical benefit.Surgical treatment may provide a more definite remedy through reduction of the apocrine gland.However, there are risks for complication following surgical treatment such as subdermal excision, subcutaneous shaving, en bloc excision, and liposuction.

The search for a less invasive but still effective procedure has led the authors to use ultrasound-assisted liposuction,which has reduced the risk of complication and recurrence.
The purpose of this article was to evaluate the long-term outcome of ultrasound-assisted liposuction for the treatment of bromidrosis.
From August 1998 to September 2002,375 consecutive patients underwent ultrasounh-assisted liposuction for bromidrosis of the axilla.The average age of the patients was 25.7 years(range,15 to 55 years) and the average folloe-up period was 18.8 months (range, 7 to 56 mionths).Subjective complaints of recurrences were noted in 22 patients (5.9 percent) and secondary ultrasound-assisted liposuction was performed , resulting in no further complaints.
Complications other than recurrences were mild skin sloughing (3.2 percent),hematoma(1.3 percent),subcutaneous band (0.3 percent), and hypesthesia of the hand (0.3 percent), all of which healed spontaneously. Through a questionnaire that was answeres by 264 patients, a subjective satisfaction rate was measured. Among the compkleted questionnaires.91.7 percent reported satisfactory reduction of odor.
Ultrasound-assisted liposuction to treat bromidrosis of the axilla provides advantages such as rapid recovery, less restriction of movement, unnoticeable scars, and a loe rate of recurrence.
The long-term outcome supports the benefits of this procedure.The authors recommend the use of ultrasound-assisted liposuction as first-line treatment for bromidrosis of the axilla.