Ho Wen-Tsao
From the Department of Dermatology, Ho Wen Tsao Skin Clinic, New Taipei City, Taiwan.
Plast Reconstr Surg Glob Open. 2025 Jan 10;13(1):e6424. doi: 10.1097/GOX.0000000000006424. eCollection 2025 Jan.
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.
Twenty female patients with Fitzpatrick skin type III-IV who had undergone osmidrosis surgery were included in this study.
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.
These results can help guide patient expectations and provide suitable postoperative management, thereby improving patient satisfaction and overall quality of life.
根治性手术是消除顶泌汗腺治疗腋臭的最佳方法。然而，术后可能会出现明显的色素沉着。临床医生需要客观的皮肤色素沉着检查来识别和治疗色素沉着。在本研究中，我们旨在使用泰勒色素沉着量表（一种客观视觉量表）评估腋臭手术后的长期色素沉着情况。
本研究纳入了20例接受过腋臭手术的 Fitzpatrick 皮肤类型为 III-IV 型的女性患者。
研究结果表明，尽管色素沉着强度最初存在差异，但在大多数患者中，术后第三个月至第六个月色素沉着达到峰值。随后在接下来的几个月中逐渐下降。一些患者的色素沉着完全消退，表明具有可逆性。
这些结果有助于指导患者预期并提供合适的术后管理，从而提高患者满意度和整体生活质量。
