Objective To explore the effect of axillary crease small incision turnover ffap method on traumatic stress indicators and incision satisfaction in patients with bromidrosis. Methods A total of 60 patients with bromidrosis admitted to the First Division Hospital of Xinjiang Aksu Corps from January 2023 to September 2025 were selected as the research subjects, and they were divided into the control group and the study group according to different case inclusion time points, with 30 patients in each group. The control group was treated with traditional fusiform resection, and the study group was treated with axillary crease small incision turnover ffap method. The treatment effect, incision satisfaction, traumatic stress indicators and complication rate were compared between the two groups. Results The total effective rate of the study group (96.67%) was higher than that of the control group (76.67%) (P<0.05). The incision satisfaction score of the study group was higher than that of the control group (P<0.05). The levels of CRP and IL-6 in the study group at 3 months after treatment were lower than those in the control group (P<0.05). The incidence of complications in the study group (6.67%) was lower than that in the control group (26.67%) (P<0.05). Conclusion In the treatment of bromidrosis, the application of axillary crease small incision turnover ffap method can effectively improve the treatment effect, enhance incision satisfaction, optimize traumatic stress indicators, and reduce the incidence of complications.