Hyperhidrosis may be defined as sweating beyond a level required to maintain normal body temperature. This condition can be genetic or prompted by a variety of medications and drugs.
The consequences of hyperhidrosis are primarily psychosocial in nature. Excessive sweating may be socially embarrassing or interfere with certain professions. For example, palmar hyperhidrosis (sweating on the palms) may preclude art-work, working with electrical components, or playing certain musical instruments. In addition, hyperhidrosis may cause excessive changes of clothing due to sweat stains.
The Surgeon will help the patient to reach a decision re: treatment. The options are:
1 – Armpit skin resection and gland debulking, also known as open adenectomy:
This is a surgical procedure that is often done under local anaesthetic and sedation. It involves the removal of an ellipse of skin and sweat gland from the armpit. It produces a 4cm scar in the hair bearing skin in the axilla and provides a significantly long-lasting result.
2 – Antiwrinkle Injections:
Sweat glands require a nerve impulse to activate. Without this stimulation, they won’t secrete. By applying antiwrinkle injections to problem areas such as underarms, hands and feet, the related nerve impulse is temporarily relaxed and prevented from reaching the sweat gland. This stops sweat production in the treated area. The treatment is as simple as it sounds. All patients report a substantial decrease in sweating within two days. Better still, many patients don’t sweat at all following treatment. Repeat treatment is usually recommended within 3-6 months. An injection into the armpits and hands has been shown to be very successful. Good results may be obtained after a single injection session and last up to six months. The effect of the injection may take up to 21 days to work. In rare cases, some patients may need a repeat injection within four weeks if there has been little response.
The patient will be going home with minimal discomfort. A simple analgesic will be sufficient to control the pain.
Read More About Antiwrinkle Injections For Excessive Sweating
Do antiwrinkle injections hurt?
A small disposable syringe with a micro needle is used. When treating the armpits, most patients find the injections only cause mild, temporary discomfort. Local anaesthesia is required for the hand and feet treatments.
How will the area look after treatment?
Immediately after the injections there may be mild swelling which usually subsides within 24-48 hours. Application of cold (i.e. ice pack) for a few hours after treatment will help reduce any swelling.
Side effects of this treatment are rare. The most common of these are slight discomfort, redness, swelling and mild bruising, all of which usually last between 24 and 48 hours. If you are pregnant or breast feeding, if you suffer from neurologic conditions (myasthenia gravis, myopathies), or if you are taking medications like Ca Blockers or Quinolone Antibiotics (Ciprofloxacin, Ofloxacin, etc.), the treatment is not recommended.
How many treatments will I need?
Repeat treatments are usually needed every 3-4 months over a twelve-month period.