Treating excessive perspiration Hyperhidrosis | Ocean Clinic

Treating excessive perspiration Hyperhidrosis

Hyperhidrosis is the technical term for excessive sweat production. Perspiration that is in excess of what the body requires may be emotionally taxing and can lead to social isolation. People affected by hyperhidrosis can feel very uncomfortable in public, and such anxiety over uncontrollable sweating may itself increase perspiration. The most prevalent associated problems are sweaty hands and armpits, an unpleasant strong body odour (bromhidrosis) and visible stains on garments.

There are various procedures to treat hyperhidrosis:

  • Botulinum toxin (Botox®)
  • Surgical treatment in the form of a suction curettage (removal of the sweat glands)
    • Technical term
    • Duration of surgery
    • Anaesthesia
    • Discharge from clinic
    • Fit for society
    • Back to work
    • Aftercare and recovery

    What to know before Treating excessive perspiration

    What to Know Before Treating excessive perspiration Hyperhidrosis. Ocean Clinic

    The causes of hyperhidrosis are divided into primary (congenital) and secondary hyperhidrosis (due to illness).

    Primary hyperhidrosis: There is a hyperfunction of the sweat glands in the vegetative nervous system. The glands are stimulated to produce an excess of sweat. This malfunction is congenital and causes the patient severe suffering.

    Secondary hyperhidrosis: Here, the main cause lies in other illnesses. The excess perspiration may be due to diabetes, menopause, hyperthyroidism, overweight, certain medication or also pain, anxiety or stress. All parts of the body may be affected by excessive sweating. Typical areas are the hands, armpits, feet, head, torso, back and chest.

    Botulinum toxin A (Botox®) is an effective treatment for sweaty armpits, hands and feet. By evenly injecting Botox into the skin, the sweat glands’ nerve transmission is interrupted and perspiration inhibited.

    Treatment with Botox is not a surgical intervention and has a fast and high success rate. Each affected area needs to be injected several times and the effective period depends on the dosage as well as the area treated. Prior to the injection, we will treat the area with a cream acting as a local anaesthesia. The effective period usually spans 4-7 months.

    Suction curettage is the surgical measure of choice with excessive armpit perspiration. It can be carried out under local anaesthesia and light sedation. The sweat glands are aspirated together with the adipose tissue via small incisions in the armpit. Sweating can thereby be reduced by up to 50 percent. Once removed, the sweat glands do not regrow.

    Patient testimony

    I sweated regardless of what I was doing. Now, the fear and the shame are over.

    C.S. (28)

    Botox: Botox treatment does not require any aftercare. Effects occur after 5 days. Please avoid the sauna or sunbathing for one week post treatment.

      Suction curettage: Perspiration in the armpits initially stops. After a few months, you need to account for the fact that the remaining glands might again produce sweat, leading to renewed but reduced perspiration. Success can be assessed after 6 months only.

    Botox: The injection of botulinum toxin A (Botox®) generally has no side effects.

    Suction curettage: Wound healing disorders of the skin after puncture incisions or skin defects are unlikely, particularly for non-smokers. Hair growth might be reduced.

    The next step

    Treating excessive perspiration Hyperhidrosis after surgery and beyond. Ocean Clinic