Hyperhidrosis is excessive sweating. It is caused by a violation of the sympathetic nervous system, which is responsible for stimulating the sweat glands. As a result, the body produces more sweat than is necessary to regulate body temperature. If correction of nutrition, natural remedies and deodorants do not help, then it is time to take more radical measures, such as biorevitalization, iontophoresis, laser, botulinum toxin, curettage, and sympathectomy.
Iontophoresis procedure (also known as galvanization) is carried out on the feet and palms. Do not think that only armpits can sweat. Plantar hyperhidrosis makes the feet moist, which contributes to the development of fungal infection and the appearance of an unpleasant odor. Palmar hyperhidrosis is also unpleasant, especially for men who have a tradition of shaking hands. The iontophoresis procedure copes with this problem. During the procedure, the feet and hands are dipped in special baths with a solution through which weak electrical impulses resemble. These microcurrents are absolutely harmless and do not cause pain. Impulses are able to deliver drugs to the sweat glands. Typically, you should undergo 5-10 procedures. They are performed daily or every other day.
Injection cosmetology can do real miracles, in particular, in the treatment of hyperhidrosis of the armpits, feet and palms. Botox injections help not only to get rid of facial wrinkles but also treat excessive sweating. Do not forget that you should not use a deodorant before biorevitalization. Before the procedure, the doctor makes a test of Minor. The armpits are lubricated with iodine and sprinkled with starch. In places of increased sweating, starch acquires a purple color. These zones will be treated with botulinum toxin. Biorevitalization is a very effective method in the treatment of hyperhidrosis.
The introduction of Botox makes the sweat glands paralyzed but the neodymium laser can completely destroy them. The procedure is performed with local anesthesia. During the manipulation, the doctor makes a small puncture, the size of which does not exceed 1 mm. Then, a thin cannula (tube) with laser optical fiber is introduced through a micropuncture. With its help, sweat glands are processed, while the surrounding tissues and skin are not affected. In addition to the treatment of hyperhidrosis, this procedure slows down hair growth, which is a pleasant additional bonus.
Curettage is a surgical operation aimed at reducing sweating in the armpits. It is carried out with a special tool – a curette – similar to a small spoon. This form helps the specialist to “scrape out” subcutaneous fat in the armpit, thereby destroying sweat glands: they are the cause of hyperhidrosis. The operation is performed under local anesthesia. The surgeon determines the boundary of the area of excessive sweating and makes a tiny five-millimeter incision through which fat with sweat glands is removed. This is the slight drawback of curettage: it leads to a loss of sensitivity in the axillary region. Disadvantages of this procedure include minor bleeding, hematomas, and the potential for re-curettage after a few months. In general, surgery is effective in 90% of cases, but its main drawback is the need for surgical intervention.
Sympathectomy is used mainly with increased sweating of the palms or combined hyperhidrosis (for example, the entire upper half of the body). But this procedure is less common in our time. The reason for this is the difficulties that the doctor encounters during surgery. Therefore, endoscopic sympathectomy is much more often used now, when the size of the incision is limited to only one centimeter, sufficient for the introduction of an endoscope. During the procedure, the sympathetic trunk is stopped (nerve endings located on both sides of the spine), which thus ceases to send nerve impulses to the sweat glands, and the areas above the nerve intersection become dry. In a small percentage of cases, there is such a complication as compensatory hyperhidrosis – when, after reducing sweating in the upper half of the body, sweating in zones below the waist increases significantly. Contraindications for sympathectomy are diabetes mellitus and other endocrine and infectious diseases. In general, with hyperhidrosis, the best option is to immediately engage in the treatment of the disease that caused it. When you get rid of the disease, excessive sweating can also disappear.
Botulinum toxin injections are the most universal but at the same time more expensive than curettage and sympathectomy due to the need for regular repetition of the procedure. They can be used not only for auxiliary and palmar hyperhidrosis but also throughout the body. The drug blocks the transmission of impulses to the sweat glands. A big advantage is the absence of surgical intervention. The effect of the treatment with botulinum toxin will last an average of six months, after which the procedure will need to be repeated. Contraindications to injections include hypersensitivity to the components of the drug, myasthenia gravis (a progressive neuromuscular disease) and inflammation in the injection area. There is a small percentage of people who are not sensitive to botulinum toxin, in such patients the procedure will not be effective and they should pay attention to other methods of treating hyperhidrosis.