Excessive Sweating Treatment

Sweating is a normal physiological process, but in hyperhidrosis, the nerves that control sweat glands become overactive. This results in persistent or excessive sweating in specific areas or across the body.

Commonly affected areas include:

• Underarms (axillary hyperhidrosis)

• Palms (palmar hyperhidrosis)

• Feet (plantar hyperhidrosis)

• Face and scalp

• Groin or body folds

Hyperhidrosis is classified into two main types:

Primary Hyperhidrosis

• Usually begins in childhood or adolescence

• Affects localized areas such as hands, feet, or underarms

• Not associated with underlying disease

Secondary Hyperhidrosis

• Caused by medical conditions such as thyroid disorders, diabetes, menopause, infections, or medication use

• Typically causes generalized sweating

• Requires investigation and treatment of the underlying cause

A proper medical assessment is essential to determine the type and severity of hyperhidrosis.

Patients with excessive sweating may experience:

• Persistent sweating at rest

• Damp clothing or visible sweat marks

• Difficulty holding objects due to wet palms

• Skin irritation or rashes

• Fungal or bacterial infections in moist areas

• Social discomfort or occupational challenges

If these symptoms interfere with daily life, professional dermatological evaluation is recommended.

At CosmeSurge, diagnosis begins with:

• Detailed medical history

• Identification of affected areas

• Evaluation of triggers and duration

• Review of medications and health conditions

• Laboratory tests if secondary causes are suspected

This assessment allows dermatologists to create a safe and effective treatment plan.

Treatment selection depends on the severity of sweating, affected areas, and individual patient needs.

1. Botulinum Toxin (Botox) Injections

Botulinum toxin is an effective treatment for localized excessive sweating. It works by blocking nerve signals that stimulate sweat production.

Commonly treated areas

• Underarms

• Palms

• Soles of feet

• Face (selected cases)

Procedure

• Performed in clinic under local anesthesia or numbing cream

• Involves multiple small injections

• Effects begin within a few days

Duration of effect

• Typically lasts 6–9 months

• Repeat sessions may be needed

2. Laser Sweat Gland Reduction

Laser therapy uses targeted energy to destroy overactive sweat glands, mainly in the underarms.

Benefits

• Minimally invasive

• Permanent reduction in sweat glands

• Short recovery period

This treatment is performed under local anesthesia and allows return to normal activities within a short time.

2. Laser Sweat Gland Reduction

Laser therapy uses targeted energy to destroy overactive sweat glands, mainly in the underarms.

Benefits

• Minimally invasive

• Permanent reduction in sweat glands

• Short recovery period

This treatment is performed under local anesthesia and allows return to normal activities within a short time.

4. Medical and Topical Treatments

For mild cases, dermatologists may recommend:

• Prescription antiperspirants

• Topical medications

• Oral medications to reduce sweat gland activity (selected cases)

These are used under medical supervision and may be part of a combined treatment approach.

5. Surgical Treatment (Severe Cases Only)

In rare cases, surgical procedures such as endoscopic thoracic sympathectomy (ETS) may be considered for severe palmar hyperhidrosis when all other options fail. This is considered only after careful evaluation due to potential side effects.

Recovery depends on the treatment method used:

• Botox: Mild redness or swelling for a few hours

• Laser therapy: Mild swelling for 1–2 days

• RF or microwave treatments: Minimal downtime

• Medical treatments: Ongoing monitoring for side effects

Aftercare instructions are provided by the treating dermatologist to ensure safe recovery and optimal results.

When performed by qualified specialists, hyperhidrosis treatments are generally safe. Temporary side effects may include:

• Redness

• Swelling

• Mild pain at treatment site

• Temporary numbness (palms or soles)

• Compensatory sweating (rare, surgical cases)

All risks and expected outcomes are discussed before treatment.

The cost depends on:

• Treatment method selected

• Area treated

• Number of sessions required

• Severity of hyperhidrosis

A detailed cost estimate is provided after medical consultation.