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Excessive Sweating (Hyperhidrosis) – By: Dr. Dima Ali


Sweating is not the most pleasant topic of discussion, especially when it occurs excessively. It can leave you feeling self-conscious and embarrassed. Many do not realize that this is an actual medical condition. The good news is it can be treated. Currently there are two minimally invasive treatments that are extremely popular for this condition: Neurotoxin (Botox/Dysport) and ThermiDry.


Excessive Sweating (Hyperhidrosis)

The medical term for excessive sweating is hyperhidrosis.  There are two forms of the condition – primary and secondary.  Primary hyperhidrosis can occur in healthy individuals and the secondary form usually has some underlying medical condition that needs to be addressed.  In either case, excessive sweating complicates social interactions, causes odor, stains clothing and can even cause anxiety. This So although sweating is a normal part of human physiology, profuse, excessive sweating can hinder one’s everyday life and be debilitating.  It’s no wonder that many seek out treatment to help alleviate their hyperhidrosis.


Neurotoxin for Hyperhidrosis

Besides making wrinkles vanish, neurotoxins such as Botox or Dysport can be used to combat hyperhidrosis. An estimated 2%-3% of Americans suffer from hyperhidrosis of the underarms (axillary hyperhidrosis) or of the palms and soles of the feet (palmoplantar hyperhidrosis). When properly injected, Botox works by blocking the secretion of the chemical that activates sweat glands. Results can last for 3-6 months.


ThermiDry for Hyperhidrosis

The most recent solution for hyperhidrosis is ThermiDry.  ThermiDry is a minimally invasive temperature-controlled radio frequency treatment that delivers RF energy underneath the skin to directly target axillary sweat glands. This form of radio-frequency energy is typically used for nerve ablation and non-surgical face-lifts but it can also be used to control excessive sweating. Results can typically last anywhere from 2-5 years.  More than one treatment may be needed to achieve long lasting results.  It is done as an outpatient procedure under local anesthesia and there is little to no downtime.

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