Integrated Aesthetics

Learn your treatment options.

HYPERHIDROSIS

Learn your treatment options.

If you suffer from hyperhidrosis, rest assured that there are many treatments that can help control the condition. Dr. Chiang will outline a treatment ladder that advances from prescription-strength antiperspirants to oral medications, Botox, and for underarm sweating, miraDry. 

OVERVIEW

If you experience excessive sweating of the hands, feet or underarms, you probably have primary hyperhidrosis. Primary hyperhidrosis typically starts in childhood or puberty.

People who have excessive underarm sweating often wear dark clothing, change their clothing several times a day, and may suffer from embarrassment and social anxiety. Those with excessive hand sweating may avoid shaking hands or have trouble with activities that require dry hands (opening a slippery jar).  Sweaty feet lead can cause problems related to too much moisture: athlete’s foot, bacterial infections, dermatitis, and stinky feet.

HYPERHIDROSIS CAUSES

Under normal circumstances, sweating results in evaporation, and the evaporation cools the body. Sweating can also occur in response to mental stress, such as being nervous or anxious.

We do not know exactly why some people are more prone to sweating excessively.  We do know that people with hyperhidrosis have overactive sweat glands that secrete excessively in response to social or physical stress.  We know that this condition seems to run in families. 

HYPERHIDROSIS  PREVENTION

Some people who suffer from primary hyperhidrosis can identify triggers for their sweating.  Consider evaluating if avoiding common triggers such as hot showers, spicy foods, alcohol, stress, caffeine and tobacco are helpful.

Clothing that wicks away moisture can help keep you comfortable.

HYPERHIDROSIS TREATMENT OPTIONS

If you suffer from hyperhidrosis, rest assured that there are many treatments that can help control the condition. Dr. Chiang will outline a treatment ladder that advances from prescription-strength antiperspirants to oral medications, Botox, and for underarm sweating, miraDry. 

  • Antiperspirants: Prescription antiperspirants plug the sweat ducts to keep sweat from reaching the surface of the skin.  The active ingredient in antiperspirants, aluminum, works by making sweat proteins form a plug, blocking the sweat gland.
  • Anticholinergics: Oral anticholinergic agents work by decreasing activity of sweat glands.  Their main drawbacks are that this may result in overheating in active patients, as well as side effects such as dry mouth.
  • Botox, Dysport, other neuromodulators: Neuromodulators such as botox and dysport can be used to decrease sweat when they are injected into the excessively-sweating area.  Common areas for treatment include the hands, feet, scalp, forehead, and skin under the breasts or groin.  The procedure is typically effective for 6+ months.
  • miraDry: miraDry is a permanent treatment that uses microwave energy to destroy sweat glands in the armpits.  Typically, we find the best results with two treatments, spaced about three months apart.  On average, sweating is reduced by about 80%. 
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