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Perspiration is a physiological phenomenon of our body and it is primarily a means of thermoregulation. Hyperhidrosis is a condition characterized by abnormally increased sweating/perspiration and may cause insecurity and discomfort. Hyperhidrosis can affect specific parts of the body such as hands (palmar hyperhidrosis), feet (pedal hyperhidrosis) and armpits (axillary hyperhidrosis), that is, the most active regions of perspiration due to the high concentration of sweat glands. Nowadays, this physiological condition can be healed.


Preparing for hyperhidrosis surgical treatments

Treatments range from injections of botulinum toxin, used to block neural control of sweat glands, to videothoracoscopic sympathectomy that clamps the thoracic ganglion on the main sympathetic chain that runs alongside the spine and usually requires hospitalization in specialized facilities. Unfortunately, lotions, sprays and local iontophoresis provides short-term results.


Hyperhidrosis surgical treatments

Botulinum injections are used to treat palmar hyperhidrosis and last from 3 to 5 months whereas for more severe manifestations is suggested a thoracic-surgical therapy to perform even with pedal hyperhidrosis albeit it is more challenging. Generally, axillary hyperhidrosis is treated with botulinum injections lasting from 6 to 12 months and, even in this case, it is possible to clamp the thoracic ganglion on the main sympathetic chain. Anyway, in this area, unlike others, sweat glands can be easily identified and removed thanks to a soft surgical procedure that, through a little axillary incision, extract most of the sweat glands using a microcannula and a radiofrequency scalpel. This procedure is performed under local anaesthesia with sedation in day surgery and allows solving quickly and definitively the problem of excessive underarm sweating.


Postoperative care instructions

Surgery for axillary hyperhidrosis does not involve a long postoperative course. After the operation, lasting 15 minutes, patients are medicated, discharged and should rest for 48 hours. By the third day, patients can take showers, return to work and restart their normal life.


Scars in hyperhidrosis surgical treatments

Scars are practically invisible, especially in the armpits where the incision occurs along the skin folds to remain inconspicuous.



Who undergoes hyperhidrosis surgical treatments?

People suffering from excessive sweating in some parts of their body such as hands, armpits and feet and want to eliminate this source of insecurity and discomfort in daily life.

Is there any age limit to undergo this type of cosmetic surgery?

There is no age limit to undergo this treatment; however, patients requiring this procedure are usually adults.

Is it possible to combine this operation with other cosmetic procedures?

This procedure can be performed alone or in combination with other plastic and / or aesthetic procedures unless there are contraindications to multiple surgical interventions.

Are there risks and / or complications for this type of cosmetic surgery?

There are no special risks and complications to this surgery included among the least invasive techniques in plastic surgery.

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