Excessive Sweating – Hyperhidrosis
Excessive sweating is a medical condition affecting 2% of Irish population. It causes excessive sweating in the armpits, palms, soles of the feet, face, scalp, and/or body.
Hyperhidrosis involves sweating in excess of the amount required normally for the body’s level of activity and temperature. At Castleknock Cosmetic Clinic Dublin we know that there are two types of excessive sweating- primary and secondary. Excessive sweating in the underarm and feet is invariably associated with strong odours.
Types of Hyperhidrosis
In primary excessive sweating, the cause is unknown and excessive sweating is localized to the armpits, hands, face, and/or feet. Primary excessive sweating begins during childhood or early adolescence, gets worse during puberty, and lasts a lifetime.
In secondary excessive sweating, which is less common than primary hyperhidrosis, excessive sweating is found to be caused by another medical condition and usually occurs over the entire body. Some of the medical conditions we see at Castleknock Cosmetic Clinic Dublin that can cause secondary excessive sweating include hyperthyroidism, menopause, obesity, psychiatric disorders, and diabetes. Secondary excessive sweating can also be caused by use of certain medications. In about 60%, the hands and feet are affected, and in about 30-40% of cases, the armpits are affected.
Genetics may be a factor, since 25-40% of individuals with excessive sweating also have a family member with the condition. In many cases, excessive sweating is associated with malodorous predisposition.
In hyperhidrosis, excessive sweating may be continuous or start suddenly. Emotional stress, high room/environmental temperature, and digestion of certain foods can aggravate excessive sweating. Symptoms of hyperhidrosis vary depending on the body area affected. Many of the patients attending at Castleknock Cosmetic Clinic Dublin report some of the following:
In excessive sweating of the hands, the palms of the hands are excessively wet or moist and cold to the touch.
In axillary hyperhidrosis, excessive sweating in the underarm area occurs, leaving large wet marks and staining clothes.
In scalp/facial hyperhidrosis, excessive sweating of the face and scalp occurs, as well as moderate to severe facial blushing.
In plantar hyperhidrosis, the soles of the feet sweat excessively. This condition is often associated with hyperhidrosis in other body areas.
In truncal hyperhidrosis, the torso area sweats excessively. This condition is rare alone and usually occurs with hyperhidrosis in other areas.
In 2004, the U.S. Food and Drug Administration approved the use of injected neurotoxin for treatment of axillary (underarm) hyperhidrosis that resists treatment with topical drugs. Since then, we started using the effective method at Castleknock Cosmetic Clinic Dublin. Although most studies of the neurotoxin for hyperhidrosis included adult patients, some doctors use Botox to treat excessive sweating in children with some success. Even though the neurotoxin has only been approved to treat axillary hyperhidrosis, doctors can legally use it “on named patient basis” to treat other affected areas of the body. It is injected into the affected area, and one series of injections may last for up to nine months.
As a last resort, surgery is used to treat palmar, plantar, and axillary hyperhidrosis. Surgical procedures involve removing portions of the nerves responsible for excessive sweating and removing sweat glands during an open invasive surgical procedure. Liposuction may be used to remove sweat glands in the underarm area.
As the sweat glands are to be immediately below the skin (where the dermis and the underlying fat meet), VASER Ultrasonic energy can be utilised to remove and destroy the function of these glands without damaging any other tissues in the area. The VASER Procedure for Excessive Sweating is an exciting new technique available at Castleknock Cosmetic Clinic Dublin that has been recently approved by the FDA, and we are delighted to be one of the first clinics in Dublin, and Ireland to offer this life changing procedure to our patients.
The VASER Procedure for Excessive Sweating is intended to reduce sweating to normal levels, not total elimination of sweat. The aim of the VASER Procedure for Excessive Sweating is for a vast improvement in the condition. VASER procedure is only suitable for underarms sweating not for the palms or other areas.
Following clinical suitability evaluation the procedure can be carried out in an outpatient setting. The procedure is performed under local anaesthesia to make you comfortable. A small VASER Probe is inserted under your skin, to deliver safe ultrasonic energy in order to emulsify the superficial layer of fat in the armpit where the sweat glands are. The VASER procedure disable and destroy the vast majority of the sweat glands. This fat residue is then removed by aspiration.
The VASER Procedure for Excessive sweating is a simple procedure and is carried out in an outpatient setting and hospital setting is not required. Recovery is very quick. You can even return to your daily routine the day after your treatment if you wish.