Hyperhidrosis- Excessive Sweating is described and defined as sweating above and beyond the physiological needs of the body. A certain amount of sweat is normal and a compulsory part of our ability to regulate our body temperature and to be able to secrete certain chemicals which have no more use in our bodies.
Are you embarrassed due to Excessive Sweating or otherwise called as Hyperhidrosis?
Are you feeling delicate and complicate during business and social interactions….due to excessive sweating and serious practical consequences such as making you difficult to hold a pen, grip a steering wheel or while shaking hands…?
Now you can eliminate the discomfort and embarrassment of excessive sweating with a simple outpatient surgical procedure. The surgical procedures for Hyperhidrosis are finely-tuned and proven taking advantage of the latest endoscopic techniques.
There is now a proven cure for Excessive Sweating or Hyperhidrosis. Sweaty palms, feet and armpits or any combination of these excessive sweating conditions is known medically as hyperhidrosis and can be cured. The proven procedure is available and in practice at Go Cosmetic Clinics, in London.
If the excessive sweating bothers the patient in both a significant social and functional way then the consideration should be given to trying conservative measures first, generally proceeds from over-the-counter (OTC) antiperspirants to prescription Antiperspirants, Anticholinergic Medications, Iontophoresis, Microwave Laser and Ultrasound wave destruction of Sweat Glands, Anti Wrinkle Injection (Botox)…which most are having least success rates.
Axillary hyperhidrosis is excess sweating of the underarms.
Palmoplantar hyperhidrosis is excess sweating of the palms and soles.
Kinds of Hyperhidrosis
Hyperhidrosis can be classified as Primary or Secondary.
Primary or Idiopathic Hyperhidrosisis is a rare and permanent dysfunction of the Sudomotor Center of the brain (the center responsible for the control of sweating). This center overstimulates the sweat glands of given areas of the body, by means of the sympathetic nervous system, causing intense localized sweating. The most affected areas are the hands, armpits, face, feet and, occasionally, the torso and the scalp, with different combinations of severity and location..
Hyperhidrosis causes anguish and embarrassment, severely impacting the social, professional, and, especially, the psychological well-being of its sufferers.
The main clinical characteristics of primary Hyperhidrosis are:
* Palmar (hand) and and Plantar (feet) Hyperhidrosis begins in childhood.
* Axillary (underarm) Hyperhidrosis appears in adolescence.
* Facial Hyperhidrosis usually surfaces in early adulthood.
Secondary Hyperhidrosis is due to conditions that lead to an increase of Sympathetic Activity (Hyperthyroidism, Menopause, Psychiatric Disturbances, Paraneoplastic Syndrome, Obesity, Stroke, etc. It usually affects either the whole body or part of one side of the body.
If excessive sweating is limited to these areas it is known as localised or primary hyperhidrosis. If the whole body perspires excessively it is meant generalised or secondary hyperhidrosis, and this is usually caused by a systemic condition for example hyperthyroidism or excess secretion of specific glands (an overactive thyroid gland).
Hyperhidrosis can be effectively controlled or treated now with anti wrinkle injections such as Botox as a temporary treatment required one or twice a year or with a permanent but minimally invasive procedure called liposuction.
If conservative treatment measures are unsuccessful then a careful evaluation by an experienced surgeon is mandatory to consider surgery.
Surgery treatment for Hyperhidrosis?
Localized axillary hyperhidrosis has been treated by surgical removal of a substantial portion of axillary skin. Another approach is the use of liposuction curettage, although how this effectively damages the dermal sweat glands is hard to visualize.
Endoscopic thoracic sympathectomy (ETS) refers to surgical interruption of the sympathetic nerves responsible for sweating. Sympathectomy is an operation intended to destroy part of the nerve supply to the sweat glands in the skin. The surgeon inserts a special endoscopic instrument into the chest between two ribs just below the armpit. The lung is briefly deflated to better visualize and destroy the nerves. Sympathectomy is both effective and risky. Even with newer endoscopic techniques, complications of the procedure can include compensatory, excessive sweating in other parts of the body as well as lung and nerve problems. As many of these complications are serious and not reversible, this option is rarely used, and then only as a last resort.
This is the method of choice for the treatment of Hyperhidrosis. The innervation of the sweat glands is done by the Sympathetic Nervous System. It is the exaggerated stimulus that reaches the glands through the Sympathetic Nervous System that determines the excessive sweating. Sympathectomy or Sympathicotomy, for the treatment of Palmar (hand), Axillary (armpit) and Facial Hyperhidrosis, consists of severing the Sympathetic Nervous Trunk at specific points on the interior of the thoracic cavity. Thus, the nervous stimulus for sweating ceases and sweating stops.
The technique currently in use by the team treats Palmar, Axillary and Facial Hyperhidrosis. The surgical procedure, under general anesthesia, is performed through two incisions of three millimeters on each side of the thorax. It takes about thirty minutes. The results, 100% cure for Palmar, 97% for Axillary and 99% for Facial Hyperhidrosis, are immediate. There is also a 95% chance that Plantar (feet) Hyperhidrosis will improve or even disappear, when it is in association with one or more of the other conditions.
The patient is discharged on the same day, as a stay in the hospital is not necessary.
The recovery is fast, as is the return to normal activities.
Other complications are rare with the use of this method.
The surgeries available now (ETS and ELS) have very proven track records of safety and high success rates. That being said the evaluation and discussion with the experienced surgeon is a very crucial step.
Surgical treatment for Hyperhidrosis is sometimes considered in severe cases where other treatments have not been helpful.
One surgical treatment for Hyperhidrosis of the armpits is the removal of sweat glands from the armpits. There are a variety of methods that have been used to remove sweat glands, including liposuction, curettage (a special surgical technique) and laser glandular destruction. Side effects depend on the type of method that is used. There is a risk of relapse with this treatment.
Endoscopic Thoracic Sympathectomy (ETS) is a procedure that is sometimes used to treat severe hyperhidrosis, usually of the palms, that has not responded to other treatments.
This procedure involves cutting the spinal sympathetic nerves that supply the sweat glands in the arm and hand, and requires a general anaesthetic.
Complications associated with ETS include:
- Compensatory hyperhidrosis – excessive sweating elsewhere in the body (this is a common complication);
- Relapse after a few years; and Horner’s syndrome (a problem that affects one side of the face, resulting in a drooping eyelid, reduced pupil size and decreased sweating on that side of the face).
Because both types of surgery may have complications, which may be severe, it is important to discuss the issues carefully with your doctor and surgeon. ETS in particular is reserved for the most severely affected individuals who are unresponsive to other treatment.
It is better to have a one to one session of consultation with one of our specialised consulting surgeon, to know more particularly about your conditions and treatment. Please feel free to contact or call us to fix a no obligation free consultation at our Go Cosmetic Clinics.