Aesthetic medicine

Hyperhidrosis

Excessive sweating is due to multiple factors leading to hyperexcitation of the nerve endings that innervate the sweat glands. Regarding excessive sweating of the hands and armpits, there are currently only two treatments: botulinum toxin or nerve deafferentation. The first is a straightforward method for treating the armpit, more complex for hand treatment (requires sedation or nerve blocks to tolerate multiple injections).

Pro: fast treatment, con is the duration (approximately 6 months). The second method (deafferentation) is a procedure performed under general anesthesia. In thoracoscopy, a nerve fiber near the internal ribcage wall, responsible for hand and armpit sweating, is cut. Pro: permanent, con: it is a fairly invasive surgical procedure.

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