Can Hyperhidrosis and Bromhidrosis Be Treated Together? Expert Insights - Plastic Surgery

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Hyperhidrosis


Dear Doctor: I have hyperhidrosis and bromhidrosis.
Can both conditions be treated simultaneously, and which specialty should I consult? What would be the approximate total cost? Thank you for your response.

bobo, 20~29 year old female. Ask Date: 2004/07/04

Dr. Luo Qihua reply Plastic Surgery


To permanently cure axillary odor, one can undergo excision or curettage of the apocrine glands (sweat glands), which requires consultation with a plastic surgeon and costs approximately $20,000 to $35,000.
For the treatment of palmar hyperhidrosis, thoracoscopic sympathectomy can be performed, but careful consideration must be given to the potential compensatory sweating in other areas as a complication.
This procedure has also been used to treat axillary odor, but the results are often unsatisfactory.
Consultation with a neurosurgeon or thoracic surgeon is necessary, but I am unsure about the pricing.

Reply Date: 2004/07/04

More Info


Hyperhidrosis (excessive sweating) and bromhidrosis (body odor) are two conditions that can significantly impact an individual's quality of life. Fortunately, they can often be treated simultaneously, and understanding the treatment options available can help you make informed decisions about your care.


Treatment Options
1. Antiperspirants: Over-the-counter or prescription-strength antiperspirants containing aluminum chloride can be effective for hyperhidrosis. These products work by blocking the sweat glands. For bromhidrosis, maintaining good hygiene and using antibacterial soaps can help reduce odor.

2. Medications: Anticholinergic medications, such as glycopyrrolate, can reduce sweating by blocking nerve signals to sweat glands. These medications may also help with odor by reducing the amount of sweat produced, which can create an environment for bacteria that cause body odor.

3. Botox Injections: Botulinum toxin injections are FDA-approved for treating hyperhidrosis. They work by temporarily blocking the nerves that cause sweating. This treatment can also help with bromhidrosis since less sweat means less odor.

4. Iontophoresis: This treatment involves using a device that passes a mild electrical current through water and into the skin's surface, which can help reduce sweating in the hands and feet.

5. Microwave Therapy: This is a more invasive option where microwave energy is used to destroy sweat glands in the underarms.

6. Surgery: In severe cases, surgical options such as sympathectomy (cutting nerves that trigger sweating) may be considered.


Consultation and Costs
To address both hyperhidrosis and bromhidrosis, you should consult a dermatologist, as they specialize in skin conditions and can provide comprehensive care for both issues. In some cases, a primary care physician may also be able to assist or refer you to a specialist.

As for costs, they can vary widely based on your location, the specific treatments chosen, and whether you have insurance coverage. Initial consultations with a dermatologist typically range from $100 to $300. Treatments like Botox can cost between $1,000 to $2,000 per session, depending on the area treated and the amount of product used. Other treatments, such as iontophoresis or prescription medications, may have different costs associated with them.


Conclusion
In summary, hyperhidrosis and bromhidrosis can be treated together effectively. A dermatologist is the best specialist to consult for a tailored treatment plan. It is essential to discuss all your symptoms and concerns during your appointment so that the most appropriate treatment options can be recommended. While costs can vary, many treatment options are available that can significantly improve your quality of life. Always check with your insurance provider to understand what treatments may be covered under your plan.

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