Can Sweat Gland Removal Surgery Be Reversed? Your Options

Can the sweat glands return to their original state after being removed?

Hello doctor, I previously underwent a surgery to remove sweat glands, and I was aware that there would be side effects, such as sweating from my back and soles of my feet at 1 to 2 times the normal amount.
However, after a long period, I have found that it has become too severe; I sweat continuously even when exposed to hot air.
Therefore, I would like to understand if it is possible to reverse the surgery and return to my previous condition.
I haven't heard of any such cases, so I would like to ask the doctor if there is a way to revert this.

Feng Zhi Yun Hai, 20~29 year old female. Ask Date: 2006/07/12

Dr. Lu Shangbin reply Surgery

Dear Sir/Madam,
Currently, the surgical procedure for sweat gland removal involves either the excision of sympathetic ganglia or the use of instruments for cauterization.
Postoperatively, most patients experience increased sweating from other areas of the body.
(The total daily amount of sweating does not decrease due to this surgery, so sweating on the back and feet may increase.) It seems impossible to revert to the original condition after the surgery, and it is recommended to consult a neurosurgeon who specializes in this procedure.

Reply Date: 2006/07/12

More Info

Sweat gland removal surgery, also known as axillary sweat gland excision, is a procedure often performed to treat excessive sweating (hyperhidrosis) in the underarm area. While this surgery can be effective in reducing sweat production in the targeted area, it can lead to compensatory sweating in other areas of the body, such as the back, feet, or face, as you have experienced. This phenomenon occurs because the body attempts to maintain its thermoregulation by redistributing sweat production to other areas when sweat glands are removed.

To address your question about whether sweat gland removal surgery can be reversed, the short answer is that it is not typically reversible. Once the sweat glands are surgically removed, they do not regenerate. This means that the specific area where the glands were removed will not produce sweat again. However, there are a few options to consider if you are experiencing significant discomfort or issues due to compensatory sweating:
1. Botox Injections: One of the most common treatments for hyperhidrosis is the use of botulinum toxin (Botox) injections. Botox can temporarily block the nerves that cause sweating, and it can be used in areas that are experiencing compensatory sweating. This treatment usually lasts several months and can be repeated as needed.

2. Medications: Anticholinergic medications can help reduce sweating by blocking the chemical signals that stimulate sweat glands. These medications can be effective for generalized sweating but may have side effects, so it’s important to discuss this option with your doctor.

3. Iontophoresis: This is a non-invasive treatment that uses electrical currents to reduce sweating in the hands and feet. While it is not specifically for compensatory sweating, it can help manage overall sweating.

4. Microwave Therapy: This treatment uses microwave energy to destroy sweat glands in the underarm area. While it is not a reversal of the surgery, it can help manage excessive sweating in other areas.

5. Surgery for Compensatory Sweating: In some cases, surgical options may be available to address compensatory sweating. These procedures can involve the removal of sweat glands in the areas where compensatory sweating occurs, but they come with their own risks and potential complications.

6. Lifestyle Modifications: Sometimes, managing the environment and making lifestyle changes can help alleviate the discomfort associated with compensatory sweating. Wearing breathable fabrics, staying hydrated, and using antiperspirants can be beneficial.

It is essential to consult with a healthcare professional who specializes in hyperhidrosis or dermatology to discuss your symptoms and explore the best treatment options for your specific situation. They can help you weigh the benefits and risks of each option and tailor a treatment plan that addresses your concerns effectively.

In summary, while sweat gland removal surgery cannot be reversed, there are various treatment options available to manage the symptoms of compensatory sweating. It is crucial to have an open dialogue with your healthcare provider to find the most suitable approach for your needs.

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