Surgical Options for Treating Axillary Hyperhidrosis: What You Need to Know

Surgical methods for treating axillary hyperhidrosis?

Hello, I would like to inquire about the surgical methods used by this hospital for the treatment of axillary hyperhidrosis (body odor).
There are many treatment options available now, and I hope to receive treatment in an outpatient setting.
I am curious about which method this hospital employs, as I have received various suggestions from friends that have left me quite confused.
I would also like to know the cost of the surgery.

Chou Chou, 30~39 year old female. Ask Date: 2009/02/19

Dr. Lin Kecheng reply Surgery

Dear c876842,
Hello! The treatment for axillary hyperhidrosis has advanced significantly and has become part of the field of plastic surgery.
Currently, liposuction techniques are being used, which result in smaller scars; however, this procedure is not covered by insurance.
Our hospital, due to limitations in facilities, still employs the traditional method of excising the apocrine glands, which is covered by health insurance.
The downside of this method is that it can result in scar formation, affecting aesthetics, and a small number of patients may experience scar contracture, leading to discomfort during arm abduction and extension.
This is for your reference.

Wishing you health and happiness.

Reply Date: 2009/02/19

More Info

Axillary hyperhidrosis, commonly known as excessive sweating in the armpits, can be a distressing condition for many individuals. Fortunately, there are several surgical options available for treating this condition, each with its own benefits and considerations. Here’s an overview of the most common surgical methods used to treat axillary hyperhidrosis, along with some insights into what you should know before proceeding with treatment.

1. Endoscopic Thoracic Sympathectomy (ETS)
One of the most effective surgical options for treating axillary hyperhidrosis is Endoscopic Thoracic Sympathectomy (ETS). This minimally invasive procedure involves cutting or clamping the sympathetic nerves that control sweating in the armpits. The surgery is performed through small incisions in the chest, and patients typically experience a significant reduction in sweating immediately after the procedure.

Pros:
- High success rate in reducing sweating.

- Minimally invasive with a shorter recovery time compared to open surgery.

Cons:
- Potential side effects include compensatory sweating in other areas of the body (e.g., back, abdomen).

- Risks associated with general anesthesia and surgery, such as infection or bleeding.

2. Suction Curettage
Suction curettage is another surgical option that involves the removal of sweat glands from the armpits. This procedure is performed under local anesthesia and involves making small incisions to suction out the sweat glands.

Pros:
- Can be performed on an outpatient basis.

- Less invasive than ETS and does not involve cutting nerves.

Cons:
- May not be as effective as ETS for severe cases of hyperhidrosis.

- There is a possibility of incomplete removal of sweat glands, leading to recurrence of symptoms.

3. Laser Surgery
Laser surgery is a newer technique that uses laser energy to destroy sweat glands in the armpits. This method is also performed under local anesthesia and is considered less invasive.

Pros:
- Minimally invasive with a quick recovery time.

- Reduced risk of complications compared to traditional surgery.

Cons:
- Effectiveness can vary, and multiple sessions may be required.

- Not all patients may be suitable candidates for this procedure.

4. Botulinum Toxin Injections
While not a surgical option per se, botulinum toxin (Botox) injections are a popular non-surgical treatment for axillary hyperhidrosis. The injections block the nerves that trigger sweating and can provide relief for several months.

Pros:
- Non-invasive with minimal downtime.

- Quick procedure that can be done in an outpatient setting.

Cons:
- Effects are temporary, requiring repeat treatments every 6-12 months.

- Some patients may experience discomfort or bruising at the injection site.

Considerations Before Surgery
Before deciding on a surgical option, it is essential to consult with a qualified healthcare provider who specializes in treating hyperhidrosis. They will evaluate your specific condition, discuss the potential risks and benefits of each procedure, and help you determine the best course of action based on your needs and lifestyle.

Cost of Surgery
The cost of surgical treatment for axillary hyperhidrosis can vary widely depending on the procedure, the facility, and your location. Generally, procedures like ETS can range from $5,000 to $15,000, while suction curettage and laser surgery may be less expensive. It’s crucial to check with your healthcare provider and insurance company to understand the costs involved and whether any part of the procedure may be covered.

Conclusion
In summary, there are several surgical options available for treating axillary hyperhidrosis, each with its own advantages and disadvantages. It is essential to have a thorough discussion with your healthcare provider to understand which method is most suitable for you, considering your specific condition and preferences. By doing so, you can make an informed decision that will help you regain confidence and improve your quality of life.

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