Cost of Surgery for Axillary Hyperhidrosis: What to Expect - Dermatology

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Cost of surgery for axillary hyperhidrosis?


Doctor: I would like to inquire about the cost of surgery for axillary hyperhidrosis at your hospital.

vicky, 20~29 year old female. Ask Date: 2011/10/16

Dr. Lin Xinpeng reply Dermatology


Hello: The cause of axillary odor, or bromhidrosis, is due to the colonization of bacteria in the apocrine glands under the armpits, which alters the composition of sweat and leads to the secretion of an unpleasant odor.
Therefore, treatment options can be divided into two categories: surgical and non-surgical treatments.
Non-surgical treatments currently include antiperspirants or deodorants containing lithium salts, or the use of intense pulsed light (IPL) or diode laser therapy to destroy the apocrine glands through laser energy.
Additionally, local injections of botulinum toxin can block nerve conduction and sweat secretion, leading to gland atrophy.
However, these methods are not long-lasting and have limited efficacy.
The best approach remains surgical treatment, which involves excising the subcutaneous sweat glands or performing minimally invasive procedures to achieve better results.
Our facility currently does not perform surgery for bromhidrosis, and if you wish to undergo such surgery, you should consult a plastic surgeon for more comprehensive information.

Reply Date: 2011/10/16

More Info


When considering surgery for axillary hyperhidrosis, commonly known as excessive sweating in the armpits, it is essential to understand both the costs involved and the potential benefits of the procedure. The cost of surgery can vary significantly based on several factors, including the type of procedure, the surgeon's experience, the facility where the surgery is performed, and your geographical location.


Types of Surgical Procedures
1. Endoscopic Thoracic Sympathectomy (ETS): This is a minimally invasive procedure where the sympathetic nerves responsible for sweating are cut. The cost for ETS can range from $5,000 to $15,000, depending on the facility and the surgeon's expertise.

2. Botulinum Toxin Injections: While not a surgical procedure, many patients opt for Botox injections to manage hyperhidrosis. The cost for Botox can range from $1,000 to $2,500 per treatment, and results typically last for several months.

3. Suction Curettage: This is a surgical method that involves the removal of sweat glands. The cost can be similar to ETS, ranging from $5,000 to $10,000.


Factors Influencing Cost
- Geographical Location: Prices can vary widely depending on where you live. Urban centers may have higher costs due to increased demand and higher overhead for medical facilities.


- Surgeon’s Experience: A more experienced surgeon may charge higher fees, but this can also correlate with better outcomes and fewer complications.

- Facility Fees: The hospital or surgical center where the procedure is performed will charge fees that can significantly impact the overall cost.

- Anesthesia and Other Costs: Don’t forget to factor in the costs for anesthesia, pre-operative consultations, and post-operative care, which can add several hundred to thousands of dollars to your total.


Insurance Coverage
It is also crucial to check with your insurance provider regarding coverage for hyperhidrosis surgery. Many insurance plans consider this procedure cosmetic and may not cover it. However, if hyperhidrosis significantly impacts your quality of life, you may be able to appeal for coverage based on medical necessity.


Post-Operative Care and Recovery
After surgery, patients typically need some time to recover. This can range from a few days to a couple of weeks, depending on the type of surgery performed. Patients may experience swelling, discomfort, or temporary changes in sensation in the armpit area. It is essential to follow your surgeon's post-operative care instructions to ensure a smooth recovery.


Conclusion
In summary, the cost of surgery for axillary hyperhidrosis can vary widely, generally ranging from $5,000 to $15,000, depending on the type of procedure and other factors. It is advisable to consult with a qualified surgeon to discuss your specific case, potential costs, and whether the procedure is covered by insurance. Additionally, consider the long-term benefits of the surgery, as many patients experience significant improvements in their quality of life after treatment. Always ensure that you are well-informed and prepared for both the financial and physical aspects of the surgery.

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