Hyperhidrosis is excessive sweating, usually of the palms and underarms. This is an inherited condition. Although it usually responds to topical prescription medication (and this is always tried as first-line treatment), this embarrasing malady can now be successfully treated with Botox injections if the first-line treatment fails! The good news is the results are fairly longlasting, sometimes for one year. Using topical cream anesthesia and our Zimmer Cryo 5 cold air anesthesia machine, these palm and underarm injections are made comfortable at Hughes Dermatology. (Some other offices use nerve block injections in the wrists for anesthesia which are uncomfortable and can produce serious side effects.)
A new treatment using our Lyra-i long-pulsed Nd:Yag laser is effective for axillary (underarm) hyperhidrosis. This is the same laser used for underarm hair removal.
Surgical procedures, especially sympathectomy, should be considered only as a very last resort, because of operative risks and the development of excessive sweating elsewhere (compensatory hyperhidrosis).
Please make an appointment with Dr. Hughes or Dr. Tichy for evaluation and treatment.