Are surgeries for excessive armpit sweating safe?

Hyperhidrosis / profuse sweating


The most important information about hyperhidrosis

Sweating is a natural mechanism in the body. It regulates our body temperature by leaking sweat when overheating is imminent, which evaporates and thus removes heat from the body.

But in many people the sweat glands produce more fluid than would be necessary to cool down. One then speaks of one Hyperhidrosiswhich is not only uncomfortable for those affected, but can even lead to social withdrawal in extreme cases.

Excessive or profuse sweating of the hands, feet or armpits: Anyone who is affected by hyperhidrosis often has difficulties in everyday life with one another. The fear of attracting attention due to an unpleasant body odor increasingly dominates professional and private life.

A shows how great the need of those affected is Comparison of the amount of sweat produced by healthy people and those suffering from hyperhidrosis. In healthy people, the amount of sweat is 100 to 200 milliliters per day as long as they are not doing any sport.

A person suffering from hyperhidrosis, on the other hand, has one Sweat production of 100 milliliters in just five minutes!


In Germany one goes by 2.5 million people affected out. Often, when the patient decides to undergo therapy, they have already gone through a long path of suffering: hyperhidrosis, the hereditary often occurs at a young age. Triggered by others Diseases or Taking medication however, it can also begin later in life. If it is not treated, hyperhidrosis can make you lonely: those affected withdraw more and more for fear of rejection and avoid situations in which close contact with other people is necessary. Removal of the sweat glands or botox treatment can lead to a complete disappearance of the physical symptoms. Those who undergo treatment for their hyperhidrosis often report greater self-confidence and fewer social anxieties.

What is hyperhidrosis?

Sweating is vital, after all, this is how our body temperature is regulated and we cool down. But when sweating becomes unnatural and agonizing due to hyperhidrosis, this can happen to those affected mental health problems that not infrequently end in social withdrawal from society. The hyperhidrosis usually occurs at the Hands, feet and armpits and leads to a sweat production of about 100 milliliters in 5 minutes. This amount is produced over the course of a whole day in healthy people.

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Treatment options for hyperhidrosis

To combat hyperhidrosis they usually have to two different treatment options established.

1.) A non-invasive method is that Injection of botox. The anti-wrinkle agent, known from aesthetic medicine, prevents the transmission of the messenger substance acetylcholine, which is responsible for sweat production - in this way sweating is significantly reduced.

2.) The other alternative is that surgical removal of the sweat glands or their suction. This method is more complex, but in most cases more effective than a Botox treatment and it is also permanent.

3.) For a few years there is one third, non-operative method Added: Special thermotherapy destroys the sweat glands under the armpits. The process known under the name "miraDry" works with precisely controlled microwave energy. The microwaves penetrate the surface of the skin and are converted into heat under the armpits. This process "desolates" the sweat glands.

You can find detailed information about the individual treatments at the bottom of this page!


What Are the Risks of Hyperhidrosis Treatment?

Depending on which type of hyperhidrosis treatment is desired, you candifferent risks to be possible. In general, Botox treatment is less risky, as the substance can now look back on years of testing and is usually very well tolerated. During the surgical removal of the sweat glands, as with any other surgical procedure, certain complications, such as increased bleeding, can occur.

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Cost of a sweat gland suction

At a Sweat gland suction Depending on the doctor, the costs are around 1000 to 2000 Euro.

Should the hyperhidrosis with Botox must be treated with 400 to 1300 euros per session calculate. In justified cases, the costs will be covered by the health insurance companies.

Financing options for a sweat gland suction

The costs incurred as part of a hyperhidrosis treatment can vary greatly depending on the treatment method. In justified cases, the costs will be covered by the health insurances (also depending on the desired treatment method). In the event that the costs are not covered, most doctors offer their patients a variety of financing options. So the costs can be paid off with the help of a loan. The down payment, the loan term and the installment amount can usually be changed and thus individually adjusted. Thanks to this form of financing, you no longer have to wait for the treatment you are longing for.

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Frequently asked questions about hyperhidrosis

Botox or sweat gland suction?

There are different methods of treating excessive sweating. For example, some doctors carry out botox treatments when there is a lot of sweat production. The therapy with the carefully tested active ingredient prevents the transmission of the messenger substance acetylcholine to the sweat glands, which stimulates sweat production. Excessive sweating can also be treated surgically. The sweat glands on the armpits are suctioned or scraped off. Only botox treatment is possible for hands and feet.

But which therapy is best suited? Of the listed methods of sweat gland removal, suctioning off the sweat glands is the most successful. It is the best way to alleviate heavy sweating, and the method also promises lasting results. If no surgery is desired, botulinum toxin (Botox) is an efficient and gentle alternative, but its duration of action is limited to four to seven months. If the effect wears off, a new treatment with Botox is possible. Compared to a surgical measure, however, Botox has a lower risk of complications. And in some cases the sweat glands “unlearn” how to sweat through repeated treatments.

Who can undergo surgical removal of sweat glands or botox treatment?

A sweat production of more than 100 milliliters in five minutes is a sufficient criterion for the diagnosis of hyperhidrosis. The actual impairment of the patient due to sweating should, however, be decisive for the decision for treatment: Do they avoid social situations because of the sweating or do they fear being around other people? Then therapy can be useful. First, however, it should be clarified whether the hyperhidrosis is not triggered by another disease and whether this can be treated first.

Which doctors offer therapies for hyperhidrosis?

If you are looking for a doctor who offers therapies against excessive sweating, the specialist in dermatology is the first point of contact. Appropriate further training of the doctor and experience in dealing with the therapy method used by him should be a matter of course. The treatment of hyperhidrosis with botox is, for example, in the practice clinic for dermatology of the Munich dermatologist Dr. med. Stefan Sünkel offered. The head of the Invisis Clinic in Rottweil, Dr. med. Thomas Schulz, through.

Which is better for excessive sweating: botox or sweat gland suction?

Both methods can provide relief from excessive sweating, but have their own advantages and disadvantages. While the removal of the sweat glands by suction promises permanent relief by removing an average of 60 to 80 percent of the sweat glands in the armpit area, the effects of a Botox treatment are in most cases only temporary, so that new injections are necessary after four to seven months. On the other hand, no incisions are necessary with a Botox treatment, the method is generally gentler and gentler and any undesirable effects that may occur are completely reversible, as the body breaks down the substance completely. In addition, Botox can also be used to treat excessive sweating on the hands and feet, which cannot be achieved with a suction curettage.

What side effects can occur with botox treatment?

If used properly and by an experienced doctor, no undesirable effects are to be expected from Botox treatment. The body breaks down the active ingredient completely, so that even side effects subside on their own after a period of a few months.

What are the risks of a sweat gland suction?

Like any surgical procedure, sweat gland suction is not free from risks. However, bleeding or injuries to important tissue structures are less common the more experienced the treating doctor is. The use of modern tumescent local anesthesia also reduces the risks. Noticeable scars are not to be expected after suction curettage and can be corrected with further treatment if necessary.

What is the cost of an excessive sweating treatment? Are they covered by the health insurances?

The cost of hyperhidrosis treatment depends on the attending physician, the chosen method and the size of the treated area. For a sweat gland suction the costs are between 1000 and 2000 €. Botox injections are charged at € 400 and up to € 1300 per session. In individual cases, the health insurance companies can cover the costs of these treatments.

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10 tips to prevent excessive sweating

Until then, anyone who is still thinking of undergoing treatment for hyperhidrosis can follow the following helpful tips against excessive sweating:

  1. 1. Take care of your clothes:

    Air-permeable natural fibers are best so that the body is better cooled.

  2. 2. Proper nutrition:

    Excessive sweating can also depend on diet. You should therefore make sure to eat as little salt, meat and spicy foods as possible, but instead consume more fruit, vegetables and dairy products.

  3. 3. Drink sage tea:

    Drinking cool sage tea can reduce sweat production in the long term.

  4. 4. Exercise regularly:

    If you do sports several times a week, you can use it to regulate sweat production.

  5. 5. Avoid being overweight:

    If you have a few pounds too much on your hips, you should shed them, as excess pounds usually promote sweating.

  6. 6. Go to the sauna:

    With regular sauna visits, the body can gradually regulate its sweat production.

  7. 7. Use aluminum salts:

    In the pharmacy you can get preparations with aluminum salts that block the exits of the sweat glands. This can greatly reduce the flow of sweat.

  8. 8. Relax:

    Regular yoga exercises can help to react more calmly in stressful situations, which can accordingly reduce sweat production.

  9. 9. Avoid luxury foods:

    Cigarettes and alcohol have a negative effect on sweat regulation, which is why you should avoid them.

  10. 10. Get advice from an expert:

    Despite all the tips mentioned, it is always advisable to seek advice from an expert, because only he can tell you exactly which methods and measures are best for you.


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Botox treatment against hyperhidrosis / Botox against sweating

After locating the sweat glands, the attending physician injects tiny amounts of the substance evenly into the skin of the feet, hands and armpits. To ensure that the treatment is painless for the patient, the sensitive armpits in particular can be treated with a anesthetic ointment be stunned or frozen. Hands and feet are usually made insensitive to pain with a local anesthetic.

Immediately after the treatment, patients can resume their usual activities. Botox is one very safe substancewhich has been used for several decades, among other things, in wrinkle treatment or in the treatment of muscle cramps. Unwanted botox treatment can result Side effects, these subside by themselves after a few weeks, as Botox is broken down by the body. However, this risk can be minimized by choosing a doctor carefully.

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Remove sweat gland suction / sweat glands

Before the procedure, a detailed diagnosis allows the doctor to pinpoint the exact location of the sweat glands. For example, these can also be distributed over the chest. In addition, possible individual risks, such as previous illnesses or the use of certain medications, are clarified with the doctor in advance.

The sweat glands are then suctioned off. This usually takes place in theTumescent local anesthesia. The sweat glands are sucked out of the dermis or the subcutaneous fatty tissue through small incisions, which can hardly be seen later Scraping away. The operation is carried out with a special cannula and is very safe. Injuries and bleeding are very rare.

The patients are only slightly restricted after the procedure and only have to for the period of wear a compression vest for a week.

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miraDry - hyperhidrosis treatment with microwaves

MiraDry is a relatively new and non-surgical treatment for axillary hyperhidrosis.

How does miraDry work?

In this procedure will be precisely controlled microwaves placed under the skin. These are converted into heat and "desolate" the sweat glands in this way. One protects during the entire treatment hydroceramic cooling system the top layer of skin. It also ensures that the heat is limited to the area of ​​the sweat glands.

Usually find two sessions of 20 to 30 minutes at an interval of about three months.

Is the result permanent?

The Result The miraDry treatment is noticeable and permanent immediately after the treatment, as the destroyed sweat glands can no longer produce sweat and can no longer grow back. Thus, the miraDry process can lead to a permanent reduction in sweating.

A positive side effect is also a visible one Reduction of armpit hair.

What do I have to consider after the treatment?

The treatment takes about one hour. Everyday life can then be resumed as usual, so that there is no downtime. A few days after the miraDry treatment, however, patients should refrain from exercising and going to the sauna.

What are the risks of miraDry?

Side effects are very rare with this treatment. For a short time, slight reddening, bruising (hematoma) or slight swelling may occur.

Note: The current state of studies on the effect of microwave therapy against hyperhidrosis is currently still contradicting itself. Discuss with your doctor which form of therapy is best suited to your individual case.

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