Hyperhidrosis is a syndrome of imbalance leading to excessive sweat production primarily of the palms of the hands, soles of the feet and underarms (axilla). It affects about 0.6-1% of the world population, that’s over 6 million people and is often socially disabling and embarrassing. It simply affects the quality of Life! This syndrome usually appears in the early adulthood and tends to improve with age, but when it persists, it results in social isolation, relationship problems and even financial insecurity of job loss because of embarrassment attending meetings and office events. People feel embarrassed about shaking hands, taking off their coats and jackets revealing their wet spots and the unpleasant odor or even isolate themselves from social outing or simply visiting your friends house because they don’t feel comfortable taking off their shoes because they have smelly feet.
It affects sexual life of both men and women because they don’t feel confident and always self-conscious about smelling bad. It also affects fashion style by limiting your choice of fabric and colors as majority will purchase dark colors to hide the sweat stains and discoloration as well as fabrics that are synthetic and cheap, so it will not break your budget.
Ask yourself these questions: When was the last time you bought a silk white shirt? Do you wear cashmere sweaters? Do you feel confident raising your hands to hail a cab in New York in the summer? Do you hold on to a high bar as you ride on a subway? Do you avoid handshakes?
The exact etiology is unclear, but studies suggest that there might be a genetic component because 25% of patients have a positive family history of a relative with a similar problem.
Potential factors resulting in excessive sweat productions are disorders of the skin, nerves, sweat glands, immune system or simply idiopathic (no known cause). Careful physical examination and history taking is crucial in every single patient evaluation and is performed by Dr. Avaliani.
There are variety of options available and most of them depend on the degree of sweating severity.
They consists of topical antiperspirants, oral anticholinergic drugs such glycopyrrolate, botulinum toxin injections and even last resort surgical options such as ganglionectomy or sympathectomy.
If you are reading this page, most likely you have failed the topical antiperspirant therapy and looking for a better solution to stop your excessive sweating and regain your confidence.
Taking daily oral medications might be the next step for you, but if you are young and healthy, taking daily medications might scare you and might be burdensome.
Surgery is usually a last resort after everything else has failed because it has great deal of complications such as wound infection, hemothorax (blood in your lungs), and prolonged intercostal neuralgia (burning pain in your ribs) because the nerves have been damaged, and compensatory increased salivation in your mouth.
If you are suffering form excess sweating and it affects your quality of life and you don’t want to take daily pills or go for surgery, Dr. Avaliani offers neurotoxin injections of Botox and Dysport giving you freedom from excess sweat for 6-8 months after a single treatment.
*Results and duration of effect may vary, no guarantee of specific results can be given.