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Treatment of hyperhidrosis

Sweating is a normal body process. The thermoregulatory functions of the sweat glands are controlled by the sympathetic nervous system, supplying the glands via postsynaptic cholinergic fibers.

Although sweating is a normal body process, excessive sweating is extremely troublesome for patients.

This problem is referred to when the amount of sweat produced is inadequate to the need to remove heat from the body in a given situation.

It is not known why some people develop excessive sweating while others do not. Excessive sweating is caused by overactivity of one type of sweat glands, which belong to the exocrine glands.

These glands are located on almost the entire body surface, but they are particularly abundant on the palms of the hands, the feet and the armpits. Many factors can trigger normal sweat secretion.

The same factors trigger excessive sweating – the only difference is the amount of sweat

Excessive sweating is triggered by factors such as:.

  • stress, anxiety or strong emotions
  • exercise
  • heat or cold
  • alcohol, coffee or tea, smoking, hot or spicy foods
  • some times of day

People with excessive sweating may produce a very large volume of sweat. This means that their hands, feet, chest or armpits (depending on which part of the body is affected by excessive sweating) are constantly damp.

Botulinum toxin is the most effective known treatment for excessive sweating. The treatment involves the administration of botulinum toxin through intradermal injections. Using a very fine needle, the doctor injects a small volume (0.1-0.2 ml) of botulinum solution into 10-15 sites 1 cm apart, covering the area of the armpits, hands or feet evenly. Sometimes a dye is used, which allows to identify those areas where the secretion of sweat is greatest and where the drug should be administered. The procedure takes about 30 minutes. The medication blocks the nerves that supply the exocrine glands. This prevents them from secreting sweat.

Response to treatment shows individual differences. The blockade of nerve endings under the influence of botulinum persists for 6-12 months, after which new nerve endings are created to replace those previously blocked. This means that the effect of treatment lasts for several months, but eventually fades away. Another session of treatment may be carried out after the expiry of the previous one.

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dr Aleksandra Łuniewska
Plastic Surgery Specialist
Aesthetic medicine treatments at the Mada Beauty Clinic are performed by a specialist Plastic Surgeon Aleksandra Łuniewska - a graduate of the Medical Faculty of Silesia in Katowice. Since 2006, she has been professionally associated with the Plastic Surgery Department in Wrocław, where she gained knowledge and completed a specialization in plastic surgery under the supervision of Dr. Jacek Jarliński and Dr. Marek Węgrzyn.