Hyperhidrosis (Excessive Underarm Sweating)
Long-Term Relief From Excessive Sweating
Hyperhidrosis is a common medical condition affecting approximately 2–3% of the population. People with hyperhidrosis experience excessive sweating far beyond what is necessary for normal temperature regulation.
Although the condition can affect the hands, feet, face, and other areas, excessive underarm sweating is one of the most common and frustrating problems. Many patients find that perspiration soaks through clothing, limits wardrobe choices, creates embarrassment in social and professional situations, and interferes with daily activities despite using prescription-strength antiperspirants.
Fortunately, effective treatment options are available.
Non-Surgical Treatment
For many patients, treatment begins with Botox® injections.
Botox temporarily blocks the nerve signals that stimulate the sweat glands, significantly reducing underarm sweating for most patients. Results typically last four to six months before repeat treatment is necessary.
Patients seeking a non-surgical option often find Botox to be an excellent first step.
Surgical Treatment
For patients seeking a more durable solution, Dr. Branch offers outpatient surgical treatment of axillary (underarm) hyperhidrosis.
Through small, carefully placed incisions, the overactive sweat glands are removed using specialized curettage and liposuction techniques. Because the sweat glands themselves are removed, many patients experience a dramatic and long-lasting reduction in underarm sweating.
The procedure is typically performed over an hour in our private, AAAASF-accredited Cosmetic Surgery Center usually with sedation or with general anesthesia, allowing patients to return home the same day with minimal downtime.
Unlike operations performed within the chest to interrupt the sympathetic nerves, this procedure is directed specifically at the underarm sweat glands and does not carry the risk of compensatory sweating in other parts of the body that may occur with sympathectomy.
What to Expect:
Most patients return to work and normal daily activities within several days. Patients may exert after 2 weeks.
Temporary bruising, swelling, soreness, or numbness of the underarm area may occur during healing but generally improve over the following weeks.
Although no procedure can guarantee complete elimination of sweating, surgical treatment frequently produces a significant—and often permanent—reduction in underarm perspiration with little visible scarring.
The Consultation Matters Most
Not every patient with excessive sweating requires surgery.
During your consultation, Dr. Branch will discuss your symptoms, previous treatments, and goals before recommending the treatment most appropriate for your situation.
Whether you choose temporary treatment with Botox or a longer-lasting surgical solution, our goal is the same: to reduce the impact of excessive sweating so you can feel more comfortable and confident in everyday life.
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