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LASER TREATMENT OF HYPERHIDROSIS
 
WHAT IS HYPERHIDROSIS?
 
Hyperhidrosis is a disorder that defines individuals who sweat more than the body would normally need to maintain optimal temperature. It affects approximately 3% of the population – some 950,000 Canadians – of whom 300,000 have a severe form of the disorder. Hyperhidrosis affects work productivity, confidence, social comfort, emotional well being and wardrobe choices. Studies show that hyperhidrosis impacts quality of life similar to or even greater than other well-known dermatological conditions, such as severe acne or psoriasis.
It has also been shown that only 38% of hyperhidrosis sufferers talk to a health care professional about their condition. People rarely seek help because many are unaware that excessive sweating is a treatable medical disorder.

WHAT CAUSES HYPERHIDROSIS?
 
There are two types of hyperhidrosis.
Focal hyperhidrosis, also known as primary hyperhidrosis, has an unknown cause. This type of hyperhidrosis is localized to one or more of the following areas:
• Underarms (axillary hyperhidrosis)
• Hands (palmar hyperhidrosis)
• Feet (plantar hyperhidrosis)
• Face (facial hyperhidrosis)
Although this type of hyperhidrosis has an unknown cause, the way it affects sufferers appears to be related to over-activity of the central nervous system thereby causing an overactive stimulation of local sweat glands.
Generalized hyperhidrosis, also known as secondary hyperhidrosis is actually caused by another underlying condition (e.g. endocrine disorders, menopause, obesity, nerve damage, and rarely, some types of drugs). This type of hyperhidrosis generally occurs over the whole body and is usually treated by addressing the underlying condition. Therefore, the vast majority of information contained within this brochure pertains to treatment of focal hyperhidrosis.

POSSIBLE TREATMENT OPTIONS:
 
• Laser treatment
• BOTOX® Injections
• Surgery

LASER TREATMENT OF HYPERHIDROSIS
 
The treatment of axillary hyperhidrosis using the  Nd-YAG laser has the advantage of a minor invasive procedure without leaving large scars and causing temporary impairment. The laser proved to be effective and safe. The laser treatment has shown promising and best results of all. 
The procedure can be easily done under local anaesthesia in the office. The process involves making a 3mm incision and the sweat glands are inactivated by light energy of laser fiber and then a laser  passed directly underneath the skin to destroy them. Most people return to work the following day. There is some soreness for a few days and the risks are minimal. The process eliminates or significantly reduces the sweating in the armpits in 80% of people. Removing is permanent and there is no need of repeating the procedure.

BOTOX INJECTION
 
Botulinum toxin (Botox), a muscle poison much in the news as a cosmetic treatment for wrinkles, has actually been used in many areas of medicine for some time, such as in the treatment of muscle spasms and certain types of headaches. Its latest medical use is for treating excessive underarm sweating.
Fifty (50) units of Botox are injected into roughly 20 spots in each armpit. This may produce approximately six months of relief from sweating. The injections are uncomfortable, but use of a very small injection needle minimizes discomfort.

SURGERY
 
Endoscopic thoracic sympathectomy (ETS) refers to surgical interruption of the sympathetic nerves responsible for sweating. Sympathectomy is an operation intended to destroy part of the nerve supply to the sweat glands in the skin. The surgeon inserts a special endoscopic instrument into the chest between two ribs just below the armpit. The lung is briefly deflated to better visualize and destroy the nerves. Sympathectomy is both effective and risky. Even with newer endoscopic techniques, complications of the procedure can include excessive sweating in other parts of the body as well as lung and nerve problems. As many of these complications are serious and not reversible, this option is rarely used, and then only as a last resort.



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