In some subjects, the sweating at axillary level or on hands and feet, is so intense as to cause physical disturbance, and considerable embarrassment in social relations. The problem can be solved with a non-surgical method. This type of treatment of axillary, palmar and plantar hyperhidrosis is based on the use of a substance that has been widely used for years that is botulinum toxin. The medical treatment consists in an outpatient session of subcutaneous injections in the skin of the axilla of diluted botulinum toxin. Already after a few hours there is a noticeable reduction of axillary, palmar and plantar hyperhidrosis in the treated sites which lasts for months, but to continue to inhibit the production of sweat, these infiltrations must be repeated 2-3 times a year. The same treatment that is carried out on the skin of the axilla can be carried out on the hands and feet in order to reduce excess sweat production in such places.
A final alternative method is surgery. However, it is limited to the treatment of axillary hyperhidrosis alone, and it can be performed under local or general anesthesia, in a day hospital with a few hours of hospitalization.
With the operation for axillary hyperhidrosis, the sweat glands located in the thickness of the skin are reduced. The term “Glands” is also shared by other completely different structures. Sweat glands are only cutaneous glands, and should not be confused with other glands like Lymphatic glands which are nodules present in the deepest part of the axillary cavity, and which are not involved at all in this type of surgery. The operation can be performed under local or general anesthesia depending on the patient’s wishes. Axillary hyperhidrosis is corrected by means of a cutaneous incision hidden between the hairs of the axillary cavity, through which the inner surface of the skin is accessed to remove the excess glands. As a rule post operative recovery time is short.