Say Goodbye To sweaty Armpits!
or the introduction of a new operation technique

Surgical options:
- axilliary Suctioncurettage
- Sympatectomy


Conservative Treatment (Medication)

Physical Therapy:
- Ionophoresis

Patient information:
Here we inform you about the long term therapeutical options for axilliary Hyperhidrosis or Bromhydrosis (excessive sweating under the armpits). Approximately 1% of the general population suffer from an malfunctioning control over the sympathetic nervous system which is not however associated with an underlying disease. This means the system is overactive.

They suffer from the so called idiopathic Hypergydrosis causing obvious problems in the social and work life of the affected person. Often they have a high level of discomfort and suffering. Usually they will be prescribed topical medication to suppress the production of sweat, however , these creams only work in a minority of cases, i.e. where the clinical picture is very mild anyway. Other medication used are anticholinergics, beta blockers and psychotropic drugs all of which may provoke undesired side effects.

The tap water Ionophoresis has to be performed on a daily basis to begin with. If there is symptomatic relief, the intervals may become longer. However this form of therapy is life long. Botox therapy too is not an option that results in lasting effects. Usually after several months or a year the production of sweat returns. Blocking the transmitter acetylcholine is reversible and the secretion of sweat is only blocked temporarily.

The only technique producing lasting effects is the sympatectomy, which however requires general anaesthesia and is not without its risks as the respective ganglia will be cut. I would like to introduce you therefore to the method of axilliary suction curettage a technique that can be done as a day case. So far techniques of suctioning the sweat glands have had a high rate of relapse, i.e. 50% or more.

Through further developing and refining the technique this relapse has been successfully reduced to 10%. Complications are usually harmless and include haematomas, postoperative abrasions or hardening of the axilla. These are totally reversible and usually settle within a couple of days. In order to perform the suction local anaesthetic is injected into both axilla. 20 minutes later the suction and scraping of the sweat glands and some of the subcutaneous fat begins. Of course not all glands will be removed. The diameter of the suction device is only 4mm, so that two scars of 0.5 cm will remain in the axilla.

After the procedure there will be a pressure dressing that needs to remain in place for two days.. After this has been removes a special corsage needs to be worn for further 10 days. This does not really limit mobility. The postoperative swelling will disappear after a few days and patients need to take an antibiotic to prevent postoperative infection for 3 days. Two days after the operation patients can resume work provided that it requires only mild to moderate physical activity.

Sports should only be resumed after 14 days. As the suction is only superficially, there is no real danger of doing harm to the deeper structures of the axilla. In normal hyperhidrosis 5-10% of patients have not received adequate treatment and a second suction needs to be performed to ensure patient satisfaction. In extreme hyperhydrosis this percentage increases to 30%. For the second suction only material costs need to be paid for by the patient.
The total costs for the procedure are 1000 Euros and are not covered by the health insurance.

For patients from abroad we offer a transfer from and to the airport against a fee. You will stay for 1.5-2 hours in our surgery and for legal reasons you must be accompanied by an adult.

Dr. Sabine Dücker
Fachärztin für Chirurgie

Schneidemühlerstr. 13
40599 Düsseldorf
Telefon: 0211/745656

Should you have further questions or concerns please do not hesitate to contact me.

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