Sweat Glands Removal

Carpal Tunnel | Gangion | Lipoma | Surgical Tattoo Removal | Sebaceous Cyst | Moles | Scar Revision | Sweat Glands Removal

At Doctors Makeover, our cosmetic surgery clinic which has already been inspected and registered with the Care Quality Commission for “Surgical Procedures”, our experienced and highly qualified doctors who are Fellows of the Royal College of Surgeons (FRCS) or/and specialist plastic surgeon and are fully registered with the GMC in the United Kingdom, are specialised in non-invasive and minimally invasive cosmetic treatments. Modern cosmetic surgery procedures are now far less invasive, giving improved results and faster recovery times. We offer safe, effective, quick, affordable and straightforward services for your cosmetic needs.

  • What is the function of sweating?

    The main physiological function of sweating is to keep the body temperature constant.  In warm weather the sweating moistens the surface of the skin and the blood vessels in the skin open up; therefore, the skin and sweating act as a radiator to cool the blood down and keep the body temperature constant at 37 degrees Celsius.  The same body physiological mechanism goes in action during exercise. However, during ill-health and disease when the temperature of the body might be high (fever), excess sweating also functions to bring the body temperature down to normal level.  It is also known anxiety and emotional and hormonal changes play an important part in sweating.

  • What is excess sweating?

    When the sweating is beyond the body’s physiological needs, excessive sweating (hyperhidrosis) will be apparent and could be the source of suffering and social embarrassment with an enormous impact on some individual’s life. It is estimated that more than one million people suffer from hyperhidrosis in the United Kingdom.

  • What are the causes of excess sweating?

    Excess sweating usually is localized, most common affecting the palms of the hands, soles of the feet and armpits.  Excess sweating could be a generalized event. 
    The causes of sweating can be divided into unknown causes (primary or idiopathic hyperhidrosis) and being caused by another medical problem (secondary hyperhidrosis).  The great majority of focal excess sweating is unknown.  Localised hyperhidrosis affects the body symmetrically, for example, palms, armpits or soles of the feet.  Hyperhidrosis may run in some families and thought genetic factors can contribute to excess sweating causation.  It has a variable severity and may have an intermittent duration of activity.  It is known emotional factors, some food stuffs, aggravate excess sweating. Secondary excess sweating (hyperhidrosis) could be a generalized and disabling condition.  It is known in some diseases like tuberculosis and Hodgkin’s disease, excess sweating could be a feature.  There are also some drugs and hormonal problems which contribute to hyperhidrosis occurrence.  Anxiety and emotional factors can also cause generalized excess sweating.  In cases of generalized excess sweating (hyperhidrosis), the patient needs to be assessed medically and certain tests need to be carried out before any treatment will be initiated.

  • What are the medical (non-surgical) treatment options for excess sweating?

    All non-surgical treatment of excessive sweating (hyperhidrosis) are temporary in duration of their action and the treatment depends on the causes of excessive sweating.  Ideally the best cure is to eliminate the underlying cause to abort the excess sweating altogether. Therefore, the aim is to take medical history and examine the patient in order to find any possible underlying causation. However, in practice, the great majority of focal excessive sweating causes are unknown in origin. Therefore, the treatment of excess sweating (hyperhidrosis) depends on the severity of hyperhidrosis.
    There are several temporary non-surgical (medical) options open to patients with excessive sweating (hyperhidrosis), one or combination of them might be helpful in some cases, before a more permanent intervention, such as removal of sweat glands by Body Water-jet can be sought. Some of these non-surgical measures to deal with excessive sweating (hyperhidrosis) as follows:
    1.  Skin cleaning and regular washing and application of moisturizing might help mild excessive sweating (hyperhidrosis). 
    2. Use of antiperspirants and deodorants are options for armpit excessive sweating.
    3. Some people use absorbents in their armpits under their clothes for excessive sweating. 
    4. Avoiding aggravating factors such as spicy food, alcohol and tea/coffee and hot drinks. 
    5. Wearing loose clothing is known to help excessive armpit sweating.  Clothing materials can play an important part to mask excessive sweating. 
    6. Use of chemicals such as aluminum chloride which is a strong antiperspirant and works by blocking the opening of the sweat glands in the skin and reduce sweating. 
    7. The use of a variety of electrical stimulation devices can be used for excessive sweating but their efficiency is temporary and controversial.
    8. Use of botox and other brands of botulinum toxins injections which is effective in reducing sweat production by temporary blocking the nerve conduction of the sweat glands but alpha botulinum toxins injection need to be repeated every few months.
    9. Use of drugs such as Propanthelin Bromide with nerve blocking properties might be useful for treatment of excessive sweating (hyperhidrosis) but the side effects of such drugs are common. 
    10. If excess sweating is in the feet changing of socks may help.  Wearing different shoes on different days may be beneficial.  Using absorbent padding in the shoes may also helpful. Using open shoes with breathing holes rather than sports shoes or boots may be helpful in excessive sweating.   

  • What are the surgical treatment options for excess sweating (hyperhidrosis)?

    In the past, a few surgical techniques have been devised to help excessive sweating but they are very traumatic and they carry relatively high mortalities and morbidities. The standard surgery for excessive sweat in upper limbs involved cutting some of the nerves to the upper limbs in the chest (thoracic sympathectomy) or/and cutting some of the nerves to the lower limbs in lower back region (lumbar sympathectomy).
    However, with advent of new technological opportunities such as laser and Body Water-jet modern mainly cosmetic surgery procedures are now far less invasive, giving improved results and faster recovery times. We are specialised in non-invasive and minimally invasive cosmetic treatments. We user laser and particularly Body Water-jet to remove the sweat glands and permanently cure excessive sweating (hyperhidrosis).
    How do you compare laser technologies with Body Water-jet efficiency in removing the sweat glands and curing excessive sweating (hyperhidrosis)? Both laser and Body water-jet has been used in abolition of sweat glands but some laser results are disappointing because laser works by heat, coagulation and vaporisation it might not be impossible to remove sweat glands with higher rate of complications and scar formation.  

  • How do summarize the treatment options for excessive sweating (hyperhidrosis).

    A number of surgical and non-surgical treatment techniques have been experimented for treatment of excess sweating. Among non-surgical measures includes use of chemicals which are often ineffective and cause irritation to the skin. However, botulism toxin injections (such as Botox and other brands) has been proven to be effective for reducing excess sweating but this treatment is expensive as it needs to be repeated every few months. There are several surgical techniques for the treatment of excess sweating but they have a high failure rate and relatively high rate of complications. The partial removal/excision of the skin with reconstruction surgery is carried out as one of the last resort and mechanical curettage despite initial success rate of up to about 70% it often has high complications rate including partial or total skin necrosis. Abolition of sympathetic nerves (paravertebral neurotomy) is an effective treatment but it is highly technical procedure and even in expert hands has a high risk of relatively serious complications.

  • Is the Body Water-jet most effective way of removing the sweat gland?

    Yes, it was in the search for a permanent treatment of excess sweating with low risks which lead to introduction of the Water jet assisted liposuction (WAL) or the Body Water jet for removal of sweat glands. The technique has been developed in Germany and since then they use of the Water jet assisted liposuction (WAL) or the Body Water jet has been extended to many other countries. 
    Excess sweating (hyperhidrosis) is known to be a socially debilitating and embarrassing condition and removal of sweat glands to cure excessive sweating (hyperhidrosis) by Body Water-jet which gently remove the sweat glands with permanent results.

  • How do you remove the sweat glands by the use of Water-jet assisted liposuction (WAL) or the Body Water-jet technique?

    The sweat-producing gland areas are first located by using an iodine starch technique. The procedure is carried out under local anaesthesia and you can go home after the procedure on the same day. Then the Body Water-jet will be introduced, through a small hole in the skin, into the deepest layer of the skin (lower dermis) which contains sweat glands. The Body Water-jet removes apocrine sweat glands and the rest of sweat glands will be scraped out by a specially designed curette from the deep layer of the skin, under local anaesthesia. No cases of serious complications have been reported and the site of the procedure is bandaged and reviewed a few days after the operation. 
     
    In Summary, the previous techniques for mechanical sweat gland removal were with frequent complications and associated with unsatisfactory permanent results.  The complications include partial and complete skin necrosis because of the damage to skin vascular system during the removal of the sweat gland layer of the skin. There was a narrow and fine line between complete removal of the sweat glands and preservation of the skin vessels (skin perfusion). However, with the Water jet assisted liposuction (WAL) or the Body Water-jet sweat gland removal, it is now possible to expose the different layers of the skin with minimal damage to the surrounding structures including the skin vascular system. As a result of minimal damage to the skin layers, there is a marked reduction in the risk of skin necrosis with an increase in the effectiveness of the procedure.  Water-jet assisted probe is introduced under the skin through a small cut (incision) and the resulting scar is a small and even inconspicuous.

  • How effective is the Water jet assisted liposuction (WAL) or the Body Water jet sweat gland removal?

    The result of the study based on patients surveyed in Germany, reveals that at least 87% of the patients were satisfied with the results 13 months after the operation and only partial skin necrosis were reported in 3 cases out of 193 patients who underwent water-jet assisted sweat gland removal with the Water jet assisted liposuction (WAL) or the Body Water jet.

  • How are the sweat glands removed by the Water jet assisted liposuction (WAL) or the Body Water jet?

    The operation is done through a small cut (incision). The procedure is well tolerated by all patients and was completely painless, under local anaesthesia. The water-jet is introduced through the small cut, there was no bleeding and subsequent mechanical curettage was performed in a relatively blood-less environment. No cases of serious complications have been reported and the site of the procedure is bandaged and reviewed a few days after the operation. 

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