I'm a 30 year old female and I've had ETS done in 1999 for palmar hyperhidrosis. Now my hands and face don't sweat, but literally every other part of my body does. I can't use strong, prescription antiperspirants on my armpits (like Klima, Odaban etc), as my skin is extremely sensitive, especially after I've shaved. Medication also has no effect: neither prescription meds (like Oxybutynin) nor natural homeopathic remedies. Also, any idea when Miradry will be available in South Africa? Thank you!
Will Miradry Successfully Treat Severe Compensatory Sweating Caused by ETS?
Doctor Answers 6
Miradry for underarms
In theory - YES...miraDry should work
miraDry permanently destroys the cause of sweating- ie. overactive eccrine or sweat glands. 2 treatments spaced 3 months apart reduces sweating to that area. Note- miraDry is only approved for sweating of the underarms and NOT on the palms/soles/ other areas.
all the best
DR Davin S. Lim
Laser and Cosmetic Dermatologist.
MiraDry and compensatory sweating
The miraDry procedure should work for any type of excessive sweating, regardless of the cause. To date, miraDry is FDA-approved for treating excessive sweating in the armpit area only. The miraDry handpiece is specifically designed to fit against and apply slight suction to the shape of an armpit. Even if you were to attempt it on other parts of your body, you may not be able to get enough suction to ensure an adequate treatment. Other treatment options available for excessive sweating elsewhere on the body include topical medications, oral medications and neuromodulator injections such as Botox, Dysport and Xeomin.
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Compensatory hyperhidrosis caused by ETS
I strongly recommend against ETS (endoscopic thoracic sympathectomy) because the subsequent compensatory hyperhidrosis is exceedingly prevalent and unpredictable. While MiraDry for axillary hyperhidrosis has not linked to compensatory hyperhidrosis, it is not approved by the FDA nor is it sanctioned by the manufacturer to be used outside of the armpit areas. Better option may be utilization of Cynosure PrecisionTx (formerly known as SideLaze) where 1440nm laser energy gets delivered underneath skin for effective and safe ablation of eccrine sweat glands. An experienced dermatologist may also prescribe Robinul for compensatory hyperhidrosis as well.
Will miraDry treat compensatory sweating after ETS?
miraDry is currently indicated for treating excessive underarm sweating (ie. axillary hyperhidrosis) only. It is unknown whether miraDry is effective for compensatory sweating of the underarms and other areas of the body, as this has not been tested.
Larry Fan, MD
Comensatory sweating treatment with miraDry
You are in S Africa so doctors there are not FDA regulated and they should be able to do the procedure in areas outside of the underarms. I don't see any problems with that BUT I would not use it in the genitalia, butt crack, palms, feet - so, in my opinion it can be used in the lower back, inner thighs, back of the thighs safely - it is to the discretion of the treating doctor - in the US we have to wait for FDA approval unless we choose to do it 'off label' - good luck and update me on how well you do.
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