Truncal hyperhidrosis is ruining my life. What are my options?

Hello, there are a variety of ways to combat excessive sweating. 

Botox- Botox is helpful in that it can decrease the production of sweat but not odor.  It typically lasts about 6 months in the under arm area.
Miradry-  Miradry uses microwave energy to destroy apocrine and eccrine glands.  It is better at eccrine gland destruction than apocrine and is currently only used on the underarm area.
RF needling- Can be used anywhere on the body and can destroy both apocrine and eccrine glands.  Has become the procedure of choice in my practice for hyperhidrosis due to its effectiveness.
Nerve ablation-Not commonly performed anymore as side effects are often worse than treatment and effectiveness is often limited.
Oral medications- Too many side effects to be effective.
Topical medications- Works by blocking glands.  Many patients state how not effective mechanism.


Best,
Anil Shah

Botox is a very effective treatment in those areas and can provide months of relief. Kenneth Hughes, MDBeverly Hills, CA

I have coauthored a book on hyperhidrosis and would recommend controlled amounts of Botox injections for truncal sweating.  Results are temporary but work very well. Best, Dr. Karamanoukian Los Angeles