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

Question

I am 36 yo woman, tall, lean and fit. I eat healthy. I have had hyperhidrosis of the groin and inner thigh, butt for the last couple years. It used to be only during hot months but now it's nearly all around the clock and year. My crotch is a furnace, soaks through clothes and is ruining my life. Prescribed topical treatments don't do a damn. What are my options? Botox? VATS? Please help. I rarely sweat in any other area.

Anil R. Shah, MD · Answer

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

Kenneth Hughes, MD · Answer

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

Raffy Karamanoukian, MD, FACS · Answer

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

Reza Momeni, MD, FACS · Answer

VATS will not work for this region since the nerves are not in the chest cavity for this sweat area.  Botox injections might be the most helpful option for you.

Sheila S. Nazarian, MD · Answer

Botox injections are the only currently available product for sweaty palms, feet, groin or scalp. Miradry is currently approved for permanent elimination of sweat and odor glands in the underarms but they may be coming out with a new applicator for other areas.My best,Sheila Nazarian

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

Answers (8)

Answer: Excess sweating

Answer: Excess sweating

Answer: Hyperhydrosis

Answer: Hyperhydrosis

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

Answers (8)

Answer: Excess sweating

Answer: Excess sweating

Answer: Hyperhydrosis

Answer: Hyperhydrosis

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Recommended reading

Everything you need to know about Botox

Our mission is to create a world where every investment in modern beauty is Worth It.