Objectives: Most therapies for Hyperhidrosis of underarms are either effective temporarily or surgical Treatments. Three non surgical Treatments are evaluated and compared based on literature Research and own experience: Microneedeling RF, HIFU and Microwaves.
Introduction: Primary axillary hyperhidrosis (PAH) is a chronic idiopathic disorder causing major stress in patients. Hyperhidrosis is the production of sweat above and beyond normal physiological needs, regardless of the ambient temperature, and it affects > 4% of the population. In addition, a poll showed up to 21% of the population is bothered on a daily basis by their amount of underarm sweating. Despite the large number of patients who suffer from hyperhidrosis, there are relatively few effective nonsurgical treatment options Currently, the most widely prescribed treatment for AH is botulinum toxin, a
Results: The microwave device can fibrose eccrine and apocrine glands, achieving possibly permanent results. The procedure should preferably be performed under tumescent anesthesia. Side effects, principally local inflammation, are transient. Clinical effectiveness and safety, supported by recently published studies, position this technique as a first-choice option both for hyperhidrosis and for bromhidrosis.
Conclusion: Recent Studies evaluated the efficacy and safety of another EBD solution for hyperhidrosis: fractional microneedle radiofrequency (FMR) as an alternative permanent treatment for PAH with long-term follow-up
The Hyperhidrosis disease severity scale HDSS demonstrated significant improvement after treatment in the treatment group compared to the sham control. Follow-up results show that there were 10 patients (41.6%) with no relapse and 11 patients (45.9%) with relapse after 1 year. There was a significant correlation between HDSS changes in relapse and body mass index (BMI) (P = 0.03). Conclusi
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