Hyperhidrosis is the medical term for pathologically increased sweating (Greek: hyper = too much, hidros = water). Some people sweat excessively over their whole body (general hyperhidrosis). Others sweat excessively only in some locations on the body (localised hyperhidrosis), mostly the armpits (axillary hyperhidrosis), hands or feet (palmoplantar hyperhidrosis) or also the head.
While in the past surgery was predominantly the first choice in the fight against excessive sweating, today gentler procedures are available for the treatment of hyperhidrosis.
Ultrasound instead of sweating: with Ultherapy® to fight hyperhidrosis
In the treatment of hyperhidrosis with Ultherapy®, micro-focused ultrasound is used to heat overactive sweat glands in the armpits to 65°C for a short period, which coagulates (destroys) them. The ultrasound energy is applied at various depths within the skin and destroys the sweat glands permanently. Meanwhile the skin surface remains undamaged.
An obvious reduction in sweat production can be expected already after the first session. Two treatments at an interval of approximately 30 days may be required for an optimum result. After the treatment, a reduction in sweating of more than 80% can be expected.
The great advantage compared to a surgical procedure: There is no downtime. You are good to go immediately and can pursue your usual activities (work, sports).
The following should be taken into consideration with Ultherapy treatment
Before the treatment
For 72 hours before and 24 hours after Ultherapy treatment, no antiperspirants or deodorants must be used under the arms.
During the treatment
Before treatment, the completely shaved armpit is cleaned, the area to be treated is marked and then a local anaesthetic is injected. The Ultherapy® transducer is then placed gently on the skin according to a special scheme and the ultrasound energy is applied. Thereby, the ultrasonic impulses are emitted at a depth of 4.5 mm and 3.0 mm, so that as many sweat glands as possible are hit. The ultrasound image on the monitor provides a constant overview of all important structures. While the energy is being applied, you will feel a slight sensation of warmth.
After the treatment
After the treatment, slight tingling, numbness, redness or increased sensitivity may occur in the treated area. However, these side effects are temporary and only last a few days.
Is Ultherapy a surgical procedure?
No. In contrast to the invasive solution, Ultherapy is a non-invasive procedure, which reaches the lower layers of the skin and destroys the sweat glands without any incisions or injuries to the skin surface.
Is Ultherapy safe?
Ultrasound energy has been successfully used for more than 50 years in medical diagnosis and treatment.
Clinical studies have confirmed the safety of this highly-developed use of ultrasound.
In our Munich clinic we have already successfully performed a large number of Ultherapy treatments and have confidence in this treatment method.
Are there side effects?
Normally you will notice slight redness of the treated area immediately after the treatment, but this should disappear after a few hours.
It is not unusual for slight swelling to be present for a couple of days after the treatment or for the skin to seem more sensitive to touch than usual for some weeks.
In rare cases, temporary side effects such as small blue spots or local numbness may occur, which we will then monitor with you.
Alternative treatments against hyperhidrosis
With Botulinum toxin against excessive sweating
Treatment with botulinum toxin A is certainly the safest and most reliable treatment of localized sweating. Botulinum toxin is injected into the skin above the sweat glands. This is done with local anesthesia. Botulinum toxin prevents the nerve endings from releasing the messenger acetylcholine. As a result, the sweat gland does not receive any operational signals, which means that the welding production is paralyzed. The nerve endings are dwindling. The treatment usually has to be repeated after six to nine months, since the destroyed nerve endings sprout again. On request, private health insurance funds very often assume the cost of treatment.
We don´t offer the removal of the sweat glands in our practice. Over the years, ultrasound therapy and the treatment of botulinum toxin have been used to develop minimally invasive techniques (without surgery), which are usually more gentle for the hyperhidrosis patient and allow him to return to everyday life without any downtime.