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What is Primary Idiopathic Hyperhidrosis?
Primary Idiopathic Hyperhidrosis is a chronic medical condition without a known cause characterised by uncontrollable sweating more than that required for normal thermoregulation. This condition usually begins in either childhood or adolescence. Although any site on the body can be affected by hyperhidrosis, the parts most commonly affected are the palms, soles, axillae and groin.
Hyperhidrosis often causes great emotional distress and occupational disability for the patient. Additionally, the profuse sweating that accompanies PAH can result in skin maceration (softening and breaking down of skin) and secondary microbial infections.
What are the symptoms of hyperhidrosis?
Profuse visible sweat, wet clothes and a clammy handshake are common features of excessive sweating.
What procedures are available for treatment of Hyperhidrosis?
ONABOTULINUMTOXIN A (Botox®) for Palmar and Plantar hyperhidrosis (feet and palms), Axillary hyperhydrosis (underarms).
RADIOFREQUENCY MICRONEEDLING for Axillary hyperhidrosis.
How does Botox work in the treatment of hyperhidrosis?
Onabotulinumtoxin A (Botox®) is a natural purified protein produced by the bacterium Clostridium Botulinum and related species. It temporarily blocks the secretion of the chemical signals (acetylcholine) from the nerves that stimulate sweat glands. By blocking, or interrupting this chemical messenger, a transient paralysis of the muscles of the sweat glands occurs. This results in the inability of these glands in the treated areas to contract to produce sweat when stimulated. Botox injections are very shallow, meaning that the medicine is injected just below the surface of the skin, where it remains. This procedure takes about an hour and there is no downtime.
How does Radiofrequency microneedling work?
This combines the use of Radiofrequency and Fractional microneedle technology.
The hand piece of this device comes with a cartridge containing sterile insulated microscopic needles that are inserted into the hypodermis (third layer of the skin) at precise depths. Bipolar radiofrequency energy is then delivered between the pins which causes heating and coagulation, destroying the sweat glands in the treated areas. Several passes are performed at different levels to ensure a better outcome. This procedure takes about an hour for both underarms and there is minimal downtime
How do we prepare for and what do we expect during this procedure?
Radiofrequency microneedling has the potential to cause inflammation, therefore to reduce the chances of post procedure darkening especially in skin of colour; we commence the use of hypopigmenting creams 2 weeks prior to the procedure. However, in both treatments, we cease intake of ginger, gingko biloba, garlic, ginseng, NSAIDS like ibuprofen, aspirin 2 weeks before the procedure to reduce chances of bruising.
A ‘Starch-Iodine test’ is done prior to the procedure on the body parts to be treated to define the areas of sweating. Then a topical anaesthetic is applied for approximately 20 to 30minutes to minimize pain, making it as comfortable for the patient as possible.
How many treatments are required?
The effects of Botox are temporary, lasting for about 3-6 months, so repeat treatments are required.
The results of Radiofrequency microneedling become apparent within 5-7 days and are permanent because the glands do not have the ability to grow back. However, a second procedure is done within 4 to 6 weeks after the first to ensure remaining sweat glands are treated.
How much does it cost?
Cost depends on number of areas to be treated and how many units of Botox will be required. For the costs of both botox and RF microneedling, please download our comprehensive pricelist on the “about us” page of this website.