Hyperhidrosis

Definition

The sweating process permits heat to evacuate thanks to water evaporation by the ‘sweat glands’ and intervenes in thermoregulation. Hyperhidrosis occurs when excessive sweat is being produced, and is often localised in a specific area : axilar, palmar, plantar.

Treatments

  • Topical treatment : antiperspirant cream
  • lonophoresis
  • Systemic treatments: medication or psychotherapy for stress management
  • Surgery: excision for axilar hyperhidrosis and chest sympathectomy for palmar hyperhidrosis. The treatments performed under general anaesthesia require hospitalisation.

Botulin toxic treatment

The product

Botulinic toxin type A (Botox ® ou Dysport ®)

The Comercialisation Authorisation was granted in 2003 for hyperhidrosis indications.

Indications

Axilar hyperhidrosis : 82 to 95% efficient in a period of time of 10 to 15 days after the medical action. The treatment lasts 6 months on average.

The efficiency for palmar or plantar hyperhidrosis is less systematic and the treatment more complex due to the pain. Local anesthesy is required.

Contra indications

  • Neuro muscular disease
  • Hypersensitivity to one of the products
  • Infection or inflammation on the injected area
  • Pregnancy and breast-feeding

The technique

The protocole consists in about 20 intradermic injections per axila performed with a small needle. This treatment is not very painful and does not require any local anesthesia as far as axilar hyperhidrosis is concerned.

Side effects

In very few cases, paradoxal hypersweating may occur on another areas of the body.

Procedure

  • Prior consultation to confirm the hyperhidrosis diagnostic
  • Explanations and cost estimation
  • Scheduling the appointment for treatment

Questions

  • Is it painful?
    The treatment is performed with very thin needles and is not very painful.
  • How old do I need to be to be able to follow the treatment?
    12 years old children and above and adults may be treated according to the Commercialisation Agreement.
  • How long is the treatment efficient?
    It is efficient 6 months on average after the first injection.