Your doctor will work with you to find the least invasive treatment that relieves symptoms. Nonsurgical treatments for hyperhidrosis may include:
- Topical medications
- Electrical current (iontophoresis)
- Oral medications that block nerve impulses to sweat glands
- Botulinum toxin (Botox, Myobloc, others) injections
Surgery is generally reserved for severe cases of hyperhidrosis, when other treatments have failed. At Mayo Clinic, surgery is most successful in treating hand and underarm hyperhidrosis. If excessive sweating occurs just in your armpits, removing the sweat glands there may help. At Mayo Clinic, this can be accomplished with liposuction through very small incisions.
In severe cases of hand hyperhidrosis, your doctor might suggest a procedure that cuts, burns or clamps the nerves that control sweating in your hands. In some cases, this procedure triggers excessive sweating in other areas of your body. Mayo surgeons have developed surgical techniques that greatly reduce the occurrence of this serious, permanent side effect.
Many Mayo doctors perform hyperhidrosis nerve surgeries through just one small incision, typically measuring less than 1/2 inch (1 centimeter). This can shorten recovery time and reduce postoperative pain.
Aug. 18, 2015
- AskMayoExpert. Hyperhidrosis (adult and pediatric). Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2015.
- Hyperhidrosis. Merck Manual Professional Version. http://www.merckmanuals.com/professional/dermatologic-disorders/sweating-disorders/hyperhidrosis. Accessed July 7, 2015.
- Smith CC, et al. Primary focal hyperhidrosis. http://www.uptodate.com/home. Accessed July 10, 2015.
- Robertson D, et al., eds. Sweating. In: Primer on the Autonomic Nervous System. 3rd ed. Maryland Heights, MO: Elsevier; 2012.
- Goldsmith LA, et al., eds. Disorders of the eccrine sweat glands and sweating. In: Fitzpatrick's Dermatology in General Medicine. 8th ed. New York, N.Y.: The McGraw-Hill Companies; 2012. http://www.accessmedicine.com. Accessed July 2, 2015.
- What is a heart attack? National Heart, Lung, and Blood Institute. http://www.nhlbi.nih.gov/health/health-topics/topics/heartattack. Accessed July 2, 2015.
- Marx JA, et al. Heat illness. In: Rosen's Emergency Medicine: Concepts and Clinical Practice. 8th ed. Philadelphia, Pa.: Mosby Elsevier; 2014. http://www.clinicalkey.com. Accessed July 10, 2015.
- Bolognia JL, et al. Diseases of the eccrine and apocrine sweat glands. In: Dermatology Essentials. Philadelphia, Pa.: Saunders Elsevier; 2014. http://www.clinicalkey.com. Accessed July 2, 2015.
- Eisenach JH, et al. Hyperhidrosis: Evolving therapies for a well-established phenomenon. Mayo Clinic Proceedings. 2005;80:657.
- Hyperhidrosis. International Hyperhidrosis Society. www.sweathelp.org. Accessed July 14, 2015.
- Semkova K, et al. Hyperhidrosis, bromhidrosis and chromhidrosis: Fold (intertriginous) dermatoses. Clinics in Dermatology. 2015;33:483. http://www.clinicalkey.com. Accessed July 14, 2015.
- Cerfolio RJ, et al. The Society of Thoracic Surgeons expert consensus for the surgical treatment of hyperhidrosis. Annals of Thoracic Surgery. 2011;91:1642.
- Barbara Woodward Lips Patient Education Center. Hyperhidrosis (excessive sweating). Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2010.
- Hyperhidrosis. American Academy of Dermatology. https://www.aad.org/dermatology-a-to-z/diseases-and-treatments/e---h/hyperhidrosis. Accessed July 14, 2015.
- Stashak A, et al. Management of hyperhidrosis. Clinical, Cosmetic and Investigational Dermatology. 2014;7:285.
- Lehman JS. Writer's block: "Texting" impairment as a complication of botulinum toxin type A therapy for palmar hyperhidrosis. Archives of Dermatology. 2011;147:752.
- Riggin EA. Decision Support System. Mayo Clinic, Rochester, Minn. April 22, 2015.