Axillary Hyperhidrosis

Axillary Hyperhidrosis

Axillary hyperhidrosis is excessive sweating of the underarms and is a common problem for men and women.

Hyperhidrosis (excessive sweating) is a condition where your body produces more perspiration than is needed to cool the body and maintain appropriate body temperature. This means excessive sweating even in cool temperatures and without physical exertion. Stress can aggravate the condition, but the sweating can occur with or without stress.

Axillary Hyperhidrosis, or excessive sweating under the arms, is a problem that can lead to extreme anxiety and self-consciousness. Bromhidrosis or osmodrosis are related problems in which underarm odor, with or without excessive sweating, is the main problem. Many treatments have been trialled for hyperhidrosis with varying degrees of success. Two of the latest non-surgical, techniques are Botox and superficial liposuction.


Botox works by relaxing the muscles around the sweat glands so that the perspiration is not squeezed out onto the skin. This works extremely well for around 6-12 months and can be life changing for those with a significant problem.

Superficial Liposuction

Superficial liposuction is a relatively new procedure for treating axillary hyperhidrosis, using a one-time process performed under local anesthesia. Early data suggested this technique would provide permanent reduction in sweating from the armpits of around 85%. This process is similar to traditional liposuction which is used for the removal of excess fat in areas such as the abdomen or hips. The difference is that with “superficial” liposuction for hyperhidrosis, the cannula opening is directed toward the surface of the skin where the apocrine and eccrine (sweat) glands are located.

For the procedure itself, the area under each arm is numbed with a solution containing local anaesthesia. This is only mildly uncomfortable. The effect of the anaesthetic is immediate, so that once the area to be treated is anaesthetized, there is no further discomfort. Next, small openings are made at the edge of the areas to be treated. Usually two tiny incisions are made under each arm. A small cannula (metal tube) is then inserted through the incision. This cannula has an opening at its tip and is attached to a special syringe under vacuum pressure. The sweat glands are scraped and suctioned via a back and forth motion. The liposuction process takes approximately fifteen minutes per arm. This procedure is available at Palm Clinic for selected cases. We currently recommend Botox as the treatment of choice for most clients.