Our body regulates its temperature through the process of sweating. However some can suffer from excessive sweating that isn't necessarily related to body temperature.

There are two types of Hyperhydrosis: 

Primary/localised hyperhydrosis. This particualr parts of the body like the palms, underarm skin, face or scalp. The casue of this is not yet known, however it can start from as early as childhood.

Secondary/generalised hyperhydrosis. This affects the whole body. Sometimes this can be caused by the side effect of a drug. 



Botox for Primary Hyperhydrosis: 

Botox for Hyperhydrosis is usually kept when initial topical treatments like anti-perspirants and other agents fail.


This is the first line of therapy for topical intervention. 

For refractory Hyperhydrosis surgery can be an option. This needs to be discussed with the surgeon.  

There are a few different types of surgery that may used to treat hyperhydrosis.


Endoscopic thoracic sympathectomy (ETS) is one of the most common procedures.

During ETS surgery, surgeons attempt to interrupt the transmission of nerve signals from the spinal columnto the sweat glands and to thus prevent these nerve signals from "turning on" the sweat glands.

The procedure is performed with the patient under general anesthesia. A miniature camera is inserted into the chest under the armpit. A lung is temporarily collapsed so the surgeons can cut or otherwise destroy the nerve paths associated with the overactive sweat glands.