Treatment of Axillary Hyperhidrosis

Dermatologic Surgery

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2000 Abstract

0004-392 Swinehart

Swinehart JM.

Treatment of axillary hyperhidrosis: combination of the starch-iodine test with
the tumescent liposuction technique. Dermatol Surg. 2000 Apr;26(4):392-6. PMID: 10759833

Colorado Dermatology Center, Denver, Colorado.

To evaluate and permanently improve axillary hyperhidrosis.

Excessive sweating of the axillae is a common problem for which
patients frequently seek dermatologic advice and therapy. Many treatments,
including aluminum chloride, topical and systemic anticholinergic agents,
tranquilizers, iontophoresis, direct surgical excision, botulinum toxin
injection, and thoracic sympathectomy, have been employed to control this
problem. All have drawbacks of one sort or another.

The starch-iodine technique for delineation of preoperative and postoperative axillary sweating is described in detail. A method of sweat gland removal utilizing tumescent liposuction is discussed.

The combination of the starch-iodine technique and tumescent liposuction is safe and effective for therapy of axillary hyperhidrosis.