Long-lasting Solutions

Long-lasting solutions are treatments that stop sweat for an extended period of time if not permanently. They are done in not more than three treatments with limited follow-ups. If you have tried all the mild treatments for excessive sweating with no relief and budget is not an issue, then read the following article on how to stop excessive sweating permanently.

Stop excessive sweating permanently:miraDry

1. Microwave thermolysis (miraDry)

Microwave thermolysis is a non-invasive (no cuts or incisions) alternative treatment for excessive sweating sufferers.  The treatment was approved by The Federal Drug Administration (FDA) in January 2011 and has since then been successfully used to treat excessive sweating in the underarm area.

Microwave thermolysis has to be performed by a certified doctor.

Application area
  • Underarms
How does the microwave thermolysis stop sweat

The microwave thermolysis method of treating excessive sweating works by directing microwaves energy to the underarm sweat glands. The process destroys the sweat glands in the underarm, which then stops excessive sweating. The procedure is understood to takes 1-2 hours under normal conditions.

The underarm contains only has 2% of the sweat glands in the body, thus destroying the underarm sweat glands will not affect the body’s ability to cool itself.

Microwave thermolysis is described to be a permanent procedure (with few exceptions) and removes the underarm sweat glands for good, thus, it stops excessive sweating entirely.

Possible side effects
  • Damaged hair follicles resulting in less hair
  • Temporary swelling and soreness
  • Temporary  numbness
  • Tingling in the arm
  • Weakness in the arm
  • Odor reduction ( but isn’t that what you wanted to get rid off, surprisingly some patient miss that odor) 

To find the nearest miraDry physician, use the miraDry locator.


2. Lasers

If you suffer from severe hyperhidrosis, and your problem could not be treated by methods like Botox injection or oral medications, laser treatments might be an option. Laser Sweat Ablation treatment uses laser treatment to remove the sweat glands from your armpits, so you can’t sweat from there at all. Laser involves making tiny incisions in the underarm.

Laser Sweat Ablation has to be performed by a certified doctor.

Application area
  • Underarms
How does laser stop sweating

Stop excessive sweating permanently:Lazer SAThe treatment works by inserting the standard surgical laser into tiny incisions made in your underarm. Laser with specific wavelengths will then heat and burn away the sweat glands from beneath the skin. The process is known to take 1 hour under normal conditions.

Laser Sweat Ablation is described to be a long lasting solution that will give you 80% relief if not a permanent one.


Possible side effects
  • Bruising and soreness
  • Swelling
  • Reduced hair
  • Brachial nerve injury
  • Numbness of skin

Use this locator to find medical places that offer excessive sweating laser treatment.


3. Sweat gland removal surgery

A more invasive treatment for very severe  excessive underarm sweating is underarm surgery that removes sweat glands of the underarm. The procedure can be done by either using traditional surgery or a more friendly method called suction curettage.

Suction curettage is not a new method, but rather a modified form of liposuction (a very well known method used in removing fat).

Sweat gland surgery is normally done by a plastic surgeon.

Application area
  • Underarms
How does sweat gland surgery stop sweating

The surgeon starts by making small incisions on top and under the underarm skin. Sweat glands are then removed using quick suction and scraping (curettage). Surgeons are also experimenting new ways of removing sweat glands by combining liposuction with the laser. The procedure takes about 1-2 hours.

Some patients have reported permanent dryness while others had up to 95% reduction of underarm sweat.

Possible side effects 
  • Scarring of skin
  • Compensatory sweating i.e excessive sweating of the back, torso, and legs

If you are looking for mild excessive sweating solutions, please, visit the temporary solutions section.


4. Endoscopic Thoracic Sympathotomy surgery

The last resort for treating extreme, excessive sweating is ETS Surgery shortened for Endoscopic Thoracic Sympathectomy surgery. ETS Surgery is very risky and only should be tried only after all the other treatments have failed. The purpose of this surgery is to interrupt the sending of nerve signals to the sweat glands. Sweat glands will not produce sweat when the nerves are interrupted successfully.

Just like any other surgery, performed only certain patients ETS is a very risky procedure. Although it’s very effective when performed successfully, the procedure has a lot of side effects including compensatory sweating (i.e. Excessive sweating of the back, abdomen, thighs, and legs).

ETS surgery is done by a highly skilled and experienced surgeon.

Application area
  • Underarms
  • Hands
How does ETS surgery stop sweating

The surgeon makes two incisions under the armpit. The two holes (incisions) are used to put instruments in the chest to locate the nerve ends. A telescope is then used to view enlarged areas to be operated upon. The surgeon will cut the nerve endings in the chest and this will interrupt communication to the sweat glands, which as a result stops sweating for good.

The procedure takes 1 hour to complete.

ETS surgery is a permanent procedure and cannot be reversed.

Possible side effects 
  • Compensatory sweating i.e excessive sweating of the back, torso, and legs
  • Horner’s Syndrome i.e droopy eyes, constricted pupil, and no sweating in the face
  • Sweating of face while eating
  • Pain in the back
  • Brachial Plexus Injury
  • Reduced heart rate
  • Dry skin on the face,scalp and neck

For less risky treatments, please visit, the temporary solutions section.