We understand how challenging hyperhidrosis can be and offer effective treatment options to help you take control of excessive sweating and regain your quality of life.
Hyperhidrosis is a medical condition characterized by excessive sweating that goes beyond what's needed to regulate body temperature. Unlike the normal perspiration everyone experiences during exercise or in warm weather, hyperhidrosis causes you to sweat heavily even when you're cool, calm, and at rest.
This condition affects approximately 3% of the population and can significantly impact daily life. Many people with hyperhidrosis experience:
Two Types of Hyperhidrosis
Hyperhidrosis is classified into two main categories:
Primary Hyperhidrosis typically begins in childhood or adolescence and affects specific areas of the body, most commonly the hands, feet, underarms, and face. This type has no underlying medical cause and often runs in families, suggesting a genetic component.
Secondary Hyperhidrosis develops later in life and is usually caused by an underlying health condition or medication. Unlike primary hyperhidrosis, it tends to cause sweating across the entire body and may occur during sleep.
Understanding which type of hyperhidrosis you have is essential for determining the most effective treatment approach. Our dermatologists can evaluate your symptoms and develop a personalized treatment plan to help you manage excessive sweating.
Determining the cause of excessive sweating involves a comprehensive evaluation to rule out other medical conditions and identify the most appropriate treatment approach. Our dermatologists use several diagnostic methods:
Medical History and Physical Examination – We'll discuss when your symptoms began, which areas are affected, and how sweating impacts your daily life. Understanding your family history and any medications you take helps us determine whether you have primary or secondary hyperhidrosis.
Specialized Sweat Tests – Advanced diagnostic tools help us measure sweat production under controlled conditions:
These tests provide precise results that guide our treatment recommendations and ensure an accurate diagnosis.
We assess to see the type and severity of your condition to recommend the most effective treatment.
Our team will create a personalized treatment plan based on your specific symptoms, lifestyle, and goals to help you achieve lasting relief from excessive sweating.
We offer a range of effective treatments for hyperhidrosis, from conservative approaches to more advanced interventions. Your treatment plan will be tailored to the severity of your condition and your lifestyle needs.
Non-Surgical Treatments
Prescription-Strength Antiperspirants – Clinical-strength antiperspirants containing aluminum chloride hexahydrate are often the first line of treatment. These work by blocking sweat ducts and can significantly reduce perspiration when applied correctly.
Botox Injections – FDA-approved for excessive underarm sweating, Botox temporarily blocks the nerves that trigger sweat glands. Results typically last 4-6 months, and treatments can be repeated as needed. This option is also effective for hands, feet, and facial sweating.
Iontophoresis – This non-invasive treatment uses a mild electrical current passed through water to temporarily disable sweat glands. It's particularly effective for hands and feet and requires regular maintenance sessions.
Oral Medications – Prescription medications called anticholinergics can reduce sweating throughout the body by preventing stimulation of sweat glands.
Lifestyle Modifications – We'll work with you on practical strategies including:
Advanced Treatment Options
Surgical Interventions – For severe cases that don't respond to other treatments, surgical options like endoscopic thoracic sympathectomy (ETS) may be considered. This procedure interrupts the nerve signals that trigger excessive sweating and offers a more permanent solution.
Emerging Therapies – We stay current with the latest advances in hyperhidrosis treatment, including newer technologies and alternative approaches that may benefit certain patients.
Every patient's experience with hyperhidrosis is unique. During your consultation, we'll discuss your symptoms, treatment goals, and lifestyle to create a customized plan that offers you the best chance of relief from excessive sweating.
Can hyperhidrosis be cured completely or only managed?
Hyperhidrosis, influenced by genetic factors, can be managed through various methods. Surgical options offer potential long-term control, while alternative therapies may provide temporary relief. However, a complete cure is currently not guaranteed in all cases.
How does hyperhidrosis impact a person's mental health?
Hyperhidrosis often exacerbates social anxiety and self-esteem issues due to persistent excessive sweating. The constant need for coping mechanisms can lead to stress, negatively affecting mental health and overall quality of life.
Can lifestyle changes help reduce symptoms of hyperhidrosis?
Indeed, lifestyle changes can influence hyperhidrosis symptoms. Dietary modifications may reduce sweat production, while stress management techniques can control anxiety-induced sweating. Regular exercise might also contribute to a healthier sweat response.
Are there any new treatments or research studies on hyperhidrosis?
Current research on hyperhidrosis is exploring several avenues, including the role of genetics in disease development, potential medication side effects, and new surgical approaches for treatment. Continued studies are critical to advancing therapeutic strategies.
How does living in different climates affect hyperhidrosis symptoms?
Climate adaptation influences hyperhidrosis symptoms, with warmer climates potentially exacerbating sweat triggers. Seasonal variations also play a role; increased heat and humidity can intensify symptoms, while cooler conditions may alleviate them.
We'll start by getting to know you and understanding your concerns. Our dermatologist will examine your skin and take time to answer all your questions in a relaxed, friendly setting.
We'll walk you through treatment options that make sense for you and your lifestyle. You'll leave feeling informed and confident about the path forward.
From your treatment to recovery, we'll provide clear guidance and support. We'll check in with you along the way to make sure you're happy with your results.
"Dr. Alvarez is a conscientious and compassionate physician. My family and I have been seeing him for 8+ years and I’ve referred him to family and friends alike.
Everyone is always pleased with the referral and the care they receive."
- V.R.
"Dr. Alvarez is incredible - by far my favorite doctor. He has helped me with a multitude of issues - advocating to my insurance for necessary care and offering me options for everything.
He and his team are dedicated to giving excellent, welcoming, quality care - and they have great views from their office."
- B.G
"Dr. Karp is truly amazing! When I walked in, I felt welcomed and at ease. She's knowledgeable and explained everything clearly. I felt comfortable and confident in her care.
I actually came to see her when my regular dermatologist couldn't get me in, but honestly, I won't be going back. Her exceptional care and welcoming demeanor have won me over completely. "
- K.P
