Sweat gland removal against too much underarm sweat

The increased sweating, the hyperhidrosis, can lead to considerable suffering pressure. The most common form, primary focal hyperhidrosis, mainly affects the armpits (Hyperhidrosis axillaris), feet, hands or face, i.e. areas that are primarily responsible for emotional sweating. We can remove your sweat glands through a minor surgery.

For this purpose, the sweat glands are aspirated with special cannulas after appropriate preparation. The scars through the small incisions are hardly recognizable later. This makes it possible to correct the problem of excessive sweating in the underarm area.

How can you prepare for a sweat gland removal?

  • Any questions you may have about possible complications of sweat gland removal, as well as alternative forms of treatment, should be discussed in advance.
  • Keep nicotine and alcohol consumption to a minimum!
  • The intake of hormone-containing drugs such as the pill must be avoided if necessary. be temporarily discontinued.
  • Blood-thinning medications (such as ASS or Thomapyrin®) must be taken for at least one month. be discontinued ten days before the surgical procedure (after consultation with your attending physician).
  • Any food supplements (omega-3 fatty acids, St. John’s wort preparations …) and vitamin preparations (A, E) must be taken at least once a year. Discontinue 4 weeks prior to sweat gland surgery.
  • A follow-up cost insurance should be taken out for the performance of aesthetic operations.
  • Surgery limits the ability to travel by air. Therefore, do not plan any professional or private air travel in the 6 weeks after the operation!

How is a sweat gland removal performed?

  • The procedure takes about 1 hour.
  • The sweat gland suction is performed on an outpatient basis under local anaesthesia and, if desired, also in twilight sleep.
  • The small punctures are sutured with fine skin threads.

What do you have to consider after a sweat gland removal?

  • Postoperative clinical check-ups are recommended on the 3rd postoperative day and after 1, 2, 6 weeks as well as after 6 and 12 months.
  • Showering is possible immediately before the wound check up from the 3rd postoperative day.
  • The sutures are drawn between the 10th and 14th postoperative day.
  • Scar care, consisting of scar massage, sun protection and silicone padding, helps to achieve inconspicuous scars from the 3rd postoperative week.
  • Sports, going to the sauna as well as swimming, heavy work and sunbathing should be avoided at least. 6 weeks should be avoided.


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The author

Unsere Fachärzte für Plastische Chirurgie Saarbrücken
Dr. med. Stéphane Stahl

“We provide you with extensive expert knowledge so that we can work with you to select the best possible treatment path.”

Dr. med. Stéphane steel is the former director of the Clinic for Plastic, Reconstructive and Aesthetic Surgery / Hand Surgery at the Lüdenscheid Clinic. Dr. Stahl studied medicine at the Universities of Freiburg and Berlin. In 2011 he passed the European and 2012 the German specialist examination for plastic and aesthetic surgery. Further specialist qualifications and additional qualifications followed (including quality management, medical didactics, physical therapy, emergency medicine, laser protection officers, hand surgery) as well as prizes and awards. In 2015 he completed his habilitation in plastic and aesthetic surgery in Tübingen. He is an experienced microsurgeon, a sought-after expert and a regular speaker at specialist congresses. After a multi-stage selection process, Stéphane Stahl became a member of the American Society for Aesthetic Plastic Surgery (ASAPS), one of the world’s largest and most influential specialist societies for aesthetic surgery. His authorship includes numerous articles in respected peer review journals and standard surgical textbooks.

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