Sweat gland curettage
in Vienna

Excessive sweating (hyperhidrosis) can be treated by suctioning or blocking the sweat glands. This reduces sweat production to a normal level.

The most important facts about sweat gland treatment for hyperhidrosis

Consultation with Dr. Roland Resch

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Treatment of the sweat glands for excessive sweating - hyperhidrosis

A job interview or a party can quickly turn into a nightmare. Even the fear of sweating can trigger an attack. The jacket is kept on, the jacket is not taken off. Wearing a cocktail dress becomes an impossibility, because no woman wants to attend a party with sweat stains under her arms.

If the hands are affected by sweating, those affected try to avoid shaking hands or, for example, always hold a glass in their hand to conceal the respective body area.

But everyday life is also not pleasant for people with excessive sweat production. Sweat stains are not only not a pretty sight, they are also extremely unpleasant and extremely stressful for those affected.

Causes of hyperhidrosis

Sweat and perspiration are essential for human life, as they are very important ways of regulating body temperature. But there are also people who sweat too much due to illness.

The cause of increased sweating is not yet fully understood. It is assumed that up to 10% of the population suffer to a greater or lesser extent from hyperhidrosis.

Many people suffer from sweating

The number of people who suffer from excessive sweating, known as hyperhidrosis, is very high. Sweat production is increased and those affected usually sweat more in the armpit area or on the hands. Sometimes the head and feet can be affected as well as the armpit area.

Sweat gland curettage is an option:

You feel severely restricted in your daily life due to excessive sweating.

If you suffer from excessive sweat production under the armpits.

You sweat excessively on your hands or feet.

Schweißdrüsenbehandlung bei Hyperhidrose

Suffering from excessive sweating

Persons with exessive sweating tend to by white or black clothes as sweat stains are less visible wih these colours. Clothes also have to be replaced and new ones bought more often than normal, as the excessive sweat from the clothes of affected people is difficult to remove.

It is not only the visible stains, but also the fear of smelling strongly that drives affected people to shower and change their clothes several times a day if possible.

People with sweat stains feel ashamed

These people are very ashamed of it because sweat stains are not socially accepted. Often these people are also afraid to tell their partner, which can put a strain on the relationship.

Two possible types of treatment for excessive sweating (hyperhidrosis)

Block sweat production

Block excessive sweating

A temporary blockage of the sweat glands is very effective in preventing excessive sweating or hyperhidrosis.

Procedure of a sweat blockade

In the armpit area, the treatment is performed under local anesthesia. A nerve block is recommended for the hands and feet, or twilight anesthesia for anxious people, as punctures are sometimes painful.

The product is applied via 2 punctures in the armpit. Unfortunately, multiple punctures are necessary on the hands and feet. The effect sets in after about 6-7 days. The effect lasts for about 4-6 months, after which the treatment must be repeated.

The result of a sweat gland interruption

You no longer sweat at all once the effect has set in and remain mostly dry for a period of 4-6 months.

This method is very effective in eliminating excessive sweating (hyperhidrosis), as it can also be used to treat hands and feet.

Sweat gland curettage in the armpits

Sweat gland removal

In the surgical removal of sweat glands, known as sweat gland curettage, the armpits are treated; unfortunately, the hands and feet are not suitable for this method.

Procedure for sweat gland curettage

The armpit is shaved and locally anesthetized. The sweat glands are removed via one or two very small incisions. This is done in a similar way to liposuction, using special cannulas to suction out the sweat glands. This method is also known as sweat gland curettage.

This process takes about 10-20 minutes per side. It is usually not necessary to sew up the small incisions. A bandage is applied for about 2 days. Bring a tight-fitting shirt or T-shirt to the operation, as the bandage fits better.

Aftercare and recovery

We will make the procedure as easy and comfortable as possible for you and help you to enjoy a new quality of life. We will provide you with detailed instructions on post-operative care, as well as information on normal symptoms and signs of possible complications.

You have a special bandage in the armpit. You will usually be given dressing material so that you can change it yourself at home if necessary. Showering is possible again on the first day after the operation. Make sure to clean the surgical area with mild washing lotion and then pat dry with a soft towel. You can then reapply the bandage if necessary. We recommend that you take it easy physically for the first few days after the operation.

The recovery time for sweat gland suction is very short. Depending on your activity, you can return to your everyday working life very quickly. Office work can be resumed the next day, heavy and strenuous work after approx. 2 weeks.

Result of sweat gland suction

Sweat gland suction of the armpit can reduce sweating effectively and usually for a very long time by around 70-80% and thus reduce it to a normal level.

Make an appointment

Dr. Roland Resch is available for a personal consultation by appointment!

Sweat gland treatment - what you should know!

How do I prepare for a sweat gland treatment?

Before sweat gland removal, we will discuss the following points together in order to positively influence the success and avoid risks:

  • General state of health and any illnesses
  • The influence of nicotine on the wound healing process. If possible, avoid smoking for 3 weeks before the operation.
  • Avoid aspirin and other anti-inflammatory drugs, as these greatly impair blood clotting.
  • The same applies to herbal medicines and food supplements, as these can also affect blood clotting.
  • There should be no acute or severe chronic illnesses that contraindicate a surgical procedure.
  • Chronic illnesses such as high blood pressure or diabetes must be well controlled with medication.
  • There must be NO acute infections such as flu, fever, angina, cold sores etc. or other acute illnesses.
  • Prepare everything you will need after the operation at home and put the most important things within easy reach so that you don’t have to stretch too much after the operation and can devote yourself to your recovery.
  • Also avoid excessive alcohol consumption during this time.
  • Regardless of the type of procedure, drinking enough water before and after the procedure is necessary for recovery.

What are the risks of sweat gland curettage?

Every surgical procedure carries a certain risk. However, this can be classified as low in the case of sweat gland suction.

    • In rare cases, post-operative bleeding or wound infections may occur, which can usually be well controlled with medication.
    • Sometimes circulatory disorders of the skin or hardening or even so-called small necroses occur in the armpit area, which also usually do not require any special treatment.

How high is the risk of blocking sweat production?

Occasionally there are small bruises at the puncture sites, and rarely a certain feeling of weakness on the hands or feet.

Is the treatment of sweat glands carried out on an outpatient basis?

  • The surgical removal of sweat glands and the treatment of excessive sweating with a blockage are always carried out on an outpatient basis.

  • You can leave the surgery practically immediately after the operation/treatment.

  • Only extremely rarely, or if there are medical reasons such as serious illnesses, can inpatient follow-up observation after sweat gland removal be advisable.

In which cases is sweat gland treatment not possible?

Patients with chronic illnesses, such as high blood pressure or diabetes, must be well and stably controlled with medication. High blood pressure can increase the risk of bleeding, while diabetes increases the risk of infection.

    • There must be no serious cardiovascular disease, such as coronary heart disease, or serious liver or kidney disease. This applies in particular to sweat gland suction.
    • The standards for sweat gland blockage are not quite as strict.
    • If you are taking medication to thin the blood, depending on the underlying illness, it may be necessary to clarify with your family doctor or internist whether the medication can be discontinued and whether an operation is justifiable.
    • In certain chronic skin and connective tissue diseases (e.g. scleroderma, Ehlers-Danlos syndrome, etc.), sweat gland suction cannot be performed.
    • If there are acute inflammatory diseases of the skin in the surgical area or certain chronic skin diseases, surgery is not recommended.

Does a combination with other treatments make sense?

A combination with other procedures, such as an eyelid lift, abdominoplasty or liposuction, is possible. It is important that these are so-called “aseptic” procedures. Talk to me about it!

When are sports, sauna and solarium allowed again after sweat gland removal?

  • Sport is possible again after 2 weeks
  • Solarium and intensive sun exposure can lead to brownish discoloration of the skin and scars in the first phase after the operation, which can occasionally be permanent. For this reason, I recommend avoiding tanning beds and sunbathing for the first 3 months after the operation. A sunscreen with a high sun protection factor (sun blocker) should then be used for a year. I will be happy to help you choose the right products.
  • You should avoid going to the sauna for about 6 weeks.
  • In general, stimuli that lead to heavy sweating should be restricted during the postoperative phase.

How much does a sweat gland treatment for excessive sweating (hyperhidrosis) cost?

Cost/price Sweat gland curettage € 2.490,-

Sweat gland suction to combat excessive sweating:

Pre-op consultation, surgery information, surgery in the private OR, OR nurse, all follow-up checks.

Precise instructions for the first few days at home

Price: € 2.490,-

The cost of a blockage of the sweat glands comes to € 790 for the armpit.

Cost sweat blockade hands: € 790,-

Cost sweat blockage feet depending on your shoe size:

Size 36-39: € 790,-

Size 40-43: € 1.190,-

Size 44-48: € 1.590,-

The treatment of the feet is relatively painful and we recommend having the blockage of the sweat glands on the feet performed under general anesthesia. Costs for general anesthesia: € 750,-

Prices valid from 01.01.2024