Find Your Treatment

Select which body part is sweaty to see what treatments are right for you

	Type of Treatment	How the Treatment Is Performed	How It Works	Duration of Effect	Number of Treatments Required	Advantage(s)	Disadvantages and Possible Side Effects	Area Treated (Bold=Most effective)
	OTC Antiperspirant (Metallic Salts: Aluminum Chloride, Zirconium)	Applied topically to reduce sweat and odor	Antiperspirants plug ducts that are located on the surface of the skin.	~ 24 hours or less	As needed daily	Noninvasive Can be used in more than one location	Results are temporary Must be reapplied as needed Contains chemical toxins Skin irritation that can lead to infection	Underarms Hands Feet
	Clinical Strength Antiperspirant (Aluminum Chloride Hexahydrate: Certain Dri® and Drysol)	Applied topically to reduce sweat and odor	Antiperspirants plug ducts that are located on the surface of the skin.	~ 24 hours or less	As needed daily	Noninvasive Can be used in more than one location Stronger than OTC antiperspirant	Results are temporary Must be reapplied as needed Contains high amounts of aluminum chloride Skin irritation that can lead to infection	Underarms Hands Feet
	Iontophoresis	Electricity is applied to the extremities through a tray of water in which the hand or foot sits.	A gentle electrical current temporarily disables the sweat gland.	1 day to 1 week, depending on the individual	3x a week initially, then 1x per week once results are achieved	Can be successful for patients with palmar and plantar (foot) hyperhidrosis No recovery time Can be done at home	Often must be performed on a daily basis to maintain results Time consuming daily treatment Can cause: Dryness Blistering Peeling Irritation	Hands Feet
	Botox® (OnabotulinumtoxinA)	Botox® is injected into the affected area in a grid pattern.	Interrupts the nerve signal that stimulates the sweat gland	~ 3-6 months	2-4x/year	Fast Minimally invasive Can be used in multiple locations No recovery time Widely available	Must be repeated 2-4x /year to maintain results Patients can build a tolerance to the treatment, rendering it less effective Does not treat odor Can cause: Headache Muscle stiffness Neck/back pain Drowsiness At or near injection site: Muscle weakness Bruising Pain Swelling	Hands Scalp Face Underarms Feet
	miraDry®	Electromagnetic energy applied to underarms	Electromagnetic energy eliminates the glands that cause sweat and odor.	Permanent	1-2 treatments	FDA-approved to eliminate sweat or odor Reduces hair from underarms Minimally invasive Minimal to no recovery time	Currently not covered by health insurance Can cause: Mild, temporary swelling Bruising Temporary numbness	Underarms
	Local Excision of Axillary Sweat Glands (Tumescent Liposuction)	Minimally invasive surgery of the underarms	The sweat glands located in subcutaneous fat are removed via liposuction.	Permanent	1 treatment	Minimally invasive Minimal recovery time	Repeat surgery may be necessary to achieve results Post-procedure recovery time is needed Results can vary and be inconsistent	Underarms
	Endoscopic Thoracic Sympathectomy (ETS)	Minimally invasive endoscopic procedure	The sympathetic nerve chain in the thoracic cavity is interrupted to reduce the nerve signaling that stimulates sweat glands.	Permanent	1 treatment	Minimally invasive High success rates Minimal recovery time Results are immediate	Post procedure recovery time is needed Possibility of compensatory sweating	Hands Feet Underarms
	Oral Medication (Anticholinergics)	Taken orally	Blocks nerve transmissions that trigger the sweat glands	~ 24 hours	Daily	For patiends who: Can treat generalized sweat and multi-focal hyperhidrosis	Can cause: Dry mouth Constipation Difficulty voiding Palpitation	Head Face Generalized

View JPG version of chart