Hyperhidrosis

shutterstock_263883452At our Appleton and Oshkosh, Wisconsin practice, we offer effective treatments for excessive sweating – an embarrassing and uncomfortable condition called hyperhidrosis. Hyperhidrosis can cause awkwardness at school, work, or in social situations. The excess perspiration stains clothes and can cause social anxiety or embarrassment. In some cases, an individual might need to change clothes several times each day. Treatments range from conventional approaches, such as specialized antiperspirants and surgery, to more recent advances involving minimally invasive laser procedures. If you are seeking relief from hyperhidrosis and live in Fox Cities such as Green Bay or Fond du Lac,  call (920) 233-1540 to request a consultation to discuss your situation with one of our physicians.  The non-refundable $80 cosmetic consultation fee can be applied towards the cost of the procedure.

Treatment Options

It’s unknown what causes hyperhidrosis. Nervousness or excitement can intensify the situation for some, while for others, caffeine, nicotine, certain foods and drinks, and even smells can trigger a response. Options ranging from non-invasive treatments to surgery are available.

  • Antiperspirants: Special antiperspirants with high concentrations of aluminum chloride are the first line of therapy for hyperhidrosis. The main side effect is skin irritation and ineffectiveness for severe axillary sweating.
  • BOTOX® or Dysport® injections: When antiperspirants don’t succeed, injections of botulinum toxin type A, such as BOTOX and Dysport, can be used to block neural control of the sweat glands. This FDA-approved procedure for underarm sweating can last up to 6 months depending on the site of injections. When the sweat glands don’t receive chemical signals, the severe sweating stops. BOTOX treatments for hyperhidrosis costs between $1,200 and $1,800.
  • Miradry®: For a long term solution, Miradry is a non-invasive, microwave-based technology. It has long been available for the treatment of axillary hyperhidrosis, but the treatment is painful. The thermal energy penetrates deep and can cause subcutaneous fat to swell for 2 months. A second treatment is required 3 months later. Some patients refuse to have the second treatment because of the previous pain and prolonged edema. For this reason, FVPS does not offer Miradry.
  • Surgery: Surgical treatments, such as sweat gland excision, liposuction, and subdermal curettage all have a long recovery time, considerable bruising, and unacceptable complications.
  • Laser Treatment: Subdermal laser ablation is a newer and less painful long term solution than the other treatment options. It is minimally invasive and offers a number of advantages, including:
    • Little pain with tumescent anesthesia
    • In-office procedure
    • Low risk with minimal side effects
    • Single treatment in most cases
    • Fast recovery time
    • Minimal scarring

    It costs $3500 to treat both underarms with a laser, and is not covered by insurance.

  • ThermiDry®: ThermiDry involves numbing the skin with local anesthetic and heating the sweat glands with radiofrequency delivered through a tiny rod underneath the skin.  It uses the same techniques and hardware as the ThermiTight procedures. Although there is no definitive data on how long it lasts, it may last several years. ThermiDry is safe and relatively inexpensive compared to continuous Botox injections. It is also much less invasive than surgery. In addition, it is a short outpatient procedure with virtually no downtime. ThermiDry costs $1500 to treat both underarms and is not covered by insurance.

Meet Our Surgeons

Dr. David Janssen and Dr. William Doubek combine experience, refined surgical techniques, and artistry to produce beautiful results for their plastic and reconstructive surgery patients.

Subdermal Laser Ablation Procedure

Patients are awake during the procedure because the treatment uses local anesthesia.  This is an outpatient procedure where the patient can safely return home the same day that the procedure is performed. Using the Sciton® laser system, the plastic surgeon targets the sweat glands, directing energy through a fiber optic tool. Because the surgeon makes only 2 tiny incisions, there will be very little scarring. It is essentially unnoticeable for most people. Patients who have laser ablation done will typically only require one treatment, which is an improvement over some other options such as BOTOX. The most important advantage of having the procedure done is that the excessive sweating and its accompanying problems will be significantly diminished.  Another advantage is that the results are immediate, which means that a reduction in the sweating and foul odors will be instantaneous. The results of subdermal laser ablation normally last 1 to 1.5 years.

Subdermal Laser Ablation Recovery

shutterstock_271237691Most people return to work the following day, and resume full physical activities in a few days. There is some soreness for a few days. The process eliminates or significantly reduces the sweating in the armpits in 80% of people. Find out how you can control your overactive sweat glands with Dr. David Janssen or Dr. William Doubek at Fox Valley Plastic Surgery by calling (920) 233-1540. Our Wisconsin plastic surgeons are helping women from all over the upper Midwest to perfect their personal Renaissance. Request your consultation today.  The non-refundable $80 cosmetic consultation fee can be applied towards the cost of the procedure.

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Oshkosh, WI (920) 233-1540

Oshkosh Location

Oshkosh Location
  • Fox Valley Plastic Surgery
  • 2400 Witzel Avenue, Suite A
  • Oshkosh, WI 54904
  • (920) 233-1540
Get Directions
  • Monday: 8 a.m.–3:30 p.m.
  • Tuesday: 8 a.m.–5 p.m.
  • Wednesday: 8 a.m.–5 p.m.
  • Thursday: 8 a.m.–3:30 p.m.
  • Friday: 8 a.m.–12 p.m.

Appleton Location

Appleton Location
  • Fox Valley Plastic Surgery
  • 2500 East Capitol Drive #1500
  • Appleton, WI 54911
  • (920) 358-1810
Get Directions
  • Monday–Thursday: 9 a.m.–4 p.m.
  • Friday: 8 a.m.–12 p.m.

Wisconsin plastic surgeons Drs. David Janssen and William Doubek perform breast augmentation, breast lift, laser hair removal, vein treatment, face lift, tummy tuck (abdominoplasty) and liposuction. They serve Wisconsin communities including Oshkosh, Appleton, Milwaukee, Green Bay, Madison, Fond du Lac and Neenah.

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