Subdermal Nd-YAG laser for axillary hyperhidrosis

Dermatol Surg. 2008 Jun;34(6):756-62. doi: 10.1111/j.1524-4725.2008.34143.x. Epub 2008 Mar 3.


Background: Axillary hyperhidrosis is a common but difficult-to-treat condition with major social, labor, and emotional consequences.

Objective: The aim of this study is to present the Nd-YAG laser as a safe and effective option for the treatment of axillary hyperhidrosis.

Materials and methods: From January 2002 to April 2007, 17 patients (15 women and 2 men) with axillary hyperhidrosis were treated using a subdermal 1,064-nm Nd-YAG laser. The results were evaluated by the patients as well as by the physician. The objective evaluation was realized by Minor's iodine starch test combined with planimetry. Histology was performed in axillary skin after the laser treatment.

Results: The subdermal laser-assisted axillary hyperhidrosis treatment using a 1,064-nm Nd-YAG laser resulted in significant clinical improvement.

Conclusions: The treatment of axillary hyperhidrosis using the 1,064-nm Nd-YAG laser has the advantage of a minor invasive procedure without leaving large scars and causing temporary impairment. The laser proved to be effective and safe. Although the laser treatment has shown promising results in this pilot trial, further studies are necessary for final conclusions. The authors have indicated no significant interest with commercial supporters.

Publication types

  • Clinical Trial

MeSH terms

  • Adolescent
  • Adult
  • Axilla
  • Cohort Studies
  • Equipment Design
  • Female
  • Humans
  • Hyperhidrosis / pathology
  • Hyperhidrosis / therapy*
  • Laser Therapy / instrumentation*
  • Lasers, Solid-State / therapeutic use*
  • Male
  • Middle Aged
  • Patient Satisfaction
  • Pilot Projects
  • Treatment Outcome