Microwave Treatment for Axillary Hyperhidrosis and Bromhidrosis

Actas Dermosifiliogr. 2017 Jun;108(5):418-422. doi: 10.1016/j.ad.2016.12.011. Epub 2017 Mar 9.
[Article in English, Spanish]

Abstract

Axillary hyperhidrosis (AH) and bromhidrosis are common causes of consultation in dermatology. Currently, the most widely prescribed treatment for AH is botulinum toxin, a very effective but temporary option; it is totally ineffective in bromhidrosis. Sympathectomy is an increasingly infrequent choice of treatment due to the high incidence of compensatory hyperhidrosis. We describe the treatment of AH and bromhidrosis with a novel microwave device that can fibrose eccrine and apocrine glands, achieving possibly permanent results. The procedure should preferably be performed under tumescent anesthesia. Side effects, principally local inflammation, are transient. Clinical effectiveness and safety, supported by recently published studies, position this technique as a first-choice option both for hyperhidrosis and for bromhidrosis.

Keywords: Axillary hyperhidrosis; Bromhidrosis; Hiperhidrosis axilar; Microondas; Microwave.

Publication types

  • Review

MeSH terms

  • Anesthesia, Local / methods
  • Diathermy / adverse effects
  • Diathermy / economics
  • Diathermy / instrumentation
  • Diathermy / methods*
  • Fibrosis
  • Humans
  • Hyperhidrosis / therapy*
  • Microwaves / therapeutic use*
  • Multicenter Studies as Topic
  • Odorants
  • Randomized Controlled Trials as Topic
  • Retrospective Studies
  • Sweat Glands / pathology
  • Sweat Glands / radiation effects*
  • Sweating / radiation effects
  • Treatment Outcome