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                 VASER® for Hyperhidrosis – Excessive Sweating

There are new techniques such as the Vaser which can be used to treat axillary hyperhidrosis (Excessive sweating of the armpits). They are a minor surgical procedure carried out under local anesthetic where 1 small incision is made. The laser/vaser heats the tissue and  destroys the sweat glands. The results are semi-permanent and there have not been any reported complications to date.
Vaser Ultrasound treatment has been been found to produce a permanent reduction in sweat production with no downtime.  There’s no tissue damage and despite a slight soreness immediately after the treatment, everything is usually pretty much back to normal in a couple of days. You can reduce the sweating but not completely wipe it out and it is temporary.
How does the Vaser Sweat Therapy work?
First, the underarm area is filled with a special saline solution that helps numb the site and shrink the blood vessels (to minimize blood loss and reduce bruising). This solution wets and fills the area to be treated, making it easier to break up tissue with the VASER System’s ultrasonic energy. Then a small probe transmits sound energy (similar to that used for cataract removal from the eye) to break up fatty tissue on contact.  With the application of a specialized technique, the ultrasonic energy is concentrated on the sweat glands in the armpit while preserving other important tissues.  Finally, the liquefied fat and sweat glands are removed through a gentle suction process designed to minimize damage to surrounding tissues.

Below is a brief overview of accepted local surgical techniques for axillary (underarm) hyperhidrosis (excessive sweating):

Curettage: In small Taiwanese study of 19 patients (90%) had excellent to good response.

Liposuction: Sweat reduction rates range from 44% to 49%

Liposuction and Curettage: Sweat reduction rates approximately 63%

Laser: Reduction of sweating rated as "excellent" by >75% of patients studied, rated as "good" by 51-75% of patients, and rated as "fair" by 26-50% of patients.

Each of the above treatments has potential complications, which your physician should tell you about.

Sweat glands are not like tumors or lesions that we can see and remove easily. It's not going to work for everyone.

If nothing else works the patient might want to consider ETS.
Please note that in most cases Doctors do not recommend endoscopic thoracic sympathectomy (ETS) for excessive underarm sweating. 

While ETS is perhaps the most commonly discussed, (as well as criticized) surgery for hyperhidrosis, there are other, far less risky, and far more predictable, options for people who suffer from excessive sweating of the underarms.

As a last resort Dr. Gary Rothfeld refers patients to Harvard Medical School and Massachusetts General because it has one of the best centers for endoscopic thoracic sympathectomy (ETS) for excessive underarm sweating in the world.

The Hyperhidrosis Surgery Service, part of the Mass General Division of Thoracic Surgery, includes board-certified thoracic surgeons who have a tremendous amount of experience treating hyperhidrosis surgically. 

Although surgery for hyperhidrosis is relatively simple, as with all operations, it still carries some risk. At Mass General, patients undergo the procedure at a premier hospital that provides safe, high-quality care

It is vital to undergo a full pre assessment to ensure that your skin type is fully assessed and to be  accurate about your medical history. This particular procedure might not be the right treatment for you.  It is crucial that the Doctor does a full History and Physical Examination and listens to your concerns.  It very important to understand the individual needs of each patient because one procedure could work on one patient and then not another.

Each patient’s condition is carefully evaluated and the best treatment(s) are chosen to ensure an optimal outcome. Treatments are performed by Dr. Gary who has extensive cosmetic dermatology experience and training. This allows the Doctor to offer top-quality services in every area of the cosmetic dermatology field, while ensuring patients safety and satisfaction.

Dr. Rothfeld, recognized by the by the entertainment industry of America as one of the best dermatologists in Manhattan, has organized a comprehensive skin care center offering personalized state of the art services including medical,pediatric, and cosmetic dermatology. 

New York Dermatology serves the following neighborhoods within New York (NY), which are in close proximity to our office:
Upper East Side Dermatology, Fifth Avenue Dermatology, Park Avenue Dermatology, Madison Avenue Dermatology, Upper West Side Dermatology, Midtown Dermatology, Lower East Side Dermatology,Chelsea Dermatology, Gramercy Park Dermatology, Murray Hill Dermatology,  Greenwich Village Dermatology, East Village Dermatology, West Village Dermatology, Soho Dermatology, Tribeca Dermatology, Meatpacking District Dermatology, Sutton Place Dermatology, Wall Street Dermatology, Hells Kitchen Dermatology, and the boroughs of Brooklyn Dermatology , Bronx Dermatology, Queens Dermatology and Staten Island Dermatology.
Dr. Gary Rothfeld is recognized as one of the best Dermatologist in New York, NY, Manhattan, NYC, New York City and the nation by the entertainment industry in the United States of America. At New York Dermatology headed by board certified Dermatologist Dr. Rothfeld, sees patients  7 days a week including Saturday and Sunday.
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Park Avenue Dermatology & the Non-Surgical Rejuvenation Center

Board Certified Dermatologist