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Radiofrequency Thermotherapy for Treating Axillary Hyperhidrosis.
Christoph H Schick1, Tanja Grallath, Kerstin S Schick
1*German Hyperhidrosis Center, Munich, Germany; †Department of Surgery, University of Erlangen-Nuremberg, Erlangen, Germany; ‡Department of Vascular Surgery, Center of Vascular Medicine Munich South, Munich, Germany; §Technion-Israel Institute of Technology, Faculty of Medicine (Retired), Haifa, Israel.
Radiofrequency thermotherapy (RFTT) offers a safe and effective minimally invasive treatment for axillary hyperhidrosis. This method significantly reduced sweating and improved quality of life for most patients.
Area of Science:
- Dermatology
- Minimally Invasive Procedures
Background:
- Thermotherapy is a recognized minimally invasive treatment for axillary hyperhidrosis.
- It presents an alternative to conservative and surgical options.
Purpose of the Study:
- To evaluate radiofrequency thermotherapy (RFTT) as a novel, safe, and effective treatment for axillary hyperhidrosis.
Main Methods:
- Thirty adult patients with severe axillary hyperhidrosis received RFTT using noninsulated microneedles over three sessions.
- Outcomes were assessed via Hyperhidrosis Disease Severity Scale (HDSS), Dermatology Life Quality Index (DLQI), patient satisfaction, and gravimetric sweat measurements.
Main Results:
- 27 out of 30 patients showed sweating improvement at 6 months.
- HDSS scores decreased from 3.4 to 2.1, and DLQI improved from 16 to 7.
- Gravimetric sweat reduction averaged 72% (from 221 to 33 mg/min), with mild, transient adverse effects.
Conclusions:
- Radiofrequency thermotherapy is an effective, minimally invasive treatment for axillary hyperhidrosis.
- The procedure has significant potential to normalize sweating patterns.
- Patients reported a normalization of their sweating post-treatment.
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