[Complications Following Treatment for Excessive Axillary Sweating With Microwaves: A Case Report].

Area of Science:

• Dermatology
• Aesthetic Medicine
• Medical Device Technology

Background:

• Excessive axillary sweating (hyperhidrosis) is a common concern addressed in aesthetic medicine.
• Botulinum toxin injections are a traditional treatment for hyperhidrosis.
• Microwave-based ablation (MiraDry®) has been utilized for axillary hyperhidrosis since 2011.

Observation:

• A patient experienced significant complications after microwave axillary hyperhidrosis treatment.
• Observed complications included dermal detachment, subcutaneous fluid collections, and dermal thickening.
• Retractile scars led to pain and restricted arm movement, resembling deep axillary burns.

Findings:

• The patient's complications mimicked the clinical presentation of deep axillary burns.
• These adverse events highlight potential risks associated with microwave ablation for hyperhidrosis.
• The severity of complications necessitates a structured approach to patient management.

Implications:

• A novel management protocol is proposed for patients experiencing severe complications post-microwave axillary treatment.
• This approach aims to address pain, functional limitations, and aesthetic deformities.
• Clinicians should be aware of these potential severe adverse events and their management strategies.