Sweat And Odor Reduction | Cosmetic Surgeon NYC

FAQ's About Sweat & Odor Reduction

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Am I a good candidate for sweat and odor reduction treatments?

If you constantly worry about unwanted, excessive sweat or are self-conscious about wet, stained clothing, then you are likely a good candidate for sweat and odor reduction treatments with Dr. Khorasani. If you are embarrassed by underarm sweat outbreaks or believe hyperhidrosis interferes with your daily life, you should schedule a consultation with Dr. Khorasani to determine which treatment is best suited for you.

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What results can I expect from sweat and odor reduction treatments?

The treatments that Dr. Khorasani offers either temporarily reduce sweating, or permanently destroy the sweat glands. Depending on which method of treatment is best for your concerns determines the expected results. Some treatments are considered permanent, while others temporarily cease excess sweating.

For example, miraDry provides significant reduction of underarm sweat, and the results are long-lasting. After the first treatment, you should notice immediate, significant results. After two treatments, most patients have an 80% reduction (on average) in underarm sweat. You may also notice a reduction in hair growth and underarm odor. This is considered a “permanent” treatment and does not require more than two visits. BOTOX, on the other hand, is effective after only one treatment, but it is temporary. RF Microneedling has the least amount of downtime but may have to be repeated up to four times. Finally, liposuction is the most permanent procedure but also requires a longer recovery.

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What does the miraDry procedure entail?

The procedure takes about 60-90 minutes. First, your underarms are numbed with a local anesthetic for about 20 minutes. Next, Dr. Khorasani will measure your armpits and select a stencil to be applied to the area. This marks out the treatment zone and dimensions where the handpiece will be treating your skin.

The handpiece is applied to each marked section for about 30 sections. In the first 20 seconds, you will feel like the area is being slightly suctioned, followed by a heating sensation. The suctioning brings the sweat glands closer to the surface, for maximum results. The heat that is felt is the thermal energy being delivered to destroy and eliminate the sweat glands. In the last 10 seconds, you will feel a cooling sensation. This is to ensure that the outermost layer of the skin does not get burned. This process is repeated until all marked off sections of the underarm area are treated.

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How long does the RF Microneedling procedure take and what can I expect on the day of the treatment?

All in, expect to be at the office for about two hours. You will first be numbed with a topical numbing cream for about 30-50 minutes. Then Dr. Khorasani will review the goals of the treatment with you and customize the settings on the device specific to your concerns and skin type. The procedure itself will take about 25 minutes depending on the area(s) treated. The procedure is not painful, however some discomfort may be experienced. If numbing cream is not enough, Pro-Nox (nitrous oxide), a safe gas that is inhaled to relieve anxiety and reduce the experience of pain, can be self-administered to relieve any discomfort. After the treatment, a serum may be applied to deliver vitamins and nutrients to your skin, to enhance the treatment received and speed up the healing process.

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What can I expect from BOTOX treatments for excessive sweating?

Patients that have hyperhidrosis have overactive nerves that signal the sweat glands unnecessarily. When BOTOX is injected under the arms, it blocks the signals from these hyperactive nerves, paralyzing them so they don’t produce excess sweat. BOTOX is tolerated well by most patients, and you should not experience significant discomfort. Numerous injections are administered by Dr. Khorasani in the axillary area, and it takes about 10 minutes. Most patients have this procedure without any anesthetic, but if you desire, we offer a topical numbing cream that can be applied beforehand, to ensure this is a completely painless procedure. BOTOX injections can reduce your sweating by about 80%; however, you will require ongoing treatments to maintain the desired result.

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What can I expect from a liposuction treatment for hyperhidrosis?

Before your surgery, Dr. Khorasani will draw markings on your underarm area to indicate where treatment will take place. During the procedure, a small cannula (tube) is inserted under your skin to deliver a solution of saline and numbing medication, called tumescent fluid. It is injected into the area to numb the surrounding tissue. Once this solution is injected, and you are fully numb, a different cannula is inserted under the skin, to suction out the tissue that contains the sweat and odor producing glands, as well as some fatty tissue. There is no cutting involved, and you are awake during the procedure, as it is done under local anesthetic. All in, expect to be with us for about three hours.

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How many treatments will I need in order to reduce my sweating?

This depends on the modality used:

BOTOX: injections every four to six months, indefinitely
RF Microneedling: three to four treatments, three to six weeks apart
miraDry: two treatments three to six months apart
Liposuction: one treatment

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What is the downtime after hyperhidrosis treatment?

This depends on the modality used.

BOTOX has the least downtime, with only a few needle marks (small bruises) for 24 hours and minimal swelling
RF Microneedling has minimal downtime, but you may experience needle marks and some swelling for three to five days
miraDry has significantly more downtime than BOTOX and RF Microneedling. You can expect your underarms to be swollen for ten to fourteen days, and you may experience numbness in the treated area for up to six weeks. It is also common to experience some tenderness and discomfort for a few days after the procedure
Liposuction is the most effective, but has a recovery time of fourteen to twenty one days. The chief complaint of this recovery is swelling that can persist for a few weeks. Although some numbness may also be experienced, this side effect is not as commonly seen.

We recommend that you take an over-the-counter pain medication such as Tylenol, and use ice packs under your arms during the first few days, to mitigate any discomfort. You should also refrain from strenuous physical activity for the first two days following your hyperhidrosis treatment.

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Should I be worried about sweating more in other places?

No. Only 2% of the 4 million sweat glands in the human body are found in the underarms. In other words, your underarms comprise only a very small percentage of your body’s sweat glands. You do not need to worry about your body overheating or sweating significantly more in other places.

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What is the main difference between all of these different treatments for hyperhidrosis?

The main difference is whether the treatment you choose is a temporary or permanent solution to your sweating problem. BOTOX aims to temporarily disable the sweat glands for varying lengths of time. Repeated treatments are necessary to maintain effectiveness. Usually, treatments need to be repeated every three to six months, as the results are not permanent. With energy based devices like miraDry® and RF Microneedling the sweat glands are permanently destroyed after the treatment series are completed, therefore there is no need for additional treatments. Liposuction only requires one treatment and is permanent.

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Why choose Dr. Khorasani for the treatment of hyperhidrosis?

It is important to receive this treatment with a qualified, board certified physician. Our office will help you choose the right treatment modality based on the severity of your sweating and the afforded downtime. Particularly with the energy based devices, it is crucial to use appropriate settings so you minimize side effects and reduce your risk of injury. Selecting an energy output that is too strong may cause burning or nerve damage in this area. On the other hand, selecting an energy output that is too low will yield poor results and patient dissatisfaction.

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