Commonly patients present to the Sweat Free Clinic with excessive sweating in many areas including the face, scalp, hands, feet, and underarms. miraDry can not be used to treat all these areas, however is an excellent treatment for underarm hyperhidrosis. Other areas, such as the hands and feet may require special treatment known as iontophoresis. It is important to exclude secondary causes of sweating if you have generalised hyperhidrosis.
Facts on generalised hyperhidrosis and miraDry
- Many patients present with sweating on areas such as the hands, feet, underarms, groin, face and scalp.
- Some patients present with only one or two of these regions
- miraDry can only be used to treat sweating in the underarms, and NOT elsewhere
- Each specific region will have a suitable method of treatment
- It is important to exclude secondary causes of sweating, such as diabetes, thyroid disorders and drugs
- Simple blood tests conducted by your GP can rule out most causes of secondary sweating
What is the difference between primary sweating and secondary sweating?
Most patients who sweat in multiple areas have a form of sweating known as Primary Hyperhidrosis, a minority of patient will have Secondary Hyperhidrosis
|Type of sweating||Primary sweating||Secondary sweating|
|Onset of sweating||Early, usually teens||Later in life|
|Sleeping and sweating||Sweat stops during sleep||May sweat in your sleep|
|Family history||Positive in 25%||No family history|
|Location of sweat||Hands, feet, underarms, face and scalp||Maybe everywhere, including body sweating|
|Symmetry of sweat||Symmetrical - affects both sides of the body||Sweating maybe asymmetrical|
|Associations||Maybe anxiety related||Thyroid disease, drugs, other rare conditions|
What are the causes of generalised secondary sweating?
Generalized sweating is very, very rare and is not to be confused with focal sweating. Focal sweating is very common and can affect the hands, feet, underarms, scalp and face.
The most common cause of generalised sweating is drugs. More on medications that may cause me to sweat everywhere
Patients who have generalised hyperhidrosis should see a GP for review to exclude secondary causes of sweating including drugs, thyroid disease, diabetes and rare tumors.
What treatments are available if I sweat in multiple areas of my body?
Remember, if you exhibit signs or symptoms of secondary hyperhidrosis, you should see your GP. If you sweat in multiple but FOCAL areas of your body, we can find a solution for your pattern of excessive sweating.
A useful approach is to decrease sweating in the areas that bother you most, this maybe your hands, or your underarms, or even face and scalp. Our specialists and specialist hyperhidorosis nurse can tailor a regime for you excessive sweat patterns.
What treatments are available for excessive underarm sweating?
- Antiperspirants including Driclor (strongest), Rexona, and No More Sweat
- Sweat stopping treatments injections- work in up to 90% of patients but must be repeated every 3-6 months. Temporary relief of excessive sweating.
- miraDry- permanent sweat solution. 2 treatments reduces sweating by up to 80-90% of patients for LIFE. Permanent, painless sweat reduction.
What are the best methods to reduce sweaty hands?
- Antiperspirants - Driclor application at night (strongest, and only works for mild sweating), Dove Clinical, and No More Sweat
- Glycopyrrolate iontophoresis - best method, safest method, temporary relief of sweaty hands.
- miraDry - not safe, nor indicated for sweaty palms. Too much risk of nerve and tendon injury. miraDry only indicated for excessive underarm sweating
- ETS surgery - solution for sweaty palms, like miraDry for underarms it is permanent. Unlike miraDry, ETS surgery maybe associated with excessive sweating else where, known as compensatory HH.
- Sweat stopping treatments for hands can be done, but last 3 months and cost $2300- not recommended by Specialists
What can I do for sweaty feet?
- Innersoles such as summer soles, cotton socks
- Antiperspirants such as Driclor at night, or No More Sweat Feet
- Glycopyrrolate iontophoresis seems to work best for feet
- miraDry is NOT an option for sweaty feet. miraDry not safe in the hands of feet area.
What can I do for sweaty face and scalp areas?
- Craniofacial sweating of the face and scalp is very common
- Try No More Sweat (face), or Dove Clinical.
- Driclor is too strong for the face and may cause skin irritation
- miraDry, once again, great permanent solution for the underarms, but NOT a solution for craniofacial sweating
- Sweat stopping treatments to some areas of the face and scalp can help. Note- sweat stopping treatments last only 3-4 months and cost between $500-$1500, depending on areas treated
- ETS surgery, like miraDry is a permanent solution for sweating, but maybe associated with rebound sweating
Specialist Viewpoint on treating multiple areas of sweating
Dr Davin S. Lim
Sweat Free Clinics
If you sweat everywhere, its called generalised hyperhidrosis and investigations by a GP or physician is a must. Remember this is very rare, most patients present with MULTIPLE areas of sweating, which is primary in origin. We frequently see the ‘trifactor’ ie. Sweating of the palms/hands, underarms and feet. Occasionally we also add in sweaty faces and scalps.
How I approach this problem is simple- I prioritise sweat spots- for some it maybe the armpits, and in this case its either sweat stopping treatments or miraDry. Temporary relief- sweat stopping treatments, permanent sweat reduction miraDry. Hands and feet go thru our glyco-iontophoresis program- this gives us sweat reduction of up to 80%.
Facial sweating may respond to glycopyrrolate lotions and sprays, but in areas such as the forehead, sweat stopping treatments is often the answer. Like sweat stopping treatments in the underarms, it is temporary and will need to be repeated.