Stop Sweating, part II

In my previous entry, we talked about the condition Primary Focal Hyperhidrosis, or basically, excessive sweating.  The 2 major misconceptions about this condition is that, first, it isn’t a real medical problem (fact: even insurance companies recognize this as a real disease), and, second, most people don’t realize just how many great treatments exist.  Here I discuss the major treatments for Primary Axillary Hyperhidrosis, or excessive underarm sweating:

1) Anti-perspirants: with an active ingredient of aluminum salt, these topical deodorants are considered “first line” up front therapy, meaning you should try them first; there are both over-the-counter and also prescription deodorants and both are affordable

How deodorant works

How deodorant works

2) Oral medication: the main class of medication for treating hyperhidrosis are the “anti-cholinergics” and include glycopyrrolate, oxybutynin, and others.  These drugs block acetylcholine from reaching receptors on the sweat glands, which normally directs the glands to sweat.  Because acetylcholine receptors are located in other areas on the body, there can be a range of side effects.  Therefore, these drugs are generally reserved for young, healthy patients with either generalized sweating in many areas of the body, or patients who already tried other therapies and failed.

Several new topical anti-cholinergics are in development, and thus far show great promise.  Notable among them is DRM04 (Dermira, Inc., Menlo Park, Calif.).

3) Botox: injections into the armpit or hands is performed every 3-6 months, depending on the patient and very well tolerated.  Downside is that the injections may be a bit painful, however this is really very temporary, and the results, while great, eventually wear off.  Prior to injections, we do a Starch Iodine Test, which tells us where the sweating is!

Starch iodine test (purple=sweat)

Starch iodine test (purple=sweat)

4) miraDry: a 90 minute office procedure that uses microwave energy to permanently shut down the sweat glands.  Overall one can expect 65-80% reduction in sweat, and approximately 20% reduction in odor (from experience).  Results are obvious after even 1 single session.  The device is FDA approved in adults age 18 and up, however there is good precedent for treating certain teenagers “off label” in my opinion.  More about miraDry in my next post!

****Other cool stuff: for more information on specialty garments, bedding, and even shoes for people who sweat a lot, see the Fan Faves section on the International Hyperhidrosis Society website

“Stop Wearing Black”

The new “Stop Wearing Black” campaign by the International Hyperhidrosis Society is really catchy and so very true.  How do we enable patients embarassed by excessive sweating to continue to live life as normal, when they are constantly physically reminded of their condition, especially during the summer?  The first step towards in treating any problem is know, first, that there are really effective treatment options.  Many people, doctors included, lack awareness that hyperhidrosis is a distinct medical condition, fortunately with many great treatments to boot.

Having trouble staying dry?

Having trouble staying dry?

Sweating is the body’s way of adapting to an increase in temperature, thus cooling off.  We don’t know why some people have an over-active sweat system (estimated at 3% of the population), but, in a nutshell, this is one of those cases where too much of a good thing, isn’t good anymore.  In 90% of the cases, the diagnosis of Primary Focal Hyperhidrosis is made (in the remaining 10%, sweating is considered a secondary problem due to another medical condition such as thyroid disease, for example).  Primary Focal Hyperhidrosis is a real condition, not a “cosmetic” one, with its own insurance code.

The following are the diagnostic criteria for Primary Focal Hyperhidrosis.  If you meet 2 or more criteria, then you probably have Primary Focal Hyperhidrosis:

  • Sweating occurs on both sides of the body almost equally
  • Excess sweat impairs your daily life
  • You experience at least one episode of excessive sweating weekly
  • The problem started before you turned 25
  • Some of your family members suffer from excessive sweating
  • You stop sweating when you’re asleep

For more on treatments, see my next entry!

 

European sunscreen that corrects DNA damage

Eryfotona Actinica is now available in our office for existing patients

Eryfotona Actinica is now available in our office for existing patients

We’re excited to carry this new sunscreen lotion that has not only sunscreen, but also enzymes that correct the DNA damage wrought by the sun, and even vitamin E, a powerful antioxidant.

Photolyase is a naturally occurring enzyme designed to reverse the specific DNA mutations caused by UV exposure.   This enzyme is found mainly in plants and algae, and they rely on it to correct DNA damage from the sun.  Human beings do not normally have this enzyme.

What You Need to Know to Manage Rosacea

Rosacea is a chronic condition affecting approximately 16 million Americans.  It is most common in women during their 30s, 40, and 50s, however both male and female patients of all ages can be affected.  Although it is a chronic condition with no permanent cure, the truth is that there are many lifestyle modifications that can majorly help rosacea get better.  In fact, the National Rosacea Society compiled a list of important dietary and lifestyle changes which we are posting here and hope you’ll find useful.  You probably already knew that alcohol and spicy foods are culprits in some patients, but did you know that fermented foods, cheese, vanilla and chocolate are also potential culprits?  Read on…

Did you know that there are lifestyle and dietary changes that can help your rosacea?

Did you know that there are lifestyle and dietary changes that can help your rosacea?

 

 

Your Butt Is Proof That You Should Wear Sunscreen

http://nymag.com/scienceofus/2016/06/your-butt-is-proof-that-you-should-wear-sunscreen.html

SculpSure Event!

girls-women-happy-sexy-53364

Join us for a live demo about SculpSure, next Tuesday, June 21st, from 4-7PM.  By RSVP only: 212-249-8118.

SculpSure Non-Invasive Body Contouring is:

  • FDA approved
  • Highly effective treatment for eliminating unwanted fat
  • Can be used on the flanks, abdomen, and other areas with unwanted fat
  • Non-surgical and non-invasive
  • No anesthesia
  • In most cases only one treatment is required
  • Treatments take 25 minutes
  • You can return to work and exercise immediately

SculpSure

UPDATE: SculpSure is the most exciting technology in the fat-melting aesthetic arena and we have been witnessing great results thus far. To hear one beauty editor’s experience getting the treatment herself, check out Elise Minton’s article in New Beauty

What are you waiting for?

Get your beach body today!

Get your beach body today!

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Summer Bodies Begin in Spring

Summer bodies begin in Spring

Summer bodies begin in Spring

INTRODUCING THE 25 MINUTE BODY CONTOURING TREATMENT

SculpSure is a breakthrough in light-based body contouring designed to reduce stubborn fat in problem areas such as the abdomen and love handles, helping you achieve a slimmer and natural looking appearance without surgery or downtime.  The procedure is noninvasive and FDA approved.

Even with diet and exercise, most people have stubborn pockets of fat that seem impossible to lose. SculpSure’s body contouring technology is able to target and destroy these fat cells in just 25 minutes without affecting the skin’s surface.

Over time, these damaged fat cells are naturally absorbed and removed from the body, with results seen as quickly as six weeks, and optimal results typically seen at 12 weeks. There is no recovery time following treatment, so you can resume your daily activities immediately.

 

New Shower-on Sunscreen Technology

New Shower-on Sunscreen Technology

New Shower-on Sunscreen Technology

KLĒNSKIN SPA is the First and Only Shower On SPF. The revolutionary technology QS™ encapsulates all the active ingredients layering the sunscreen on top of the skin, providing a daily Broad Spectrum SPF 30. Additionally KLĒNSKIN SPA is infused with antioxidants and conditioners leaving the skin soft and smooth with no greasy residue. Our cosmetically elegant formulation pampers and protects the skin from the head to toe.

Encapsulated Sunscreen
Mild Fresh Fragrance
Cleans, Hydrates, and Protects in One Easy Step
Hypo-Allergenic
Paraben Free
Water Resistant (80 min)

miraDry…. the only permanent solution for underarm sweating

miraDry

miraDry is the only permanent solution to treat underarm sweating

MiraDry is the only long-lasting solution for underarm sweat and odor, and is more comfortable than ever.  It utilizes microwave technology to safely turn off sweat glands, reducing sweat by up to 80%.  One to two sessions are recommended, but most patients are very satisfied with just one treatment.