Dr. William Ting, Board-Certified Dermatologist
at California Dermatology Care

2262 Camino Ramon, San Ramon, CA 94583
Tel: 925-328-0255
Email: staff@CalDermCare.com


Advanced Care with a Personal Touch

   

 

 

Excess Sweating - Hyperhidrosis

  Comprehensive therapeutic options including MiraDry and SideLaze Sweat Gland Laser Ablation

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* Review Dr. Ting's 717+ Q&A on RealSelf

Dr. William Ting has been a key opinion leader in the Bay Area and Northern California in the area of excess sweating or hyperhidrosis. As a board-certified dermatologist, he has a keen interest in offering comprehensive therapeutic options for hyperhidrosis since year 2000. He is proud to introduce the first and only miraDry (FDA-approved noninvasive electromagnetic wave technology for treatment of underarm hyperhidrosis) in the East Bay. In addition, Dr. Ting is one of the first dermatologic surgeons in the nation to perform the revolutionary SideLaze sweat gland laser ablation. Dr. Ting directs a center of clinical excellence in treating excess sweating disorder by offering

  • Topical prescription-strengths treatment such as aluminum chloride solution, tannic acid soak
  • Oral prescription of glycopyrrolate (or clonidine in resistant cases)
  • Botulinum injection to achieve denervation of sweat glands lasting 4-8 months in axillae, palms, feet, forehead and scalp
  • The miraDry procedure, revolutionary FDA-approved system to provide lasting noninvasive solution for excess underarm sweating
  • Revolutionary SideLaze sweat gland laser ablation, minimally invasive procedure utilizing FDA-approved SmartLipo and Cellulaze Workstation to achieve lasting and dramatic reduction of sweating in selected areas such as the underarms.
  • Dr. Ting specifically recommends against surgical approach such as Endoscopic Thoracic Sympathectomy(ETS) or Endoscopic Lumbar Sympathectomy (ELS) because the risk of eventual compensatory hyperhidrosis is nearly 100% where previously unaffected anatomic areas such as the face, groin, or back may develop excess sweating

It is estimated that up to 20% of people have some degree of excess sweating. Furthermore, hyperhidrosis is a life altering daily struggle for  3% of US population and can interfere with nearly every aspect of life. Whether it’s anxiety at work, embarrassment in relationships and social settings, or frustration over constantly ruining clothes, excessive sweating can have devastating effects on a person’s emotional well-being and self-image. In particular, women and men find themselves restricted to dark-colored blouse and shirts to camouflage axillary hyperhidrosis.

In fact, when asked to rate how embarrassing certain conditions were, people rated underarm sweat as more embarrassing than being overweight, having acne, cold sores or dandruff. Unfortunately and sadly enough, many people perceive those who excessively sweat to be nervous, unhealthy or out of shape.

Physiology of Hyperhidrosis

For those who suffer from excess sweating, their sweat glands are overactive – producing much more sweat than is needed to cool the body. It is likely that patients with hyperhidrosis have their body's thermostat (which is located in hypothalamus) set at a lower temperature point than most people who are not affected with excess sweating. There are two types of sweat glands, locating just below the surface of the skin, and they work by secreting fluid to help cool the body. The eccrine glands secrete a clear, odorless fluid that helps the body control its temperature, while the apocrine glands produce a thicker fluid that gives underarm sweat its distinctive odor. Sometimes overly active apocrine sweat glands can lead to bromohidrosis, or smelly sweat. Patients who suffer from hyperhidrosis may have sweat glands that produce four or five times more sweat than is normal.

MIRADRY

miraDry as seen on the Doctors TV Show






miraDry Procedure, a Lasting, Non-invasive FDA-approved Solution for Excessive Underarm Sweating
  • Dramatic reduction of underarm sweat
  • Lasting results
  • Non-invasive (no surgical incisions or cuts)
  • Minimal to no downtime
  • Performed outpatient at Dr. Ting's office



The miraDry Procedure uses the only medical device that provides a truly lasting, non-invasive, and effective solution to reduce excessive underarm sweating. The miraDry System utilizes clinically proven technology to eliminate the sweat glands non-invasively. The miraDry System does not involve surgical incisions or cuts as it delivers precisely controlled electromagnetic energy to the region where the sweat glands reside, and eliminates the sweat glands. Energy generates heat which results in thermolysis of the sweat glands.

The miraDry System creates a treatment layer at the level of the sweat
glands and a protective cooling layer. A continuous hydro-ceramic cooling system protects the superficial dermis and keeps heat at the level of the sweat glands.

Published scientific research demonstrates that sweat glands do not come back or regenerate once they have been eliminated. Because the sweat glands do not regenerate, you can expect dramatic and lasting results.

The outpatient procedure is performed in Dr. Ting's office at San Ramon and each treatment is customized for each underarm area with multiple placements of the miraDry Handpiece, delivering electromagnetic energy to the underarm.

Two procedures are typically recommended 3 months apart to maximize the results and duration. Clinical trials demonstrated an average of 83% reduction of sweat production after two miraDry procedures. Each procedure appointment will generally last about an hour. There is minimal to no downtime following the procedure. You should be able to return to normal activities or work right after the procedure, and you can typically resume exercise within several days. Localized soreness or swelling is normal, and typically clears within a few weeks. Some patients have short-term altered sensation in the skin of their underarms or upper arms, which gradually disappears.


       

miraDry Patient Testimonial Video





If embarrassing underarm outbreaks, stained clothing and constant antiperspirant application are a part of your life, then you may be a good candidate for the miraDry Procedure.

miraDry FREQUENTLY ASKED QUESTIONS

What is the procedure like?

The procedure involves no surgical incisions or cuts. The clinician customizes treatment for each underarm area with multiple placements of the miraDry handpiece. Local anesthesia is administered to the underarms prior to the procedure to maintain comfort. Your office visit appointment will generally last about an hour. Two procedures spaced three months apart are required to maximize the results and duration.

What happens after the procedure?

There is minimal to no downtime following the procedure. Your dermatologist will likely recommend a mild over-the-counter pain medication and use of ice packs for a few days. You should be able to return to normal activities or work right after the procedure, and you can typically resume exercise within several days. Some localized soreness or swelling is normal, and typically clears within a few weeks. Some patients have short-term altered sensation in the skin of their underarms or upper arms, which gradually disappears.

What results can I expect?

Most patients report a dramatic reduction of their sweat – in a recent clinical study, the average sweat reduction was 86%. You should see a reduction in sweat immediately after treatment. As with any medical procedure, results will vary by person.

How long will the results last?

The results are lasting because the sweat glands do not come back or regenerate after they have been eliminated. The miraDry procedure uses a safe, non-invasive technology that is FDA cleared to eliminate sweat glands in the underarm.

Don’t I need my underarm sweat glands?

Your body contains over 4 million sweat glands, with only about 2% located in the underarms. Eliminating this 2% will not affect the body’s ability to cool itself.

What parts of my body can the miraDry System treat?

The miraDry System is indicated for use of treatment of excessive underarm sweat (primary axillary hyperhidrosis) in adults 18 and over. It cannot be used to treat excessive sweating elsewhere on the body, including the hands and feet.

How is the miraDry procedure different from other treatment options?

Other treatment options are designed to temporarily disable the sweat glands, or involve surgery which contains inherent risks. Only miraDry provides a lasting solution with a non-invasive procedure.

For more information on excessive underarm sweating, visit: International Hyperhidrosis Society www.SweatHelp.org
        


SideLaze Sweat Gland Laser Ablation

Dr. William Ting is proud to introduce SideLaze Sweat Gland Laser Ablation for lasting and dramatic reduction of sweating in selected areas such as the axillae. He is one of the first dermatologic surgeons in United States utilizing this revolutionary technology using FDA-approved SmartLipo and Cellulaze Workstation with SideLaze 800 handpiece to significantly reduce excess sweating. According to a preliminary clinical trial, among patients who had undergone SideLaze Sweat Gland Laser Ablation of the underarm, the satisfactory rate was greater than 93%. One would need to be evaluated by Dr. Ting to assess whether or not the affected area of excess sweating is appropriate for SideLaze Sweat Gland Laser Ablation therapy.





Botox injection for Excessive Sweating (Hyperhidrosis)


For hyperhidrosis on palms, feet, forehead or scalp, Dr. Ting recommends botulinum toxin injection as miraDry is not an option for these anatomic areas. BOTOX® is FDA-approved for excessive underarm sweating that is not adequately managed with topical agents such as Drysol. Besides underarm areas, Botox has been found to be very helpful for excessive sweating in palms, forehead, etc. BOTOX® treatment helps control this condition by temporarily blocking the chemical signals from the nerves that stimulate the sweat glands. When the sweat glands don't receive chemical signals, the excessive sweating stops. You should notice a significant reduction in sweating within 4 weeks of your first treatment.

BOTOX® treatment is very effective. One clinical study involved 322 patients with excessive underarm sweating.

  • Clinical trials of Botox Cosmetic demonstrate that it can be extremely effective in treating excessive sweating under the  arms and on the hands
  • 84 out of 104 BOTOX® treated patients (81%) achieved a greater than 50% reduction in sweating—compared to only 44 out of 108 treated without BOTOX® (41%).