Sweating is the body’s natural mechanism to regulate temperature. Excessive sweating occurs when this normal function goes beyond its purpose, causing continuous and uncontrolled sweating in specific areas, regardless of season, including hands, armpits, feet, and face.
Patients often report, “My hands and armpits are always wet, I cannot wear dark-colored shirts.” Some patients may also experience sweating in the feet.
There are two main causes of excessive sweating:
Primary causes: Overactivity of the sympathetic nerve chain.
Secondary causes: Related to other medical conditions such as hyperthyroidism, diabetes, or autoimmune diseases.
Patients are first evaluated by internal medicine; if no other cause is found, treatment is applied.
Both men and women can be affected, but women seek help more often.
Most common in young adults in their 20s.
Occurs in approximately 1% of the general population.
Excessive sweating is a serious health issue, not merely cosmetic. It negatively affects social and psychological well-being, leading to avoidance behaviors, limited social interactions, and increased risk of fungal infections.
Dermatological treatments: Iontophoresis (low-voltage electric current), Botox injections. These methods are generally temporary solutions.
Surgical treatment: Considered for patients seeking a permanent solution.
Performed as a minimally invasive procedure.
Small incisions are made under each armpit; using a camera, the sympathetic chain is located and clips are applied along the nerve to the affected area (hands, armpits, feet, or face).
Patients immediately notice that sweating has stopped.
Patients operated in the morning can go home the same evening.
After 1–2 days of rest at home, normal activities can be resumed.
Suitable for all medically eligible patients, with a success rate of 98–99%.
Complication risk is very low.
Rarely, compensatory sweating may occur in another part of the body, such as the lower back. In these cases, clip removal is recommended.
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