Laser treatment against sweating: minimally invasive, but still surgery

Laser removal of sweat glands

Laser sweat abla­tion (LSA) is only used for axil­lary hyper­hidro­sis (severe under­arm sweat­ing). The laser is insert­ed under the patient’s under­arm skin. This requires a small inci­sion, which is why LSA is con­sid­ered min­i­mal­ly inva­sive. The laser beam then heats the sweat glands so strong­ly that they atro­phy or are elim­i­nat­ed. The sweat glands no longer func­tion and sweat will no longer be pro­duced. The pro­ce­dure can be per­formed on an out­pa­tient basis.

Some physi­cians also use laser treat­ment in com­bi­na­tion with cau­ter­is­ing the sweat glands. After the laser caus­es the sweat glands to atro­phy, they are abrad­ed and removed.

Laser: a more gentle treatment for sweating, but still risky

Laser treat­ment is con­sid­ered to be gen­tler and less risky than the cau­ter­is­ing the sweat glands. Nev­er­the­less, it is still an inva­sive pro­ce­dure and comes with the risks of any surgery. After the sweat glands atro­phy, slight red­ness and pig­men­ta­tion in the armpits may occur. The heat can also cause cir­cu­la­to­ry prob­lems and burns.

How much does a laser treatment for sweating cost?

The cost of a treat­ment is usu­al­ly in the mid four-dig­it range.

Does health insurance pay for laser treatments?

Whether statu­to­ry health insur­ance will cov­er the treat­ment is uncer­tain. We rec­om­mend ask­ing your insur­ance com­pa­ny before begin­ning treat­ment. After evi­dence of its med­ical neces­si­ty has been sub­mit­ted, the costs will be reim­bursed on a case-by-case basis.

Benefits and risks of laser treatments compared to HIDREX iontophoresis treatment

The laser treat­ment can only be used to treat the armpits. On the oth­er hand, ion­tophore­sis ther­a­py can be used on the hands, feet, under­arms, face, head, and back. The laser treat­ment is a min­i­mal­ly inva­sive surgery and there­fore runs the risk of side effects. By con­trast, HIDREX ion­tophore­sis treat­ment is vir­tu­al­ly free of side effects.


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Additional hyperhidrosis treatment options shown: