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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