Underarm Sweating

Axillary Hyperhidrosis

Excessive Sweating of Underarms or Axillary Hyperhidrosis involves extreme dripping sweat in the armpits with associated odor that is usually

 resistant to all deodorants. Sufferers often experience excessive sweat dripping down the arms and chest, preventing them from wearing certain fabrics or colors. This also causes staining and rotting of clothing. Caused by the sympathetic nervous system’s over stimulation of the sweat glands, the condition may be aggravated by anxiety, but it can occur without it. Axillary sweating may be present alone or in conjunction with any or all other types of hyperhidrosis. Each patient has to be evaluated individually to determine if they are candidates for the ETS.

If the axillary sweating is isolated to underarms, then the best way of management is marking the area of the most intense sweating – see above, followed by injections of Botox. If a permanent cure is requested, one could undergo local excision of involved skin and curretage (scraping) of the undersurface of surrounding skin. This results in more than 90% resolution of axillary hyperhidrosis. Scarring  and discomfort is minimal, and there is rarely any compensatory sweating.

One week after surgery. Bruising will disappear and the scar will assume the direction of an underarm wrinkle.


Dr. Konecny has been treating excessive sweating of hands, underarm and feet, in addition of facial blushing. His preferred method of definitive control of hand sweating and facial blushing is Endoscopic Thoracic Sympathectomy by division of the sympathetic chain with harmonic scalpel or clipping. For the underarm sweating, we prefer local treatment with gland scraping or skin excision.

Dr. Konecny has lectured in numerous California forums and on the national level conference (American College of Osteopathic Surgeons) on the subject of control of Hyperhidrosis. If you have excessive sweating problem, please contact us in Long Beach, California, for your excessive sweating treatment.

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