Reversibility of hyperhidrosis post axillary depilatory laser

Hélou, Josiane; Habre, Maya; Soutou, Boutros; Maatouk, Ismaël; Ibrahim, Tony; Tomb, Roland

doi:10.1007/s10103-013-1404-4

Cited by 7 publications

(4 citation statements)

References 13 publications

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Section: Discussionmentioning

confidence: 74%

“…According to the findings of a prospective study conducted by Helou et al axillary hyperhidrosis secondary to laser hair removal was reversible in 76.7% of patients, either naturally or with the use of the right topical medication. 79 However, Aydin et al did not get similar results as hyperhidrosis was not transient in their study. 78 Moreover, Obeid et al reported three cases of excessive inguinal sweating in patients with no prior history of hyperhidrosis following laser depilatory treatment of the bikini area.…”

Section: Changes In Naevimentioning

confidence: 74%

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Adverse Events of Light-Assisted Hair Removal: An Updated Review

et al. 2023

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Background With light-assisted hair removal becoming widely used, reports of adverse effects are increasing. Objective To review all the reported optical incidents and cutaneous complications of laser or intense pulse light-assisted hair removal. Methods A PubMed database systematic search was performed to identify studies reporting such adverse events before July 2022 using the Mesh terms “adverse effects” AND “hair removal” AND (“laser” OR “intense pulse light”). Results Altogether, 358 references were identified. After excluding duplicates, unrelated articles, guidelines, and conference abstracts, then adding references from studies bibliography, 104 publications were included. Ocular incidents consisted of anterior uveitis, iritis and iris atrophy, pupillary distortion, posterior synechiae, anterior chamber pigment, and cataracts in the anterior subcapsular region. Cutaneous complications consisted of pain, burns, folliculitis, leukotrichia, paradoxical hypertrichosis, pigmentary changes, changes in nevi, pili bigemini, herpes infection, hyperhidrosis, bromhidrosis, Fox-Fordyce disease, and frostbite from the cooling system. They were mostly correlated to skin type and body area as well as to light device and set parameters. Intense pulse light devices were found to be less painful than alexandrite laser, yet more painful than diode laser; Nd:YAG laser had the highest pain score. Conclusion Optical incidents can be systematically avoided. Cutaneous complications are usually related to professional errors and patient characteristics. Better knowledge of laser physics and adequate training of laser operators are key recommendations to avoid undesirable side effects. Safety recommendations help prevent most of the reported complications.

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Section: Discussionmentioning

confidence: 74%

Section: Changes In Naevimentioning

confidence: 74%

Adverse Events of Light-Assisted Hair Removal: An Updated Review

et al. 2023

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“…Surgical procedures (surgical en bloc excision, liposuction or endoscopic thoracic sympathectomy) offer a permanent solution, but are associated with significant and sometimes irreversible side-effects (32)(33)(34)(35). Laser- (36)(37)(38), radiofrequency thermotherapy- (39), and microwave-(40-43) based therapies have been suggested recently as possible treatment modalities, but data on their long-term efficacy, safety and side-effects are still lacking.…”

Section: Discussionmentioning

confidence: 99%

Topical Oxybutynin 10% Gel for the Treatment of Primary Focal Hyperhidrosis: A Randomized Double-blind Placebo-controlled Split Area Study

Artzi¹,

Loizides²,

Zur³

et al. 2017

Acta Derm Venerol

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Limited efficacy, costs, side-effects and complications are issues of concern for most current therapeutic modalities for focal hyperhidrosis. This study evaluated the efficacy of topical oxybutynin 10% gel in treating 61 patients with primary focal hyperhidrosis. The gel was applied to the right or left axilla, palms or soles vs. a placebo compound to the contralateral side for 30 days. A blinded visual grading of the change in starch-iodine tests was performed by 2 non-involved physicians. The Hyperhidrosis Disease Severity Scale (HDSS) and Dermatology Life Quality Index (DLQI) questionnaires were administered before and after treatment. The patients rated their satisfaction with treatment. Fifty-three patients completed the 4-week treatment. Sweat reduction in the drug-treated sweating areas was higher than in the control-treated areas. There was a significant mean improvement in pre- and post-treatment HDSS and DQLI (p = 0.001 for both). Thirty-nine subjects (74%) reported moderate-to-high satisfaction. Twice-daily topical application of oxybutynin 10% gel appears to be an effective, safe and well-tolerated treatment for focal primary hyperhidrosis.

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“…[1] Presently, laser interference and surgery are the most commonly used treatments for bromhidrosis. [2,3] Surgery is more preferable and commonly used for serious cases. However, postoperative complications and the formation of scars remain the problems with surgical treatment.…”

Section: Introductionmentioning

confidence: 99%

A new type of surgery for the treatment of bromhidrosis

et al. 2019

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It is common to treat bromhidrosis by surgery, but postoperative complications such as subcutaneous exudate and subcutaneous hematoma can occur and lead to delayed healing of the wound and eventually lead to the formation of unattractive scars. In this study, we evaluated our new surgical treatment for bromhidrosis, which we believe improves prognosis over conventional surgery. The new procedure was performed on 22 patients with bromhidrosis. Our procedure is as follows. One centimeter-long incisions are made along the skin and cleaning of the subcutaneous apocrine glands using a special serrated scraping device is completed. Then, several 0.5 cm-long drainage holes are made according to the design of the Sudoku puzzle and 4 anchoring points identified to stabilize the oil gauze. Finally, the incisions were sutured and the wound covered with a bandage. Of 44 axillas, the bromhidrosis of 42 axillas was completely cured, and greatly reduced in 2 axillas. Local epidermal necrosis occurred in 5 axillas, but there was no full-thickness skin necrosis. Subcutaneous hematoma was not observed, and postoperative scarring was minimal. We found that our modified surgery can effectively reduce the occurrence of subcutaneous hematoma, avoid delayed healing of the wound, and minimize postoperative scarring. Level II, therapeutic study.

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Reversibility of hyperhidrosis post axillary depilatory laser

Cited by 7 publications

References 13 publications

Adverse Events of Light-Assisted Hair Removal: An Updated Review

Adverse Events of Light-Assisted Hair Removal: An Updated Review

Topical Oxybutynin 10% Gel for the Treatment of Primary Focal Hyperhidrosis: A Randomized Double-blind Placebo-controlled Split Area Study

A new type of surgery for the treatment of bromhidrosis

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