During liposuction, a physician will use a small tube to suck out the superficial layer of fat in the armpit where the sweat glands are. During curettage, a special surgical tool with a circular loop on the end is used along the skin’s under-surface to scrape out as many of the sweat glands as possible, or to at least damage them enough so that they no longer work. During suction-curettage the liposuction tube and the curettage scraping method are both used. One of the benefits of local surgery for excessive sweating is that for whatever glands you injure or remove, there is often a permanent result – the affected glands will not produce any more sweat. No snesthesia or oral medication is necessary for this short, out-patient procedure., which takes about 45 minutes. The procedure is pain-free.
Axillary surgery can be performed in a physician’s office under local anesthesia, lidocaine is used to numb the area in the armpit. Recovery is usually a couple of days although patients may feel sore for up to a week and need to limit their arm activity (sports, lifting above their heads, etc.) during that time. If sweat reduction has not been sufficient, it is also possible to repeat a procedure or to use BOTOX® or antiperspirants to control sweating from remaining sweat glands. Compensatory sweating has not been associated with local surgery.