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Hyperhidrosis: Survey of the Cutis Editorial Board

Leading dermatologists from the Cutis Editorial Board answered 5 questions on hyperhidrosis. See what they’re recommending for their patients and why. Find the infographic here

What percentage of patients require surgery for treatment of hyperhidrosis after topical, injectable, systemic options and devices have failed?

According to 62% of dermatologists, 10% or less of patients require surgery for treatment of hyperhidrosis after other therapies have failed. Almost one-third indicated that none of their patients require surgical treatment. None of the dermatologists surveyed reported that more than 60% of patients need surgery.

Expert Commentary
Provided by Shari R. Lipner, MD, PhD (New York, New York)

Surgery is an option to treat hyperhidrosis when conservative methods have failed. Surgical therapies include curettage, liposuction, and excision. A last resort is considered sympathectomy. Endoscopic thoracic sympathectomy is employed for palmar, facial, and axillary hyperhidrosis, while endoscopic lumbar sympathectomy is indicated for plantar hyperhidrosis. 

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