Stay dry, feel in control.
Dr. Kevin Haddad has a structured way of treating hyperhidrosis. First, he makes sure of the type of hyperhidrosis you have, and then he picks the least invasive option that can realistically give you consistent control.
Hyperhidrosis is usually described in two practical ways:
Focal (localised): sweating is concentrated in specific areas like underarms, palms, soles, or face.
Generalised: sweating is widespread across the body.
The pattern matters because it changes what treatments are likely to work and whether we should look for an underlying cause.
This is the most common kind. It usually starts earlier in life and is usually symmetrical (like both palms or both underarms). It is typically associated with hyperactive nerve signaling to eccrine sweat glands rather than an alternative illness.
This sweating is caused by something else, like the side effects of medication or a medical condition. It is important to get a proper evaluation before choosing a cosmetic or procedural solution if sweating is new, changing, happening at night, or linked to other symptoms.
The goal is to figure out what makes you sweat and what your “sweat map” is. Some common topics are:
This lets Dr. Kevin Haddad choose the best treatment based on how bad the problem is and where it is.
For underarms, many plans begin with a high-strength antiperspirant used correctly (usually on dry skin at night, then adjusted to tolerance). This is often the simplest first step before moving to prescription medicines or procedures.
When standard antiperspirants are not enough, prescription topical medicines that reduce sweat gland stimulation can help, particularly for underarm sweating. Some are specifically designed for underarm use and have age indications for both adults and children from 9 years.
Botulinum toxin type A injections can greatly lower sweating in the area that was treated by blocking the nerve signal to the sweat glands. It is used for severe primary underarm hyperhidrosis when topical treatments don’t work well enough. A lot of patients choose this option because it is localized, doesn’t need to be applied every day, and can keep sweating down for several months, with repeat treatments possible as needed.
For palms and soles, iontophoresis is a well-established approach. It uses a mild electrical current through water to reduce sweating, typically with a more frequent initial phase followed by maintenance sessions.
Injectables content here
Some patients may be prescribed oral anticholinergic medications, especially when sweating is widespread or when localized treatments fail to adequately address the issue. These can work, but they can also cause side effects like dry mouth, blurred vision, constipation, or urinary problems, so you need to be careful when choosing them and changing the dose.
Some people with severe and long-lasting underarm hyperhidrosis think about treatments that use devices to reduce sweat glands in the axilla. These options may be suitable for certain individuals, contingent upon their anatomy, expectations, and their capacity for downtime and financial expenditure.
Most people do not describe success as zero sweat forever. They describe:
Each choice has its own set of problems:
With Dr. Kevin Haddad, the goal is to find the option that works best for your lifestyle and pattern while also making sure the plan is safe and realistic.