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Local treatment of a hyperhidrosis is method of surgical treatment which is carried out in the area of the strengthened diaphoresis. It is possible to tell that local methods is a step between conservative treatment and a sympathectomy (the central methods). Before to speak about local methods, it is necessary to address to the previous stage of treatment ? conservative therefore as it is not necessary to resort to surgery while you will not try all agents of conservative treatment.

Under conservative and non surgical methods of treatment of a hyperhidrosis are hygienic care of a body of hyperhidrosis area, consultation of the psychologist, deodorant means, medical products, an ionophoresis, injections of Botox and cosmetic agents which use at blushing-syndrome (with vitamins ?3 and ?5).

Unfortunately, any of the listed methods do not relieve from hyperdrosis once and for all, excluding that case when the person is too critical concerns to yourself and tries to discover a nonexistent problem of hyperdrosis with the consultation in psychotherapist. Among other methods of non surgical treatments are temporary short or long effect deodorants, injections of Botox after half a year this procedure is necessary for repeating.

Among local methods are:

* a liposuction of an axillary zone

* the closed curettage of an axillary zone

* excising of a skin of an axillary zone.

And to any of these methods it is possible to resort without especial fear therefore as the side-effect is not great. The purpose of local methods is to reduce quantity of sweat glands that promotes diaphoresis depression. The operative measure is carried out through small punctures which will not leave subsequently cosmetic defects. 90 % of patients to which operation has been performed similar are completely released from a hyperhidrosis problem and from an unpleasant smell of sweat.

Local methods are considered much safer and the effect remains for ever in most cases. We will talk in more details about local methods:
Curettage. This operation is reduced to a destruction of the smallest nervous terminations of sweat glands. Curettage the most frequent manipulation in struggle against a hyperhidrosis of the axillas, the most popular and both effective. The nasty smell of sweat will disappear also. At curettage are not a lot of complications: a bleeding and a hematoma with which it is possible to consult. The effect from a curettage remains for some years after the lapse of which the hyperhidrosis can renew (as the nervous terminations will grow);

The liposuction is used basically for stout persons, carried out approximately the same as also curettage: As it is known, the diaphoresis is supervised by the vegetative nervous system which part is sympathetic and nervous impulse stimulates a sweat exit: and so a liposuction procedure which will allow to stop action of this impulse. Side-effects are identical with previous method: hemorrhages, hematomas, depression of sensitivity of a skin in an operation zone, a hypodermic clump of a liquid (it is cleaned by a puncture);

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