Surgical Treatment Of Axillary Hyperhidrosis | The Sweat Miracle

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surgical treatment of axillary hyperhidrosis

Sweating too much? – Associates in Plastic Surgery

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Hyperhidrosis – Botox for Armpits | bostonbeautyblog

Botox isn’t just used to make you look pretty. It is approved in over 85 countries for over 25 different clinical indications. In the U.S. it is also approved for migraine headaches, cervical dystonia, blepharospasm, strabismus, increased muscle stiffness in elbow, wrist, and finger muscles in adults with upper limb spasticity and symptoms of severe primary axillary hyperhidrosis.

Hyperhidrosis

Hyperhidrosis is a condition characterized by excessive sweating, where patient’s sweat up to 5 times more than a normal person. It can be generalized to the whole body (usually secondary to another condition) or localized to a specific area, most commonly the hands, feet and armpits (where there are relatively high concentrations of sweat glands). Although the cause of localized hyperhidrosis is unknown, it is contributed to an over-activity of the sympathetic nervous system. If you have this condition and you get nervous or excited, you’re nervous system is going to cause you to sweat even more.

Severe Primary Axillary Hyperhidrosis

Severe underarm sweating may be exacerbated by stress, emotion or exercise, but often occurs spontaneously. Botox injections were approved as treatment in this area by the FDA in 2004. The effects of treatment are temporary, lasting approximately 6 months. The treatment is used as a last resort when topical medications are not effective. It takes a lot of Botox to treat this area, about 50 units in each armpit, which costs approximately $1,000 -$1,500 depending where you go.

Although Botox is not approved for hyperhidrosis of other areas, that doesn’t mean it won’t work in that area. It is just considered an off-label use. A lot of bartenders Botox the palms of their hands so they don’t sweat. Personally, I’m considering Botoxing my feet. My roommate has several times given me some sort of foot deodorizer as a gift… and she constantly complains about my gym sneakers. I’ve also been known to track foot powder through her living room… and Dr. Russo’s office. Yea… I guess my sweaty feet are a problem.

The Injection Process

The armpit, as most of us can attest to, is a VERY sensitive area. Numbing cream should be applied about 20-30 minutes prior to injections.

Sometimes you can see the sweat glands, it’s usually marked by the hair follicle, but this particular patient had previously had laser hair removal. So I used a powder to help me see where the sweat gland was. As you can see, several rows are injected. A very small amount of product is deposited into the sweat gland at each injection site. The whole process is very fast once it is started; it takes about 10 minutes to do each underarm.

 

Happy Summer Everyone! Remember you’re awesome hat and SPF!!!

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What is Excessive Sweating and How Treat That ? – eHow Blog

Excessive Sweating

What is excessive sweating?
In medical terms “hyperhidrosis”, is a chronic disorder that involves sweating excessive production of sweat in the sweat glands of the body. It usually appears in early childhood and often lasts the rest of life. It is a benign condition of unknown origin and appears to be a genetic basis for their development.

How does it manifest?
This disorder can affect one in every 100-200 people and is characterized by an increase in sweat production, depending on the situation, sweating can range from minimal to other really disabling for family or work life, and associated with psychiatric disorders including type of neurosis, social phobia or anxiety .

It is often triggered by stressful stimuli, often an emotional and, more rarely, by heat, exercise or food.

It can be basically of two types depending on their location:

Is a symmetric and in half of the cases affects the hands and the arms together (less frequently affects only hands or arms).

The way that affects the hands is what causes more problems from the social point of view, and that often leads the patient to the doctor’s office. Severe forms can be a real problem in people who have an active social life, as politicians, representatives, employees, public relations, etc.., Or use their hands to work, as painters, designers, architects, artists, etc.. Some of these people become withdrawn, avoid shaking hands, and if they do, previously usually wipe it quickly with a handkerchief or clothing, as it is completely drenched in sweat.In many cases, the imminence of having to hand merely emperorar the situation, generating even more sweating.

The ways that affect the soles of the feet can cause local infections, skin maceration and blistering that stain your socks and shoes, as well as give off an unpleasant odor.

The moisture causes axillary form, stained and fabric damage and odor.

– perspiration affects the entire body, or
– is localized in certain areas of the body, typically in the palms of the hands, soles of the feet, armpits and head and face.

Causes
In the general form, ie, it affects the whole body, various processes have been involved as pregnancy, obesity , the menopause and anxiety, diseases such as hyperthyroidism or excessive production of thyroid hormones, or neurological diseases Some tumors, certain skin diseases, and toxins such as alcohol, .

Medical treatment
For many years various topical preparations have been used, ie, applied to the skin that showed excessive sweating. However, such treatments have had limited success or temporarily, so that patients, dejected, the abandoned, and many of these treatments have failed to eliminate the excessive production of sweat.

Has also been used a technique called iontophoresis or iontophoresis, which involves the mobilization of the sodium ions from an aqueous solution by an electric current which enters the sweat glands and their temporary rest originates through a mechanism not well known. It takes 3 to 6 weekly sessions and the results are dependent on dosage and time limited, so that in severe patients discouraged and stop treatment.

In recent years it has introduced a new medical treatment combining the use of botulinum toxin type A that has proven to be a safe and effective treatment for primary axillary hyperhidrosis for the hands, with high levels of patient satisfaction . The technique involves the subcutaneous injection of the toxin in the area corresponding hyperhidrosis, causing a blockage of the nerve endings responsible for the sweat glands.Effects, ie, reduction in perspiration starting to emerge between 2 and 4 days and the symptoms subside within a week, but unfortunately can recur after about three months in the case of the hands and up to 8 months after in axillary hyperhidrosis.

Surgical Treatment
Surgical treatment is indicated in severe forms of the palms of the hands or those affecting palms and armpits together, and which affects the face and head.  Consists in performing a surgical technique called video-assisted bilateral thoracic sympathectomy, which has revolutionized the treatment of this difficult and annoying disorder.

This technique is described as minimal access surgery and is in practice a few small incisions in the chest through which is inserted a tube with a light and a video camera system that magnifies images and sectioned and selectively removed lymph nodes of the sympathetic chain for the area of ​​excessive sweating.

The technique is very effective, safe and long-term results are satisfactory.The main side effect is called redistribution of perspiration in the entire body (face, trunk and limbs) that occurs in half the cases. This compensatory excessive sweating is totally unpredictable, appears in the first 6 months after surgery and may disappear spontaneously or persist indefinitely.

Pertusa Salvador Martinez , Family Physician. Health Center Cape Huertas (Alicante)

Palmoplantar Hyperhidrosis Treatments | The Sweat Miracle

  • ANSWER:
    What is hyperhidrosis?
    Hyperhidrosis, or excessive sweating, is a common disorder which produces a lot of unhappiness. An estimated 2-3% of Americans suffer from excessive sweating of the underarms (axillary hyperhidrosis) or of the palms and soles of the feet (palmoplantar hyperhidrosis). Underarm problems tend to start in late adolescence, while palm and sole sweating often begins earlier, around the age 13 (on the average). Untreated, these problems may continue throughout life.
    Sweating is embarrassing, it stains clothes, ruins romance, and complicates business and social interactions. Severe cases can have serious practical consequences as well, making it hard for people who suffer from it to hold a pen, grip a car steering wheel, or shake hands.
    What is the cause of hyperhidrosis?
    Although neurologic, metabolic, and other systemic diseases can sometimes cause excessive sweating, most cases occur in people who are otherwise healthy. Heat and emotions may trigger hyperhidrosis in some, but many who suffer from hyperhidrosis sweat nearly all the time, regardless of their mood or the weather.

    Other causes:
    Alcohol
    Caffeine
    Cancer
    Certain medicines, including thyroid hormone, morphine, drugs to reduce fevers, and medicines to treat mental disorders
    Emotional or stressful situations (anxiety)
    Exercise
    Fever
    Infection
    Low blood sugar
    Menopause
    Overactive thyroid gland
    Spicy foods (known as “gustatory sweating”)
    Warm temperatures
    Withdrawal from alcohol or narcotic pain killers

    What is the treatment for hyperhidrosis?
    Through a systematic evaluation of causes and triggers of excessive sweating, followed by a judicious, stepwise approach to treatment, many people with this annoying disorder can achieve good results and improved quality of life.
    The approach to treating hyperhidrosis generally proceeds as follows:
    Over-the-counter antiperspirants — usually tried first because they are readily available. Antiperspirants containing aluminum chloride (for example, Certain-Dri) may be more effective when other antiperspirants have failed
    Prescription strength antiperspirants — those containing aluminum chloride hexahydrate
    Iontophoresis — a device which passes direct electricity through the skin using tap water
    Oral medications — ones called anticholinergics which reduce sweating
    Botox (botulinum toxin) — recently approved in the U.S. by the FDA for treating excessive axillary (underarm) sweating
    Surgery — cervical sympathectomy, as a last resort

    Aluminum chloride hexahydrate
    When regular antiperspirants fail, as they often do, to remedy hyperhidrosis most doctors start by recommending aluminum chloride hexahydrate (Drysol), a prescription-strength version of aluminum chloride. It is applied just before bedtime seven to 10 nights in a row, then roughly once a week thereafter to maintain improvement. This treatment works reasonably well for many patients whose problem is excessive underarm sweating, but is not satisfactory for most of those with palm and sole sweating.
    The main side effect with Drysol is irritation, which can sometimes, but not always, be overcome by reducing the frequency of use or applying antiinflammatory medications such as lotions containing hydrocortisone.
    Iontophoresis
    Iontophoresis was introduced over 50 years ago as a treatment for excessive sweating. Its exact mechanism of action is still unclear. The procedure uses water to conduct an electric current to the skin which combats production of sweat. Current is applied typically for 10-20 minutes per session, initially with two to three sessions per week followed by a maintenance program of treatments at one- to three-week intervals, depending upon the patient’s response. Iontophoresis treatments sound potentially painful but, in fact, they are not.
    Patients purchase devices for this treatment through a doctor’s prescription. Medical insurers sometimes cover the cost.
    Oral Medications
    Oral anticholinergic medications such as glycopyrrolate (Robinul) are not commonly used for this condition, because in order to work they often produce side-effects like dry mouth and blurred vision.
    Botox
    Botulinum toxin (Botox), a muscle poison much in the news as a cosmetic treatment for wrinkles, has actually been used in many areas of medicine for some time, such as in the treatment of muscle spasms, and certain types of headaches. Its latest medical niche is the treatment of excessive underarm sweating.
    Fifty (50) units of Botox are injected into roughly 20 spots in each armpit. This may produce approximately six months of relief from sweating. The injections are uncomfortable, but use of a very small injection needle makes them tolerable.
    Now that this treatment has received FDA approval, many health insurers are providing coverage for the injections and the Botox itself, which is quite costly.
    Currently, the FDA has not approved Botox for treating sweating of the palms and soles of the feet, though some physicians are administering it as an off-label use, reportedly with success. Palm injections cause more pain, requiring nerve blocks to numb the hands in order to make the injections comfortable.
    Surgery
    Thoracic sympathectomy is surgical interruption of the sympathetic nerves responsible for sweating. Sympathectomy is an operation intended to destroy part of the nerve supply to the sweat glands in the skin. The surgeon inserts a special endoscopic instrument into the chest between two ribs just below the armpit. The lung is briefly deflated to better visualize and destroy the nerves. Sympathectomy is both effective and risky. Even with newer endoscopic techniques, the complications can include excessive sweating in other parts of the body and lung and nerve problems. As many of these complications are serious and not reversible, this option is rarely used, and then only as a last resort.

  • Cure for Sweat: Excessive Underarm Sweating – How to Stop …

    There’s totally no doubt that among the a lot of issues folks face today is perspiration. This is some thing which will put a real dent inside your image wherever you go. This is why they go to wonderful lengths just to avert the scenario. Even so since a great deal of us don’t know the way to quit sweating armpits, we generally like to put on jackets, sweaters and loose dark clothing in a bid to hide the difficulty. Let us examine this issue in higher detail.

    When most of these do not work you’ll have the ability to see a physician who would suggest some medical procedures to follow. 1 of such will be the Botox injections which on the other hand could prove truly pricey. You’ll find also prescription medications and an electrical sweat gland alteration which is medically referred to as iontophoresis.

    In order for all these strategies to work it’s best to take action now and incorporate these into your each day routine which will most likely be tough to start off with but over time will commence to feel natural and soon you might be on your approach to feeling extra confident and boosting your overall well-being which in turn will provide you with the capability to lead the life you would like to lead and be the individual you continually wanted to be. Don’t let sweating hold you back from performing the points you adore! Take pleasure in your life the way you want to. Take action and be the person you’d like to be nowadays.Excessive underarm sweating is downright embarrassing. People who suffer from axillary hyperhidrosis (another term for excessive underarm sweating) are really limited in their movements. They can’t confidently raise their arms, wave to their pals, drive comfortably, or even choose up an object on the ground – with out feeling conscious of other indiv iduals noticing their sweaty armpits mark.

    This is damaging to their self-esteem, particularly when their excessive underarm sweating becomes the laughing stock of the office. As a result, their social life and career could suffer the consequences of this embarrassing perspiration dilemma.

    Excessive underarm sweating generally occurs during puberty. A lot of people think that the hot weather is the major cause of sweaty armpits, but there are actually other reasons when you see your underarms perspiring in a perfectly cool environment.

    If you frequently feel anxious, nervous, or uncomfortable inside the corporation of specific men and women, this could be a reason for extreme underarm perspiration. Such scenario is more embarrassing, because individuals will think you’re abnormally sweaty (and may well have body odor) if you’re perspiring excessively whilst everyone else is dry and comfy.

    Should you typically feel anxious, nervous, or uncomfortable in the business of certain people, this may be a reason for extreme underarm perspiration. Such scenario is extra embarrassing, due to the fact persons will believe you’re abnormally sweaty (and might have body odor) if you’re perspiring excessively whilst everyone else is dry and comfy.

    With this kind of situation I had expertise when suffering from excessive sweating, I try making use of every type of antiperspirant sold in the market. But the results only lasted for 24 hours, I apply it in affected areas and it dry up inside a bit even though then it come back again. I discover that antiperspirant is for mild sweating instances and in the event you are suffering from excessive sweating you can only get short term relief.

    When I went to my physician and consulted my condition he recommends me to attempt Botox injection for the reason that this kind of procedures will be the fastest treatment. But this was completely generating me believe twice because of several reasons that I look at. Firstly, I know the truth that Botox is rather expensive, amounting for thousands of dollars per treatment sessions. Secondly, it was extremely painful and I don’t wish to be test guinea pig wherein injected in different areas of my body. Lastly, I created my research about Botox and I discover that despite the fact that this gives profitable treatment for sufferers, this method doesn’t stop your body from producing sweats, they only dispersed the sweat in other parts of the body.

    What I’m searching for the treatment that gives lengthy term answer, least high priced and least painful. When I had a conversation with my old time colleague who also a sufferer of excessive sweating he guidance me to read the book of Michael Ramsey entitled “Stop Sweating and Begin Living”. He share to me that this book is developed by a former sufferer of excessive sweating and he produced practical and exclusive treatment which can apply at the comfort of your residence. The procedure will only takes 30 seconds a day and will teach you the top cure for this condition.

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    Don?t Sweat It! Using Microwave Technology to Treat Excessive …

    Rolling back the years is what what women pray for The fact is that you can stop the clock . Many people try eyewrinkle creams and the effects vary according to your skin

    Don’t Sweat It! Using Microwave Technology to Treat Excessive Sweating











    New York, New York (PRWEB) April 03, 2013

    Sweating is a natural cooling system, designed by the body’s gland system. But for some, too much sweating will not only interfere with daily routines, but sabotage socializing. One in five adults in the United States is burdened by their underarm sweat. The scientific term for excessive sweating is hyperhidrosis, a medical condition known for causing uncontrollable sweating through sweat glands. Prescription antiperspirants, Botox and surgery have been the most widely used treatments for excessive sweating, but without surgery, no treatments have proven as long-lasting and effective. MiraDry is a non-invasive microwave-based technology for the treatment of hyperhidrosis. The effectiveness of the technology was developed by Miramar Labs in 2006 and has since been FDA-approved in 2011.

    In a clinical study conducted by Dr. Cameron Rokhsar, medical director of New York Cosmetic Skin & Laser Surgery Center, the treatment of underarm sweating with miraDry decreased excessive sweating by over 50 percent after the first treatment, with over 60 percent decrease in odor. After the second treatment, patients reported over 95 percent decrease in the severity of their hyperhidrosis. The study entitled “A Retrospective Analysis of the Treatment of Axillary Hyperhidrosis with Novel Microwave Technology” will be presented at the American Society for Laser Medicine and Surgery annual meeting in Boston this weekend.

    “Sweat glands are non-regenerative, which means miraDry results will last, unlike other treatment options such as antiperspirants and prescriptions that temporarily disable the glands for a limited time,” Dr. Rokhsar says.

    MiraDry emits electromagnetic energy into the underarm treatment area, using a hand piece treated repeatedly into the numbed area. The device vacuums the skin and stabilizes it into place, which brings the sweat glands closer to the surface. The system then administers focused electromagnetic energy through the skin, deep into the region where the sweat glands reside. No incisions are made throughout the process. A cooling system is simultaneously released to protect the skin and help keep the heat energy at the same temperature as the sweat glands. The heat ultimately ablates the glands that cause the excessive sweating.

    Destroying sweat glands does not mean the body will struggle or lose its ability to cool itself down because underarm sweat glands account for only two percent of the body’s sweat glands. Excessive sweating occurs when overactive sweat glands produce more sweat than is necessary to cool the body. Sweating is a natural and necessary bodily function used to cool off and get rid of excess heat from working muscles and warm temperatures. In fact, the human body has over four million sweat glands, which can be found virtually anywhere on the body except the lips.

    There are two different kinds of sweat glands. The most common sweat gland is the eccrine glands, which cover most of the body, but are concentrated in the hands, feet and forehead and secrete clear, odorless sweat glands controlled by the hypothalamus. These glands are primarily activated by emotional stimuli and stressors that increase the body’s temperature. When the body’s thermoregulation system fails to proportionately excrete and distribute sweat for cooling, many suffer from stained clothes and complications in social and professional interactions. The apocrine gland develops during puberty and is triggered by a secretion of adrenaline, controlled by the adrenal medulla. Apocrine sweat is composed of protein and carbohydrates, which has been known to cause odor because it can come into contact with healthy bacteria on the skin.

    Neurologic, metabolic and other systemic diseases can sometimes cause hyperhidrosis, but it has been known to affect those who are otherwise healthy. Those that do suffer may trigger the excessive sweating through physical exertion or emotional distress, but many sweat around the clock, regardless of exercise or anxiety.

    MiraDry is currently FDA-approved for treating axillary sweat glands, the glands located in the underarm. The underarm doesn’t actually have a larger quantity of sweat glands, like most people think. It’s the infrequency of exposure to fresh air that causes a buildup of sweat and consequently odor. However, for those that not only suffer from axillary hyperhidrosis, but excessive sweating in the feet and hands, there is another non-invasive option.

    Botox injections are most commonly known for treating facial wrinkles, but have also proven to be successful in blocking the chemical involved in sending contraction signals to the muscles that lead to sweating. Besides surgery, miraDry and Botox are the only two ways to either destroy sweat glands or to disconnect the nerves responsible for excessive sweating. Botox is a purified neurotoxin that simply immobilizes nerves making it a non-permanent solution to excessive sweating. Botox can block the connection for a certain amount of time, depending on where the injections are made. Botox injections can decrease sweating up to five months, when injected into the feet, up to six months when injected into hands, and up to nine months when injected into armpits. This makes miraDry the most effective non-invasive procedure because of its ability to create a permanent solution for someone suffering from the distress of excessive sweating.

    Dr. Cameron K. Rokhsar, M.D., is the leading authority in laser surgery and non-invasive techniques and is the first and most experienced physician in New York and the Tri-State area to offer the miraDry treatment. A graduate of Harvard and New York University, Dr. Rokhsar is a fellowship-trained dermatologist and laser surgeon and extensively published medical author and Professor of Dermatology at Albert Einstein College of Medicine. His offices are located in New York City and Garden City, Long Island.

    For more information please contact: Samantha Olson (212) 285-1110





















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    Other anti aging procedures like Dermabrasion work well for different skin colorations :folks.Some creams are more effective than others.This often depends on how you have treated your skin

    Sanctuary Medical Center Now Offering MiraDry – Watch List News








    Advanced Treatment for Excessive Underarm Sweating Now Available in Ft. Lauderdale

    Ft. Lauderdale, FL (PRWEB) June 10, 2013

    The Sanctuary Medical Center of Ft. Lauderdale, Florida, is pleased to be one of the first centers in South Florida to perform miraDry, an advanced treatment for excessive underarm sweating.

    MiraDry is an exciting new procedure approved by the FDA for the treatment of excessive underarm sweating, a condition known as primary axillary hyperhidrosis. This is a common condition which affects both men and women of all ages. Excessive sweating can be embarrassing and even debilitating, affecting one’s social and professional lives and also limiting clothing options. MiraDry is the latest and most effective treatment for primary axillary hyperhidrosis, providing immediate and dramatic results that last.

    The renowned medical aesthetic center Sanctuary Medical Center is pleased to now offer this exciting new treatment at their Ft. Lauderdale location. Performed in the office setting, treatment with miraDry takes about forty minutes to complete using a local anesthetic for the patient’s comfort. During the treatment, a special hand piece is used which delivers microwave energy to the armpit area, precisely targeting and disabling the underlying sweat glands while simultaneously cooling the surrounding outer layers of skin for maximum comfort and safety. Patients experience little to no downtime and immediate results with an average 82% reduction in underarm sweat. For optimal results, a series of two treatments performed at three-month intervals is typically advised.

    The Sanctuary Medical Center of Ft. Lauderdale is the premier destination in South Florida for total body rejuvenation and enhancement. Staffed by renowned plastic surgeons, dermatologist, age management specialists and other medical professionals, SMC offers a full array of surgical and non-surgical cosmetic procedures, including Botox and injectable fillers, anti-aging therapies, body treatments like Cellulaze and CoolSculpting, sclerotherapy, dermatology treatments including acne and skin cancer treatments, laser skin treatments, skin care, plastic surgery and more. To contact Sanctuary Medical Center of Ft. Lauderdale, Florida, call (954) 266-5512 or visit them online at http://www.smacboca.com/fort-lauderdale.html.

    For the original version on PRWeb visit: http://www.prweb.com/releases/prwebMiraDryFtLauderdale/SanctuaryMedical/prweb10806644.htm













    Kevitch & Chung is First Plastic Surgery Practice in PA to Offer …

    Lehigh Valley plastic surgeons now offer lasting solution that can make embarrassing underarm sweat a thing of the past

    VIDEO NEWS RELEASE

    Lehigh Valley, Pa.  – Kevitch & Chung, Aesthetic Surgery Associates, is the first plastic surgery practice in Pennsylvania to offer the FDA-cleared miraDry® procedure, a new treatment that provides a safe and lasting solution for excessive underarm sweat, a debilitating condition also known as primary axillary hyperhidrosis.

    The miraDry® system delivers precisely controlled electromagnetic energy to the area under the arm where the sweat glands reside to heat and eliminate the sweat glands. Since sweat glands do not regenerate, results are lasting. The procedure is noninvasive with little to no downtime, so patients can go about their normal routines after treatment. Unlike other sweating treatments such as Botox® injections or invasive surgical procedures, this technology is safe and effective for permanent sweat reduction. The August 2012 issue of O, the Oprah Magazine, featured miraDry® as a promising permanent solution for excessive underarm sweat.

    The miraDry® Procedure is performed in the plastic surgeons’ office and takes approximately one hour. Two hour-long in-office treatments are required, with a three-month period between treatments. miraDry® carries the added benefit of permanently eliminating underarm hair as a result of the treatments. The procedure is supported by compelling safety and efficacy data from multiple clinical studies with recent clinical data showing 90 percent efficacy and 90 percent patient satisfaction.

    Primary axillary hyperhidrosis is a medical condition in which more underarm sweat is produced than is needed to cool the body. Millions of Americans suffer from excessive underarm sweat, and often suffer silently — ashamed, frustrated and embarrassed because excessive underarm sweat can interfere with many aspects of everyday life. For many, this condition is a constant struggle that causes anxiety at work, embarrassment in relationships and social settings, and avoidance of leisure activities.

    “Excessive underarm sweat can be debilitating and it can have a huge impact on someone’s lifestyle and quality of life,” states Dr. Robert Kevitch. “I often see patients who are looking for more effective options to treat this condition. The miraDry® Procedure eliminates sweat glands in the underarm safely and non-invasively, so people can expect lasting results and stop excessive underarm sweat from interfering with their lives. Prior to having miraDry®, we were limited to other treatment options designed to temporarily disable the sweat glands, or those that involve surgery. Only miraDry® provides a lasting solution with a noninvasive procedure.” Dr. Johhny Chung elaborates, “The procedure is safe and ideal for both men and women struggling with the physical and societal implications of underarm sweating. It’s safe because your skin has numerous locations from which sweat can be emitted for cooling.”

    Patients can visit Kevitch & Chung’s website: asasurgery.com; call 610.437.2378 to schedule a no-obligation consultation; or visit www.miraDry.com to learn more about the procedure.

    Kevitch & Chung, Aesthetic Surgery Associates, is a full-service plastic and cosmetic surgery practice, including a full line of medical spa services. Robert B. Kevitch, M.D., F.A.C.S., and Johnny S. Chung, M.D., F.A.C.S., are both Board-Certified Plastic Surgeons, members of the American Society of Plastic Surgeons and Fellows of the American College of Surgeons. Both are active staff members at Lehigh Valley Hospital (Cedar Crest, 17th Street, Muhlenberg), St. Luke’s Hospital (Bethlehem, Allentown, Quakertown), Surgical Specialty Hospital at Coordinated Health, Fairgrounds Surgical Center and Sacred Heart Hospital. Badar Jan, M.D., joined the practice in 2012. Dr. Jan completed his Plastic and Reconstructive Surgery Residency at the University of Texas Health Science Center in Houston prior to joining Kevitch & Chung. There he developed in-depth expertise in a wide variety of plastic and cosmetic surgery procedures. Jan’s specific areas of expert qualifications include microsurgery, hand surgery and the newest types of breast reconstruction