Hyperhidrosis (Excessive Sweating)

Excessive sweating, also called hyperhidrosis, is a common problem, which is quite disturbing to the sufferer. Those affected complain that they can only wear white or black clothes, and that it is really embarrassing.

Excessive sweating injections work by blocking the communication of sweat glands and the nerves causing their overactivity. The secretion of acetylcholine into the gap between the nerve and sweat gland is required for the glands proper function. Injectable excessive sweating treatments block release of acetylcholine from the nerve terminals, preventing communication between the nerve and sweat gland.

This is done by mapping out areas of problematic sweat glands during your consultation. Occasionally, we may decide to perform a starch-iodine test to clearly identify areas of particular concern.
Injections are performed under topical local anaesthetic to ensure comfort of the procedure.

There are a couple of options for dosage for excessive sweating. A larger dose may be used, which costs about $990 or a smaller dose may be used (cost approx. $680) the difference will be the longevity that is obtained. Medicare under item no 18362 which may allow one to claim $185 for a total out of pocket cost.

Sweat gland blocking injections to areas of problematic excessive sweating take as little as 30 minutes and will leave you feeling dry and confident. Treatments last for 8-18 months

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Procedure Information

How are anti-wrinkle injections performed?
  • An initial consultation with our practice nurse is conducted to discuss and prioritise your facial concerns. During the consultation, specifically looking at a holistic ageing process, possible benefits and likely treatment outcomes. A full medical history is taken to determine your suitable to have possible treatments. Some patients may have underlying conditions that will contraindicate anti wrinkle injections, in which case other alternatives may be suggested.
  • The injections are performed by our practice nurse, under the supervision of Dr Aggarwal.
  • Most injections are performed the same day except in patients:
    • Who are taking blood thinning medications, or other over the counter agents that thin the blood.
    • Who have an infection, cold sores, or other wounds at or near the site of potential injection.
    • Who have other contraindications such as a neurological or muscular disorder, have had a previous allergic reaction to injections, may need extra consideration as to the suitability of treatment.
  • The injections are performed in our procedure room, at our main Gordon practice.
    • After an initial consultation and assessment by our practice nurse, a treatment plan is made.
    • Clinical photographs are taken before to look at muscle strength, wrinkles and skin quality.
    • o The injections are conducted in our procedure room in absolute privacy – for your comfort they are conducted using an ultra-fine needle and syringe.
  • After treatment, you can return to work immediately. Some bruising and discomfort may occur during injection, and you are best to apply an ice pack to the area to reduce this post-treatment. It is important not to massage the area after treatment as this spreads the product to other muscles that may not have been intended to be blocked by treatment.You will be given aftercare guidelines and how to care for your newly injected area.
How much time does it take?
  • The initial consultation and injections take approximately 1 hour.
How quickly will I notice the effects?
  • Effects begin after 2-3 days and can take up to 3weeks for full effect. They last 3 to 4 months. The duration depends on location of the injections, the muscles being targeted,   and the patient’s overall metabolism, as well as if maintenance dosing is given – we recommend that patients are regularly reviewed and a top up dose applied to restore effects.
  • In general we will ask patients to return at the 2 week mark, to evaluate the effects, and it is typical for dosing to be added at this stage to produce desired results, rather than a large dose at the first sitting.
  • Thereafter we suggest a return to clinic at 3 – 4 month mark for assessment  and retreatment.
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Hyperhidrosis

Procedure information
  • In hyperhidrosis (excessive sweating), these injections block the nerves that supply the sweat glands.
  • The injection is placed within the dermis of the skin and is very effective for areas such as the armpits, palms, and soles of the feet.
  • The average length of treatment duration is 7 months.
  • Injections of the armpit can be performed in the clinic (with anaesthetic cream), however a general anaesthetic is required as a day only procedure if the injection is for hyperhidrosis of the hands or feet.
  • A starch iodine test may be conducted prior to injection to exactly determine the area of sweating that needs to be treated.
Prodcedure cost

This depends on the total number of units

  • The standard fee for axillary (armpit) hyperhidrosis is $992(for standard number of units per armpit) – this is rebatable from Medicare under item no 18362 which may allow one to claim $185 for a total out of pocket cost of $805.
  • Please note that additional units required after the first visit will be charged at our standard rates, and these will not be rebatable from Medicare.
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We pride our practice in personalised, professional and ethical care. We will treat you, how we would wish to be treated if we were in our patients’ shoes. Your safety and satisfaction is our utmost priority – we only provide sedation or general anaesthesia in accredited facilities and after your procedure you will have direct access to our staff to answer any questions or concerns.

Your First Consultation

At your first consultation, Dr Aggarwal will explain a personalised treatment option for your desired results. A comprehensive medical history and examination is followed by discussion of surgery, examination of before and after photographs and trial of implants in the case of breast augmentation. Please remember that a GP referral is now mandatory for both reconstructive and cosmetic plastic surgery appointments.

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We will always be upfront about all costs of surgery including surgical, anaesthetic and hospital fees. Our quotes include all follow up care associated with your planned surgery, and there is never pressure to decide quickly.

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To help achieve your goals, we will tailor treatment options to what you actually need. We will never recommend surgical or non surgical treatments if its not going to achieve what you want. We will always be honest with what you can realistically achieve, and endeavour to deliver beyond our promise.

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