Tweets From Boston, Day 2

Still at the American Society of Laser Medicine & Surgery conference in Boston, here’s what I picked up on Day 2 last week:


12:43 P.M.- Hyperhidrosis update from ASLMS: defined as sweat production above and beyond normal physiological needs regardless of external temperature.

12:46 P.M.- #Hyperhidrosis predominantly affects underarms, but also can affect hands, feet and face.  Also men and women affected equally.

12:50 P.M.- #Hyperhidrosis diagnosed in 4% of Americans but additional 17% of population bothered by excessive sweating affecting lifestyle.

12:53 P.M.- #Hyperhidrosis almost always starts before age 25 but most commonly starts at puberty.  Most patients have some family history of this prob.

12:58 P.M.- There are topical+oral treatments for #Hyperhidrosis but generally not very effective+most patients don’t like taking pills long term.

1:05 P.M.- Local surgical treatments for #Hyperhidrosis include radical sweating gland resection or underarm liposuction that disrupts sweat glands.

1:07 P.M.- Most radical surgery for #Hyperhidrosis is transthoracic sympathectomy which cuts/clips the sympathetic nerve which stimulates sweat glands.

1:12 P.M.- Most common+effective therapy for #Hyperhidrosis in underarms is injected #Botox with 50 units from 25 injections in each axilla.

1:17 P.M.- When injected into underarms for #Hyperhidrosis, Botox binds to nerve terminals+blocks chemical signals to sweat glands decreasing sweating.

1:21 P.M.- #Botox for #Hyperhidrosis lasts an average of 290 days although many pts esp men have shorter lasting effects.

1:26 P.M.- Major difficulty in using #Botox for #Hyperhidrosis:insurance coverage commonly requiring prior authorization+restricting amounts approved.

1:39 P.M.- No real effective #Hyperhidrosis treatment by lasers although subdermal therapy being studied but more invasive+requires more anesthesia.

1:45 P.M.- Newest technology for #Hyperhidrosis is microwave based which penetrates+heats below skin in subcutaneous fat killing sweat glands.

About Dr. John Burke

John Burke M.D. has practiced medicine for over 25 years, and is the founding partner of MidMaine Internal Medicine. He established Maine Laser Skin Care in 2004 after devoting years to learning the latest in laser and dermatologic technology. Dr. Burke has treated patients from all over the United States. He is one of Maine's busiest practitioners in laser treatments, and in the use of Botox for upper facial lines and excessive sweating.
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