hyperhidrosis treatment blog

We understand deciding to proceed with treatment can be difficult and emotionally challenging

There is a lot of information out there about ETS and MiraDry however not always reliable. In our experience, we have found that some patients have undertaken thorough research and are ready to proceed with treatment whilst others need time to consider all options. Dr Roger Bell, hyperhidrosis specialist and consultant Vascular Surgeon is happy to see patients who are bothered or concerned about hyperhidrosis or facial blushing and discuss the best mode of treatment for their condition.

Over the past 20 years, Dr Bell has seen over a 1000 patients and can well appreciate the impact that facial blushing or hyperhidrosis can have. At North Western Vascular, patients are encouraged to consider which mode of treatment is best for them and only proceed when comfortable with their decision.


North Western Vascular offers MiraDry for the treatment of underarm sweating and/or odour, Endoscopic Thoracic Sympathectomy for the treatment of excessive of the hands or facial blushing as well as Lumbar Sympathectomy to stop sweaty feet.

ETS and Lumbar Sympathectomy

These procedures are undertaken after due consideration of the patient’s symptoms and expected outcome.   In the hands of a skilled surgeon such as Dr Bell these
procedures are straightforward and complications rare. ETS stops hands from sweating and lumbar sympathectomy stops feet sweating so can be a desirable option for people whose lives are adversely affected by sweaty hands or feet.  Similarly, ETS stops facial blushing.


MiraDry is an outstanding treatment for underarm sweating and/or odour and has been performed by our fully accredited MiraDry Practitioner, Megan Scardamaglia on over 320 patients.   Of these patients, approximately 80% have required only one treatment and reported a reduction of approximately 40 to 90%.    Patients with severe hyperhidrosis need to undergo two MiraDry treatments to achieve
optimal results.

It has been mentioned by a few of our patients that another Clinic in Melbourne is suggesting Botulinum toxin injections as first-line treatment and then MiraDry further down the track. This may seem like a reasonable option however at North Western Vascular whilst we have no particular objection to treating underarm sweating with injections this only temporarily disables the sweat glands and requires ongoing treatment to be repeated every three months or so. Whilst this could be of benefit the practice we don’t believe it is in the best interest of the patient. At NWV we therefore recommend and endorse MiraDry as the preferred treatment for axillary hyperhidrosis and/or odour as MiraDry destroys sweat glands which do not regenerate.   This treatment gained
FDA approval (USA) in 2011 and TGA approval (Australia) in 2014.

Please contact us for further information on 1800SWEATY.

Anna Pennisi

Practice Manager – North Western Vascular

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