Your sweat gland suction (suction curettage) in Sindelfingen

Before your treatment, you should shave the area to be treated (usually the armpits) thoroughly. To avoid inflammation or infection, shaving should take place 1–2 days before the treatment.

As before any procedure, a detailed consultation and surgical briefing take place beforehand. Once you have decided on the procedure, you will be prepared accordingly on the day of surgery. After thorough cleansing and sterile draping, a special fluid (tumescent solution) is injected, which, through local anesthesia and loosening of the tissue, makes the subsequent suction of the sweat glands from the underside of the skin and the subcutaneous fatty tissue much easier and greatly reduces potential risks. The sweat glands are then specifically suctioned off or removed with a special cannula and curette, excess fluid is massaged out of the small wound opening and the armpits are then given a sterile, padded dressing.

For one week, you should not apply deodorants or other irritating substances to the surgical area in order to reduce the risk of inflammation. A few days afterwards, I recommend applying Bepanthen wound and healing ointment to care for the mechanically irritated skin. After one week, you should gently massage the treated region (armpits) to prevent potential adhesions/scarring and thus permanent irritation, for example from scarring.

Depending on the initial findings, well over 95% of the sweat glands can be permanently removed in one surgical session, which drastically reduces sweat production. In rare cases, some regeneration of individual sweat glands can be observed, which is why a small amount of sweating may remain and a second surgical session is required in rare cases. Another, usually desired effect is a significant reduction in hair growth in the armpits, as a large proportion of the hair roots are also removed during suction due to their location in the subcutaneous tissue.

After the procedure, you can go home after a short observation and recovery phase. To prevent the accumulation of wound fluid, we apply a pressure bandage after the treatment, which must be worn until the next day. You should avoid major exertion and sports for a week. Depending on your symptoms and occupation, you can return to work after just 1–2 days, but you should pay attention to consistent wound hygiene to prevent inflammation or infection in the early phase. After removing the bandage, I recommend applying a care cream such as Bepanthen to the armpit region and gently massaging the tissue, which prevents potential adhesions from internal scarring.

The human body has several million sweat glands, which is why treating the comparatively small armpit region only accounts for a fraction of the human body's potential sweat production. The secretion of sweat, which is essential for regulating body temperature, is therefore not affected or restricted to any relevant extent by the procedure. “Compensatory sweating” in other parts of the body is not observed.

In experienced hands, the procedure has comparatively very few complications; nevertheless, as with any surgical intervention, there are certain risks such as possible inflammation or infection of the treated region, temporary redness, swelling, hypersensitivity or numbness, or muscle soreness. Temporary skin irritation or indentations may also occur, but these can be treated quickly with tissue massage and care. Bleeding is extremely rare thanks to the gentle tumescent procedure.

The costs are determined individually depending on the size of the treatment area and thus the expected surgical effort. In a personal consultation and thorough examination, you will receive a binding statement on the treatment costs. If, for example, you want sedation (twilight sleep) or general anesthesia, the costs are correspondingly higher due to the necessary care by an anesthesiologist. On average, the costs are between €2,000 and €2,500.