The Objectives 

Sweat is produced by skin appendages (eccrine and apocrine glands); its secretion is controlled by the sympathetic nervous system and regulated by the hypothalamus. Sweating is the normal response to increases in body temperature (heat, physical exercise, fever) and emotion.

There are several different types of hyperhidrosis: Primary or Essential (cause unknown) which differ from secondary hyperhidrosis which is caused by diseases.

Most types of hyperhidrosis located on the armpits, hands or feet are of the Essential type.

In the case of generalized hyperhidrosis or when it is localized in an unusual area, these phenomena require medical assessment to identify the cause(s) especially if excessive sweating has appeared recently.

Excessive Sweating Treatments

Ultherapy Prime® with its micro-focused ultrasounds penetrate deeply into the sweat glands located in the armpits, triggering a powerful thermal effect, followed by their retraction and elimination.  All the glands can be radically destroyed, provoking a reduction of sweating in the days following the session. Ultherapy Prime® results last about 2 years. 

MiraDry® is the latest, cutting-edge medical device to be approved by the FDA, which utilizes microwave energy to safely destroy sweat glands situated in the armpits, significantly reducing sweating and unpleasant odors and hair growth. 

Combo Treatments: Underarm Laser Hair Removal 

Permanent laser hair removal, after an Ultherapy Prime® underarm excessive sweating treatment, optimizes sweat reduction results. It is a safe and effective treatment, which has been used for many years now and which almost completely removes terminal hairs. Effective for all types of hair (except fine hair, white, and red hair), on all skin types.

Why Do We Sweat?

Sweating is a natural phenomenon which helps regulate body temperature and maintain it at 37°C.

Sweating is a physiological reaction triggered by excessive heat, physical exercise, and during menopause.


The body stocks about 4 million sweat glands which produce the transparent liquid we refer to as sweat. 

There are 2 types of sweat glands:

Eccrine glands produce odorless and abundant sweat which is essentially composed of water.

They are spread all over the body and are more abundant on the palms of the hands, the soles of the feet, the forehead, and the armpits.

These glands, activated by heat, play an important role in thermoregulation. When the outside temperature is superior to 37°C, the heat of vaporization that occurs when sweat evaporates from the skin surface helps to control body temperature.

The apocrine glands produce sweat with a strong odor. They are mainly located at the armpit level, pubis, genital and mammary regions. They are controlled by hormones and are thus only activated during puberty. 

This apocrine sweat is less abundant and can become smelly due to the naturally present bacteria on the skin’s surface. 

The glands are triggered by emotions and stress. In men, apocrine sweat can create a specific scent or "odor signature" that is unique to everyone. As people age these glands shrink leading to a decrease in sweating.

Sweat secretion is variable and can, according to the circumstances, go from 1,3 liters per day when inactive to 10 liters per day under extreme conditions. 

Beyond thermoregulation, sweat equally plays other minor roles in the body: it helps maintain skin hydration and eliminates certain waste and toxins.

Finally, the constant secretion at the palmoplantar level plays a role in improving physical activities like gripping objects and by preventing the risk of slipping while walking and running.

Doctor COZANET will help you determine the right treatment options to suit your needs and expectations.

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