Did you know that your nerves could be to blame for the excessive sweating, or hyperhidrosis, that drenches your clothes and shoes when triggered? Primary hyperhidrosis is a condition that is usually idiopathic, which means it has an unknown cause. What we do know is that patients with overactive sweat glands in underarms, hands, groin, and feet may experience downpours of sweat every once in a while (episodic) or all the time (continuous). Board-certified dermatologist Dr. Reuel Aspacio can assist patients with hyperhidrosis with injections of BOTOX (a neurotoxin) in the affected areas with the goal of blocking the nerve impulses that stimulate sweat production.
While most people sweat in warm weather, during a stressful meeting, or working out, our patients at Summerlin Dermatology with primary hyperhidrosis may gush sweat (even with antiperspirant on) and have to change their clothes. Tasks like giving a simple hug or presenting at work in front of colleagues may be too embarrassing. Dr. Aspacio can provide you with an initial consultation in Las Vegas, NV to see if you qualify for BOTOX treatments to block the nerve activity that triggers the sweat response.
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"Can't say enough great things about Trish and Dr. Aspacio! They are a really great team and Trish is seriously hilarious. They see you timely and can get you in quick for aesthetic/cosmetic. Love Trish's honesty about any skin care regimen questions. Her face is immaculate so I would absolutely take her advice and then some! ;). Really great practice, great customer service and a wonderful experience all around!"- S.C. / Yelp / Oct 02, 2018
"Before beginning this review, I took time to read several of the reviews posted. A very mixed bag of issues and emotions. Well, here is why I gave this group of working professionals a "5 STAR" rating. I was referred to Summerlin Dermatology by my so called medical PCP. I had concern about a mole like growth on my back which appeared to be getting larger. I was concerned it could be cancerous. I received a call from Summerlin Dermatology on 9/26/2018 regarding this referral. It seemed they had a cancellation for that day and asked if this was convenient for me. Yep. Sure was. However, I told the young lady on the phone, Daisy, I didn't want to sit there filling out new patient paperwork. She explained their website with the on-line forms was down at the time and offered to email me the forms to complete before I arrived. She was so upbeat and professional. When I arrived for my appointment (with my completed paperwork) I was greeted by, not one, but two front office staffers, Jose and Desiree. They were professional with a smile. Again, upbeat. I signed in and waited about 10-15 minutes before I was taken into the examining room. During my wait time I had the opportunity to chat with each of these individuals. Very professional, yet not "starchy" if you know what I mean. Real people with a job to do the best they can. I met with Dr. Aspacio and his assistant. I felt at ease with both. I told the doctor why I was there. Doctor Aspacio examined the mole growth. Then asked me for my cell phone. He took a picture of this mole on my back. It was not easy for me to see since it was on my back. He showed me the picture and explained that it was typical of getting older. Such moles are common at "our age". I laughed. He even showed me a couple of areas where he has developed similar moles. He made me feel at ease. I was sooo relieved. I have lived in Las Vegas for 43 years. I am 67 years old with Medicare insurance. If you want to experience REALLY BAD medical treatment just wait until you become a senior and on Medicare! I thank heaven that Summerlin Dermatology was an outside referral and NOT part of my primary care network!! I haven't seen my PCP in 2 years! All I see are PAC's or a Nurse Practitioner! Summerlin Dermatology, in my experience/opinion, is only 1 of 3 local medical facilities with whom I would consider professional, to the point and personable. I would recommend them highly!!!"- L.H. / Yelp / Sep 27, 2018
"Very knowledgeable professional and detailed. The staff is very attentive and the doctor was incredibly informative taking the time to make sure I understood the procedure. When the results came in he recommended a plastic surgeon to do the surgery. I really felt very confident in the diagnosis and appreciated everyone's help."- S.S. / Yelp / Sep 20, 2018
Most of the time, hyperhidrosis has an unknown cause. You can go to your doctor or dermatologist to determine the cause. Regardless, excessive sweating could be caused by a larger problem, such as obesity, heart disease, hyperthyroidism, menopause, a psychological disorder, hypoglycemia, a reaction to a medication, or a combination of medical scenarios. By studying your health history, reviewing your medications, and performing a physical examination, Dr. Aspacio can rule out certain underlying medical causes to your condition and make a recommendation for a referral.
In our experience, every patient presents hyperhidrosis in one or a combination of the five major areas where sweat glands are present: face, underarms, hands, groin, and feet.
When you have hyperhidrosis with facial sweating, you can sit in a room with sweat rolling down your face, soaking your hair, and drenching the collar of your shirt. You may normally experience this type of sweating at the gym when your temperature rises while you are burning calories. It is not, however, normal to sit in an air-conditioned room with beads of sweat for no apparent reason.
Soaking shirt after shirt on a warm afternoon can be very problematic for patients with overactive sweat glands under the arms. Even with clinical-strength antiperspirants, these excessive sweaters can't stop the overflow dripping from their underarms.
With no warning, a patient with hyperhidrosis may have a puddle of sweat in the palms of his or her clammy hands when sweat production is active. Sweaty hands can make shaking hands or holding hands with someone really uncomfortable for all involved.
There are sweat glands within the creases of your inner thigh at the groin. Patients with hyperhidrosis in this area leave their mark everywhere they sit. This can be very embarrassing at the gym or while playing a sport.
Exposure to lots of sweat can not only make your shoes smell foul, it can also ruin a pair of shoes before you have the chance to wear them out. Keep in mind that the odor from sweaty shoes and smelly feet could also be a sign of a different dermatological condition. Dark, damp shoes and socks are a breeding ground for bacteria and fungal infections.
If you’re looking to minimize the symptoms of sweating and restore your self-confidence, Dr. Aspacio may employ topical and oral medications to help decrease your symptoms. He may also suggest injecting a neurotoxin, such as BOTOX, Dysport, or Xeomin, for temporary relief for 4 – 6 months until the next injection with the use of an antiperspirant. The appointment will be quick (less than 45 minutes) and there is no recovery time. If Dr. Aspacio suspects that you have a secondary hyperhidrosis issue, he will refer you to make an appointment with your primary care physician for treatment of a larger issue.
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Don't Sweat It — Call Today
If you are like countless others with hyperhidrosis, you have most likely tried everything to reduce the amount of sweating you experience. Our award-winning dermatologist, Dr. Aspacio, is a certified expert injector by the American Society for Aesthetic Plastic Surgery. Call our office today to schedule an appointment so that Summerlin Dermatology can find the solution that works best for you. We are always accepting new patients.