Treatments

Our Progressive Therapeutic System

At ClinicaSU, excessive sweating is not treated with a single, one-size-fits-all solution. It is understood.

Our pathway always begins with the least invasive option and advances—only when necessary—towards more complex treatments. Every step is guided by the individual clinical response, not by standard protocols.

The therapeutic ladder below is not a price list: it is the map of your potential journey.

001.

Specialist Hyperhidrosis Evaluation

Description:

Before starting any treatment, it is essential to fully understand the underlying causes and mechanisms of your symptoms. For this reason, at ClinicaSU, a specialist evaluation is a crucial step in building a personalized therapeutic plan based on the latest scientific evidence. The initial consultation lasts approximately 45 minutes and features a comprehensive, multidisciplinary protocol.

Goal of the Evaluation:

This approach allows us to view the symptom within the broader context of the patient's overall health, distinguishing between primary and secondary forms, and guiding the therapeutic choice toward the most appropriate solution for each individual case.

Our Evaluation Protocol

  • Clinical and Pharmacological History (Anamnesis): A detailed review of the patient's medical history, past conditions, and current medication profile.
  • Autonomic Nervous System Evaluation: Analysis of the sympathetic nervous system's role and its pathophysiological involvement in the onset of symptoms.
  • Secondary Causes Assessment: Targeted screening to identify potential hormonal, metabolic, or drug-induced etiologies, ensuring an accurate diagnosis.
  • Hydration and Electrolyte Balance Evaluation: Examination of the patient's hydration status and electrolyte balance, both of which are essential components for body homeostasis.
  • Sweat Mapping: A personalized, topographical mapping of the areas affected by sweating, essential for precisely defining the clinical picture.
  • Neurophysiological Insights: Clinical evaluation of the neurological functions involved in sudomotor regulation.
002.

Therapeutic Education: The First Step Toward Controlling Hyperhidrosis

Description:

Therapeutic education is the fundamental cornerstone of hyperhidrosis treatment: identifying the environmental and behavioral factors that amplify sweating is essential to optimizing clinical outcomes and improving the patient's quality of life.

Our Evaluation Protocol

  • Trigger Identification: Analysis of individual triggers
  • Management Strategies: Guidance on diet, stress, and clothing
  • Therapeutic Optimization: Targeted protocols to enhance the efficacy of each treatment
003.

Topical and Systemic Treatments

Description:

Topical and systemic treatments represent the first line of therapy for controlling hyperhidrosis.

Topical treatments: These rely on precision formulations and high-concentration preparations for localized sweat control.

Systemic therapy: This consists of oral pharmacological protocols specifically indicated for diffuse or treatment-resistant forms.

Goal of the Evaluation:

  • To identify the cause of hyperhidrosis and build a truly personalized therapeutic pathway based on the most up-to-date scientific evidence, distinguishing primary forms from secondary ones.
  • To carefully select the ideal therapy based on the localization of symptoms, their intensity, and the specific needs of each individual patient.

Our Evaluation Protocol

Access to these therapeutic protocols at ClinicaSU (Italian Hyperhidrosis Institute) follows the same 45-minute pathway of excellence:

  • Complete Clinical / Pharmacological History: Evaluation of medical history, current therapies, and any associated comorbidities
  • Screening for Secondary Causes: Investigation of potential hormonal, metabolic, or pharmacological causes to ensure an accurate diagnosis
  • Autonomic Nervous System Assessment: Analysis of sympathetic nervous system involvement in sweating
  • Sweat Mapping: Precise topographical mapping of the affected areas to define the clinical profile
  • Hydration and Electrolyte Assessment / Neurophysiological Evaluation: Examination of key components for homeostasis and neurological sudomotor functions
  • Therapeutic Education: Identification of environmental and behavioral factors and triggers that amplify sweating to enhance the efficacy of each treatment
004.

Advanced Medical Iontophoresis

Description:

Iontophoresis is a non-invasive method based on the application of a controlled electrical current, indicated for the management of localized excessive sweating (hands, armpits, and feet). The treatment temporarily reduces the hyperactivity of the sweat glands and excessive electrolyte loss, acting as an effective resource for symptom control.

We use Bindner Medical iontophoresis devices.

ATTENTION!

This therapy cannot be performed on patients with pacemakers or pregnant women.

The Treatment and Our Standards

  • Certified Technology: We exclusively use medical-grade devices that comply with current regulations and are FDA/CE approved, ensuring precision and skin protection.
  • Personalized Protocol: Each session cycle (40 minutes) is structured into an initial attack phase, followed by an individualized maintenance program tailored to the patient's clinical response.
  • Medical Supervision: Although not a permanent procedure, iontophoresis offers excellent results when integrated into a monitored therapeutic pathway, ensuring continuity and long-term efficacy.
005.

Medical-Grade Botulinum Toxin

Description:

At ClinicaSU, medical-grade botulinum toxin represents one of the therapeutic options for the treatment of focal hyperhidrosis. The active ingredient works by temporarily blocking the release of acetylcholine from sympathetic nerve endings, reducing the activation of sweat glands in the treated areas.

Our Protocol:

Each treatment is preceded by a specialist evaluation and a personalized sudomotor mapping, allowing for the definition of the most appropriate protocol based on the patient's clinical characteristics.

Safety and Clinical Considerations:

The effect of botulinum toxin is temporary and reversible, with a duration that varies from patient to patient, averaging 6 months.

Clinical Note: Botulinum toxin represents an effective tool for hyperhidrosis control in selected patients. The goal of our specialized pathway is to identify the solution best suited to the individual patient's clinical needs and expectations, ensuring the best balance between efficacy, comfort, and quality of life.

Key Indications

  • Axillary Hyperhidrosis: Targeted reduction of underarm sweating
  • Scalp Hyperhidrosis
  • Facial Hyperhidrosis: Selective treatment of the affected areas
  • Palmar Hyperhidrosis
  • Plantar Hyperhidrosis: A therapeutic option for carefully selected patients

The treatment is performed using dedicated techniques aimed at maximizing patient comfort and, when indicated, with appropriate local anesthetic support.

Tossina Botulinica
006.

Thermal Treatments MiraDry®

Description:

At ClinicaSU, the treatment of axillary hyperhidrosis and bromhidrosis is part of an advanced clinical pathway that integrates innovative thermal technologies such as miraDry® within a highly selective and personalized medical approach.

The technology is proposed exclusively following a thorough specialist evaluation, aimed at selecting the most suitable patients and defining the most appropriate therapeutic pathway. It represents a non-invasive alternative to surgery, with no impact on physiological thermoregulation.

Our clinical approach

Each pathway is built on an individual basis:

  • Sudomotor Evaluation: In-depth analysis of the clinical picture to define the therapeutic indication
  • Integrated Clinical Decision-making: The ability to direct treatment toward minimally invasive solutions or functional surgery (ETS) in the most complex cases
  • Personalized Protocol: Definition of the number of sessions (1–2) and structured medical follow-up

The procedure

MiraDry® utilizes controlled microwave energy to selectively target the axillary sweat glands.

  • Session: Outpatient procedure, under local anesthesia, 1 hour
  • Recovery: Immediate return to daily activities
  • Standard: FDA-cleared technology applied according to international clinical protocols
MiraDry®
MiraDry®
007.

ETS Endoscopic Thoracic Surgery

Description:

Endoscopic Thoracic Surgery (ETS) represents the gold standard surgical treatment for severe forms of palmar hyperhidrosis when conservative therapies fail to provide adequate symptom control. The procedure selectively modulates the nerve signal responsible for excessive sweating through a minimally invasive thoracoscopic technique.

Goal of the Evaluation:

  • Utmost Prudence and Appropriateness: Always prioritize therapeutic appropriateness over early intervention
  • Rigorous Selection: Ensuring that surgical indication is reserved exclusively for patients who are truly eligible
  • Reduction of Post-Operative Risks: Properly selecting patients to reduce the risk of clinically significant compensatory sweating
  • Preservation of Biological Functions: Treating severe hyperhidrosis while preserving the body's physiological thermoregulation mechanisms

Our Protocol of Excellence

  • Specialist Evaluation: Pre-operative analysis of the clinical picture
  • Investigation of Alternatives: Prioritizing high-precision conservative treatments
  • Functional Analysis: Each patient is guided through a specialist evaluation process that analyzes the functionality of the sympathetic nervous system
  • Risk Management: In-depth counseling on the management of compensatory sweating

385 mln

of the global population lives with hyperhidrosis

50%

never consult a doctor about the problem

27%

do not receive a correct diagnosis
or do not consult the right doctor

88%

report unchanged or worsening symptoms over time
without treatment / with the wrong treatment

  • 1. Why choose ClinicaSU?
    ClinicaSU is the first center in Italy capable of offering all the main therapies for abnormal sweating and hyperhidrosis in a single facility.
    For us, they are not synonyms: we distinguish between the different causes of sweating and build a diagnostic and therapeutic pathway based on scientific evidence, avoiding standardized and superficial approaches. Our goal is to identify the most effective solution for each individual patient.
  • 2. Why do I sweat excessively even without heat or physical exertion?
    Hyperhidrosis is a condition of the autonomic nervous system that causes sweating beyond actual thermoregulation needs. It is not merely a cosmetic issue, but a disruption of neurophysiological regulation that requires a targeted specialist evaluation.
  • 3. How is the most suitable treatment determined for my case?
    The therapeutic choice is not standardized but is based on a comprehensive clinical evaluation that considers the type of hyperhidrosis, the areas involved, severity, and individual response. The pathway always follows a progressive approach, from the least invasive solutions to advanced options, including surgery when necessary.
  • 4. Why is ClinicaSU different from other centers?
    ClinicaSU adopts the Ultra Viola Method, an approach that interprets hyperhidrosis as a disruption of autonomic nervous system regulation and not just as a skin issue. The goal is not to suppress the symptom, but to modulate the neurophysiological response through an integrated pathway that includes conservative therapies, advanced technologies, and functional surgery in selected cases.
  • 5. Do MiraDry® thermal technologies offer permanent results?
    Thermal technologies allow for a significant and often long-lasting reduction in sweating in the treated area and in bromhidrosis (odor). The response is individual and is always evaluated within the context of the entire sudomotor system.
  • 6. When is it necessary to resort to surgery?
    Surgery (endoscopic thoracic sympathectomy) is indicated in cases of severe palmar hyperhidrosis when conservative and minimally invasive treatments are insufficient. The indication is always carefully evaluated against the benefit-risk ratio, particularly regarding potential compensatory sweating.
  • 7. When is it advisable to book a visit?
    It’s time to consult a specialist if:
    - the sweating is excessive relative to the temperature or the activity being performed;
    - it limits work, study, or social life;
    - it causes discomfort or embarrassment in everyday relationships;
    - it has been present for over six months;
    - mainly interested in the face, armpits, hands, and feet.
    A specialist assessment allows you to identify the cause of the sweating and determine the most appropriate treatment plan for your needs, with the aim of improving your quality of life and daily well‑being.
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