Blog — Notes of a Plastic Surgeon

Welcome to my blog. I am a plastic surgeon in Seattle and have been in private practice since 1991. I've seen more than a few interesting faces and cases through my years spent in the exam room, the operating room and the emergency room. And I have an opinion on just about everything relating to plastic surgery (and a lot of unrelated stuff). If you like my blog, let me know. Thanks for reading! Lisa

Category: Hyperhidrosis

Axillary Sweat Gland Excision: a procedure I am abandoning

May 26th, 2015 — 11:26am

Over the years, I have removed a few procedures from my practice.  This week I am adding removing another one – axillary sweat gland excision.

Miradry has a 90% approval rating by patients.

MiraDry has a 90% approval rating by patients.

I started offering axillary sweat gland excision for excessive underarm sweating about 7 or 8 years ago and have many, many satisfied patients.  But now there is something better than surgery for underarm sweating – MiraDry.  MiraDry is a device that wipes out sweat glands with microwave energy and was approved by the FDA for underarm sweating a few years ago.  It is done as an office procedure with local anesthetic.   While I do not have a Miradry device, I have several patients who have raved about this treatment.  Also, Miradry gets a 90% approval rating on RealSelf by patients who have had the procedure.

So these days, instead of taking patients off to the operating room for a 1.5 hour procedure that requires about a week off of work, I refer them to a clinic that offers MiraDry.  It’s less expensive than surgery, has almost no down time and works in the vast majority of  patients.  To find a doctor who offers MiraDry, go to their web site.   And, no, I don’t get any kickback for this recommendation.

Thanks for reading!  Dr. Lisa Lynn Sowder



Botox flying off the shelf

July 8th, 2011 — 6:44pm

Don’t let that excess sweating ruin your nice summer frock.

Seattle Plastic Surgeon just loves Botox for excessive sweating.

It is finally, maybe, hopefully summer in Seattle and my plastic surgery office is rockin’ with the demand for underarm Botox injections.  Excess sweating (hyperhidrosis) is a fairly common condition and Botox injections are the treatment of choice for cases that are not controlled with prescription strength antiperspirant.

During the cold months, it’s easy to hide those sweaty pits under sweaters and jackets but come summer, it’s not so easy.

Botox treatment is a quick outpatient procedure with no down time.  The injections smart but within a few minutes the sting is gone and within a few days the excess sweat production is gone.  Bring on those lovely  silk and linen summer blouses, ladies.  And for you gentlemen, get those colorful polo shirts out of your closet.  Forget about the navy blue ones.  You won’t “need” them.

The downside of Botox treatment (the only downside in my opinion) is the cost (Botox is really expensive for the doctor and thus the patient) and the need for repeat treatments (about every six to nine months).

Some patients eventually elect to have a procedure where I remove the sweat glands through a couple of small incisions in the axilla but most of my hyperhidrosis patients include their Botox injections when planning their budget.  What Botox cost will save you bundle in clothing and dry cleaning costs and a real bundle in embarrassment.

Let’s do the math.  Underarm Botox:  $1500, lasts 6 months, costs about $8/day.  Dry arm pits:  Priceless.

Thanks for reading!  Dr. Lisa Lynn Sowder

Botox, Hyperhidrosis, Non-invasive, Now That's Cool, Plastic Surgery

Back to top