Genius Hyperhidrosis Treatment

RF Microneedle Permanent Sweat Gland Reduction

The Genius hyperhidrosis treatment uses intelligent RF technology to deliver precise energy within the skin. The thermal energy is conducted to the dermis of the skin by insulated microneedles. The ability to control the depth of treatment and the energy delivered enables a customised treatment for your skin type or colour.

hyperhidrosis treatment singapore

Hyperhidrosis, excessive sweating, affects about 3% of the population.

Hyperhidrosis can affect many areas of the body, with the most common being the axilla (underarm). There may be associated hyperhidrosis affecting the face, body, hands and feet.

Axillary hyperhidrosis, is a chronic condition that is characterised by uncontrollable excessive sweating without a recognisable cause.

Hyperhidrosis can range in severity and result in substantial impairment in your quality of life. It may negatively impact work and social relationships, limit leisure activities and affect emotional and mental well being.

Hyperhidrosis Treatment Options

First line treatments for hyperhidrosis include topical antiperspirants, oral medications and ionophoresis. While they may be moderately effective in the short term, they have been shown to be less effective in the long run and are often associated with side effects. Topical antiperspirants (e.g. aluminium chloride, aluminium chloride hexahydrate) is more beneficial for milder forms of hyperhidrosis and may cause skin irritation when used for prolonged periods. On the other hand, oral anti-cholinergic drugs can cause blurred vision, hypotension, constipation and urinary retention in some individuals.

Injectable Botulinum toxin therapy is clinically effective at treating axillary hyperhidrosis. Treatments are repeated every 6 to 7 months, however the downside is that it’s a costly treatment (about $1500 per treatment).

Energy-based treatments include lasers, microwave thermolysis, ultrasound and most recently Microneedle radiofrequency treatment. These devices work primarily causing the destruction of the sweat gland in the dermis by transmitting heat energy within the skin. These treatments provide long term efficacy with minimal side effects.

Surgical management is undertaken when all conventional measures have failed. Surgical approaches include excision, curettage, liposuction and thoracoscopic symphathetic surgery. However, these invasive procedures are associated with more serious risks.

How Genuis Hyperhidrosis Treatment Works?

The axillary eccrine sweat glands can be found in the lower dermis and/or upper subcutaneous layer. According to histology, the axillary eccrine sweat glands are located at about 3.5mm from the skin surface.

The Genius system having a needle depth of up to 3.5mm will be able to deliver thermal energy precisely to the hypodermis to ablate these eccrine sweat gland. The heat energy is delivered via an insulated needle which ensures that excessive heat is not transmitted to upper layers of the skin. Moreover, the real-time feedback information of energy delivered assures that the correct energy is being delivered according to your skin type and tissue resistance. (These crucial differences makes it safer to treat in all skin types and colour).

Genius Hyperhidrosis Benefits

The Genius RF system is the only system to date to measure energy delivery feedback in real time. It constantly fine tunes and makes adjustment that is individualised to your unique skin resistance and resistance with every pulse.

  • Precise energy delivery with every pulse
  • Intelligent feedback system so you are not over-treated or under-treated.
  • Treatments are optimised for age, skin type, skin thickness, anatomical area and other variables.
  • Safe in all skin types or colour
  • Able to reach depths of 3.5mm
  • Excellent comfort, recovery and safety profile

A numbing cream is applied prior to your treatment to optimise your comfort. Most individuals are able to tolerate the treatment well and report only minimal discomfort.

There will be some redness and mild swelling that will resolve within 2-3 days. Some individuals may experience mild itchiness that is transitory.

Most individuals will be able to notice a difference within 2 weeks of the procedure. The majority of patients notice more than 50% reduction in sweating, an improvement in the hyperhidrosis disease severity scale and a positive impact on quality of life.

Genius delivers thermal energy to the hypodermis to non-specifically ablate the sweat glands. This means that there will not be total destruction of your sweat glands. Once the sweat glands are destroyed, they do not grow back. Expect an improvement in the amount of sweating rather than a total cessation of sweating.

Most individuals would need at least 2-3 treatments to see a significant improvement. As there will be variation in the density of your sweat glands, skin thickness and your response to treatment that is unique to your condition, multiple treatments may be required.

Dr Moses Ng dermatologist

Axillary hyperhidrosis is a chronic skin condition that not only causes social embarassment but limits leisure activities and can affect your quality of life. The Genius treatment is safe in all skin types and offers long term results. An individualized approach of management is necessary for optimal outcomes.

Dr Moses Ng

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References:
  1. Arora, GKassir, MPatil, A, et al. Treatment of Axillary hyperhidrosisJ Cosmet Dermatol20222162– 70https://doi.org/10.1111/jocd.14378
  2. Doolittle J, Walker P, Mills T, Thurston J. Hyperhidrosis: an update on prevalence and severity in the United States. Archives of dermatological research. 2016 Dec;308(10):743-9.
  3. Abtahi-Naeini BNaeini FFSaffaei A, et al. Treatment of primary axillary hyperhidrosis by fractional microneedle radiofrequency: is it still effective after long-term follow-up? Indian J Dermatol2016;61:234.
  4. Jung JM, Na HM, Kim JH, Yoon J, Yang HJ, Lee WJ, Chang SE, Lee MW, Won CH. The efficacy and safety of a fractional microneedle radiofrequency device for the treatment of axillary hyperhidrosis: clinical prospective pilot study. Lasers in Medical Science. 2022 Apr;37(3):1559-66.