Background: Axillary hyperhidrosis constitutes the serious problem to the affected patients. So far, the employed conservative measures seem to be disappointing, operations with axillary skin excisions, undermining and/or skin reconstruction may cause secondary functional and aesthetic problems, while botulinum A toxin injections need to be repeated frequently. For over 4 years the promising method of subcutaneous suction curretage, performed with use of liposuction equiopment was introducd into our practice.

Aim: The aim of this study was to establish the safety, efficacy and longevity of subdermal (subcorial) suction sweat glands curettage in the treatment of axillary hyperhidrosis. So far, method seemed to be devoided of possible risks and drawbacks.

Materials and methods: 15 patients with hyperhidrosis axillaris were operated with use of lipo-suction tools in the last 4,5 years. The operations were usually performed in tumescent anesthesia. The early phases of healing process was monitored, later patients were evaluated after 1 and 3 months, and during the second to fourth year after operation and/or asked to assess the effects of the operations.

Results: Three female patients had the recurrence of the disease. They were operated once more with good result. After 1 to 4 years after operation all our responders (11 of 15 patients) stated that the disease totally subsided. The following complications during healing process were observed: hematomas, partial skin flap necrosis, the development of the subdermal hardening with temporal surface unevenness.

Conclusions: The suction subdermal curretage seems to be ahead of botulinum A toxin injections in terms of longer lasting effects. It results probably with less complication rates than surgical methods with skin excision and undermining. Nevertheless its not free of risks, like hematoma, skin necrosis, insufficient effect and transient hardening of subdermal tissue.