What is Hyperhidrosis (Excessive Sweating)?

Hyperhidrosis is the condition that results in excessive sweating in either a specific area (focal hyperhidrosis) or in the whole body (generalized hyperhidrosis).

This tends to begin during adolescence with the most commonly affected areas being the palms, feet, and armpits. Though this is not a life-threatening condition, it can be socially detrimental for those growing up to those working in a professional environment.

At ICTS, we focus on axillary hyperhidrosis (sweaty underarms) and palmar hyperhidrosis (sweaty palms). We have specialists who perform hyperhidrosis surgery in Singapore to control sweating in your body parts.

Symptoms of Hyperhidrosis

This condition usually manifests in sweaty palms, armpits and feet. It may also be generalised throughout the whole body. This is usually experienced in the day when patients face stressful situations such as interviews and examinations but not at night when they are sleeping.


Dr Aneez will review the medical history and present symptoms of the patients. This can be coupled with blood tests to rule out any other health conditions with similar symptoms such as hyperthyroidism or conditions related to the heart. In rare cases, the sweat glands can be analysed for bacterial infections. At ICTS, we try to minimize hyperhidrosis in our patients through non-surgical treatments like by giving antiperspirants, neurotoxins therapy, or microwave therapy. But in certain cases, therapies and medicines do not really work. There, we recommend hyperhidrosis surgery to our patients. Dr Aneez is highly experienced in performing sweaty palms operation (Hyperhidrosis surgery) in the patients who are suffering from palmar hyperhidrosis.


Hyperhidrosis Surgery

This procedure is known as sympathectomy and is a permanent solution to the problem. It involves severing the nerve endings to the sweat glands. This stops the nervous message to the sweat glands to produce sweat.
Dr Aneez has run a dedicated surgical clinic for sympathectomy for the last 15 years. Here at ICTS, the procedure is done through tiny incisions of 3 mm each on both sides and the patient goes home the same day evening. The procedure lasts about an hour which is done under general anaesthesia. The patient can go back to work in a couple of days after rest.
Before hyperhidrosis surgery (sweaty palms operation), the patient will have a detailed discussion with the surgeon about the procedure and the caveat that come with it. It is a permanent solution and there is no going back. Advice about compensatory hyperhidrosis will be talked about where the patient can sweat in the other parts of the body for example or the nape of the neck and the back of the thighs till the body thermostat is adjusted. Usually, the patients get back to normal after 3 to 6 months.


These come in the form of off-the-shelf medication. It can be prescription and non-prescription based to offer temporary relief to the symptoms. This can be done in conjunction with topically applied creams.

Neurotoxins Therapy

This therapy involves the injection of neurotoxins into the sweat glands to offer temporary relief for a period of up to 6 months.
This works by blocking the nerves from triggering sweat production in sweat glands.

Microwave Therapy

This therapy entails directing high energy waves at the sweat glands thereby effectively destroying it. This decreases the number of active sweat glands in the affected area.

Frequently Asked Questions

What is the cost of consultation?

The consultation fee ranges from SGD 100 to 200.

 Would the surgery fix both palm and feet sweating or are they separate surgeries?

We do not perform surgeries for sweating of the feet as it involves a complicated surgery in the abdominal area, and it carries a much higher risk.

What is the cost of surgery?

The overall cost of the surgery will be approximately SGD 10,000 - 12,000.

Is the surgery Medisave claimable?

The surgery cost is not Medisave claimable at this point, but we are working with agencies to ensure that this can be made available. However, the surgical fee is claimable by some private insurance packages.

What are the chances of compensatory sweating?

Compensatory sweating usually goes away after 3 to 6 months. However, 1 to 2% of the cases will experience it for a longer period. Still, it is only problematic in very rare cases. This will be discussed in detail during your consultation.

 Will sweating return to palms/feet after surgery if the nerves grow back?

Cervical sympathectomy is a permanent solution to hyperhidrosis. The nerves do not grow back as they are cut across using electrocautery. 

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