Today I presented the results from the first 23 patients who have had LSA at The Whiteley Clinic at the IMCAS meeting in Paris.
20 were for sweating (axillary hyperhidrosis) and 3 for Bromhidrosis.
As those of you who have followed the story of LSA on this blog and http://markwhiteley.blogspot.com/ before that will know, the first 2 patients had the technique as recommended during my training abroad - and I was not happy with the results. The subsequent ones have all had a new modified technique - see previous posts for details.
Unfortunately the second patient withdrew her consent for me to use her photos and refused to come back for follow up - so although I know the results was not as I would have liked, I have been unable to identify if there is anything that can be done. However I have included her in the figures as a poor result - and have always pointed out this was one of the reasons that I changed from the recommended treatment protocol and modified it to my own.
Since that modification, the average decrease in sweating in the 18 patients who have had the modified procedure is 81% by volume at 6 weeks.
I am currently writing up these results for publication with the lessons that I have learned - the few poor results that I have had, and, in those with bad results who I have been able to investigate, how we can get round any problem that I have found.
There is certainly a lot more research to be done to perfect this procedure, but when compared to any other technique available for axillary sweating (hyperhidrosis) it current appears to be one of the best - if not the best - available.
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