title: Comparison of microwave ablation, botulinum toxin injection, and liposuction-curettage in the treatment of axillary hyperhidrosis: A systematic review.
abstract: BACKGROUND
  Primary focal axillary hyperhidrosis is a disorder of excessive sweating that can strongly impact quality of life.
  
  
  OBJECTIVE
  The objective if this study was to compare microwave ablation (MA), botulinum toxin (BT) injection, and liposuction-curettage (LC) in the treatment of primary axillary hyperhidrosis based on subjective and objective criteria.
  
  
  METHODS
  A systematic review of the literature published in French or English between 1 January 1991 and 1 February 2015 was completed using PubMed and Embase databases.
  
  
  RESULTS
  16 of 775 articles were selected based on relevance and criteria of inclusion and exclusion. The three methods proved to be efficient and safe; however, MA and BT had better results when compared to LC in the short term. Both MA and LC showed longer lasting results when compared to BT. However, in the long term, MA was superior to LC.
  
  
  CONCLUSIONS
  MA, LC, and BT injections are safe and efficient minimally invasive alternatives for the treatment of axillary hyperhidrosis. Well-designed randomized controlled trials are needed to further compare the efficacy of these techniques.
authors: a Department of Plastic and Reconstructive Surgery , Hotel Dieu de France University Hospital , Beirut , Lebanon.
authors: Marwan W
authors: MW
authors: Nasr
authors: a Department of Plastic and Reconstructive Surgery , Hotel Dieu de France University Hospital , Beirut , Lebanon.
authors: Samer F
authors: SF
authors: Jabbour
authors: b Department of Dermatology , Hotel Dieu de France University Hospital , Beirut , Lebanon.
authors: Roger N
authors: RN
authors: Haber
authors: b Department of Dermatology , Hotel Dieu de France University Hospital , Beirut , Lebanon.
authors: Elio G
authors: EG
authors: Kechichian
authors: c Department of Obstetrics and Gynecology , Lebanese American University Medical Center , Beirut , Lebanon.
authors: Lena
authors: L
authors: El Hachem
mesh_terms: D055011:Ablation Techniques / Q000009:adverse effects / Q000379:methods; D001365:Axilla; D001905:Botulinum Toxins / Q000008:administration & dosage / Q000009:adverse effects / Q000627:therapeutic use*; D003475:Curettage / Q000009:adverse effects; D006801:Humans; D006945:Hyperhidrosis / Q000628:therapy*; D015552:Injections, Intralesional; D015187:Lipectomy / Q000009:adverse effects; D008872:Microwaves / Q000009:adverse effects / Q000627:therapeutic use*
chemical_list: D001905:Botulinum Toxins
keywords: Botulinum toxin; excessive sweating; hyperhidrosis; liposuction-curettage; microwave