Hyperhidrosis Laser Ablation Treatment

Do You Suffer from Excessive Underarm Sweating?

Medically, this is called Hyperhidrosis and it can be treated with a new procedure available at Dr. Bloy’s offices in Fort Myers and Naples, Florida.

The first one-time treatment for excessive sweating that has lasting results.

Do you sweat too much? Get your freedom back!

Severe excessive sweating is estimated to affect approximately 7.8 million in the world and more than 4 million in the United States. The condition can be disabling and inhibiting within everyday situations affecting lifestyle and emotional well-being.

Previous treatment options varied from topicals, injections of Botox, and significantly invasive surgical options with considerable recurrence and compensatory sweating.

Precision Tx™ is different. It utilizes a unique and focused delivery of laser energy to target and ablate the function of sweat glands within the axillae (underarms). This revolutionary, minimal invasive procedure is the newest application for the Sidelaze™ side-firing laser by Cynosure®, the makers of SmartLipo™ and Cellulaze™. The design of the laser allows for energy and heat to be directed upward toward the undersurface of the skin, directly at the sweat glands (and hair follicles).

Don’t sweat it

Hyperhidrosis, also known as excessive sweating, affects millions of people around the world. This common concern is not only frustrating, but it can be embarrassing too. Hyperhidrosis is characterized by clammy palms, soles and underarms. If you avoid shaking hands, frequently change your clothing due to underarm sweat or have started avoiding social situations, you might want to seek assistance.

In order to effectively treat hyperhidrosis, the sweat glands need to be targeted, something that can’t be achieved with supplements or topical treatments.

Cynosure’s PrecisionTx laser energy ablates and coagulates soft tissue, including axillary glands under the skin to effectively treat hyperhidrosis. With just one treatment and little to no downtime, you’ll never have to worry about sweating the small stuff. *

The key benefits of the PrecisionTx system, include:

  • 1-2 hour minimally invasive procedure
  • Procedure is safely performed in the comfort of our office
  • Recovery involves only minimal discomfort and almost no downtime
  • More permanency than injectable neurotoxins
  • Effective, long-lasting treatment
  • One treatment delivers long-term results.
  • Remain dry and comfortable all day long without embarrassing underarm sweat
  • Wear your favorite clothes confidently, trusting that they will remain sweat-free
  • The PrecisionTx laser targets and destroys your overactive sweat glands without harming your skin

The procedure

On average, the procedure itself takes about 1-2 hours, but there is some additional time before and after for preparation and for numbing the area. You can expect to be with us for about 2.5 hours total on the day of your procedure.

A PrecisionTx™ treatment involves the insertion of a very small cannula under the skin. Within the cannula is a SideLaze™ laser fiber which directs targeted and precise laser energy towards the sweat glands. The heat from the laser ablates the function of the sweat glands, resulting in dramatically reduced sweating.

The incision sites are very small and are hidden under the arms, so scarring is not a cause for concern. 

This treatment is minimally invasive and usually only 1 session is required to achieve lasting results. Since the sweat glands are destroyed, the results are permanent. Little to no downtime is required. Most patients can return to work the next day.


SideLaze – Precision Tx™ Benefits

Caplin, D. Clinical evaluation and quantitative analysis of axillary Hyperhidrosis treated with a unique targeted laser energy delivery method with 1 year follow up. ASLMS 2013 Poster, 15 patient study. Data on file.


6 months after a single Precision TX™ treatment quantitative calculations reported 78% sweat reduction in right axilla and 96% sweat reduction in the left axilla. After treatment, axillary perspiration could be controlled through a standard over the counter antiperspirant.

Precision Tx™ Sweat Glands Laser Ablation FAQ

What is Hyperhidrosis?

Severe primary axillary hyperhidrosis, commonly known as severe underarm sweating, involves overactive sweat and odor glands. Sweat is your body’s temperature regulator. In severe primary axillary hyperhidrosis, sweating significantly exceeds the body’s normal requirements for cooling.

For those with this condition, it’s a daily struggle to cope with sweating—and most methods are temporary fixes:

  • Change clothes frequently
  • Put absorbent materials under clothing
  • Avoid certain fabrics and styles of clothes
  • Seek medical attention and treatment

While people with severe underarm sweating may try different over the counter or prescription antiperspirants, these products often don’t work well enough for their sweating. Clothes can be a real issue, because the wrong choice can reveal your severe underarm sweating condition rather than hide it. Your wardrobe can be very limited, and you may have to purchase new clothing frequently.

When clinical strength antiperspirants don’t work well enough, a more aggressive treatment option such as PrecisionTx™ may be appropriate for you. For more information about severe underarm sweating, visit the International Hyperhidrosis Society Web site at www.SweatHelp.org.

Does your hyperhidrosis need treatment?

Here are some questions to ask yourself about the severity of your hyperhidrosis:

How many times a day do you have to change clothes?

Do you plan things around your excessive underarm sweating?

Do you carry supplies (change of clothes, antiperspirant, towels, powders, etc) to help you manage the effects of your severe underarm sweating?

Have you been treated with any prescription antiperspirants, powders, or deodorants designed to control severe underarm sweating?

How many hours per day to you spend dealing with your severe underarm sweating?

How often do you think about your excessive underarm sweating?

Is PrecisionTx™ treatment for hyperhidrosis right for me?

The best candidates are women and men who experience debilitating sweating that is not necessarily related to rigorous activity or temperature fluctuations. Your PrecisionTx™ provider can tell you whether this treatment is right for you based on your medical history, symptoms, and lifestyle. These factors will be evaluated during your consultation.

How does the treatment feel?

Because the area is fully anesthetized, no discomfort is experienced during the procedure. You may feel some light pressure during your procedure, but it is just a mild sensation. Following treatment, you may experience some aches in the treatment area, much like after a physical workout. Over the counter acetaminophen or ibuprofen usually alleviates any discomfort. It’s very rare that pain medication will be required following a PrecisionTx™ treatment.

What is the recovery after PrecisionTx™? 

The treatment is minimally invasive and only requires a local anesthesia. You will be awake throughout the entire treatment, but you won’t experience any pain. Some light bruising can occur, but you’ll be able to return to normal activities immediately and can resume exercise and vigorous activities in a few days. 

Most patients choose to take a day off work since there will also be some swelling and mild tenderness. 

What causes excessive sweating? 

There are several reasons why people tend to sweat unnecessarily. Underlying medical conditions such as hormone deficiency, excessive weight, anxiety, diabetes and thyroid concerns can all cause excessive sweating. Certain medications, including those used for depression, can also have this effect. Pregnancy and genetics are also linked to excessive sweating. The good news is that these causes can all be addressed, and the sweating can be treated too.

What are the advantages of Precision TX™ treatment for hyperhidrosis over other treatments for excessive underarm sweating?

Excessive sweating is estimated to affect over 7 million worldwide and more than 4 million in the United States. Excessive sweating can interfere with daily professional and personal life and inhibit those effected in everyday situations, affecting lifestyle and emotional health. 

Other treatment options include topicals, medications with common side effects, frequent injections of Botox, thermal treatments, and more risky traditional surgical options. Many of these options result in recurrence and compensatory sweating. As opposed to traditional surgical methods, Precision TX™ is a minimally invasive, in-office procedure for which only a local anesthetic is required. Typically, only 1 treatment is needed. Since the sweat glands are disabled, it is a long-lasting solution.

How many Precision TX™ treatments for hyperhidrosis are required to achieve the desired results?

Typically, only 1 Precision TX™ treatment is necessary to address the excessive underarm sweating condition*.

Are there any side effects associated with Precision TX™ treatments for hyperhidrosis?

Since this is a minimally invasive surgical procedure, after the treatment there will be some swelling and a little soreness that can last a week or more. Patients are able to return to normal activities almost immediately.

Doesn’t the Body Need These Sweat Glands?

The human body has about 4 million sweat glands.  Hyperhidrosis is the result of over-active sweat glands. In the case of axillary hyperhidrosis, this produces overactive sweat glands in armpits. With only 2% of the millions of sweat glands located in the underarms, deactivating them will have little or no effect on the body’s ability to maintain an optimum temperature.

What are the results?

The results of this treatment are permanent, and patients can expect to feel more comfortable and confident about a week after their treatment. 6 months after a single Precision TX™ treatment quantitative calculations reported 78% sweat reduction in right axilla and 96% sweat reduction in the left axilla. After treatment, axillary perspiration could be controlled through a standard over the counter antiperspirant.

How long do the treatment results last?

Since the sweat glands are disabled, the results are long-lasting and generally permanent.

Will there be scarring?

The incision sites will be very small and are hidden in the skin folds of the underarms. With proper care, any scar should not be visible or be barely visible. Our medical providers will evaluate your skin type, tendency to keloid and pigment, and provide information on scar prevention. The tiny incision mark can be treated with a laser externally after you have fully healed if necessary.

Does Precision TX™ laser treatment for hyperhidrosis hurt?

There is little or no discomfort associated with the Precision TX™ treatment for excessive underarm sweating. Patients are treated with a local anesthetic to fully numb the areas that will be treated. Some swelling and tenderness may cause discomfort temporarily after the procedure, but this is usually minimal.

How does the procedure work?

The procedure is done with local anesthesia (numbing). Through a small incision, a cannula is inserted under the skin and thermally controlled laser energy is delivered directly to the sweat glands to ablate (destroy) them.

How long does the procedure take?

On average, the procedure itself takes about 1-2 hours, but there is some additional time before and after for preparation, numbing the area, and a brief recovery period afterward. You can expect to be with us for about two hours total on the day of your procedure.

What are other hyperhidrosis treatment options?

  • Neurotoxin (Botox, Dysport, Xeomin) injections every 6-9 months
  • Surgical removal of the sweat glands
  • Radio frequency to damage the sweat glands
  • MiraDry using heat to destroy the sweat glands
  • Prescription anti persperants
  • Medications to affect the amount of sweat 

Does insurance cover PrecisionTx™ Sidelaze Hyperhidrosis treatment?

No. Insurance does not cover the cost of this laser treatment and usually does not cover the cost of other effective treatments aside from medications. We accept credit cards, cash and also CareCredit.

How do I get started with my consultation?

Simply call and schedule your consultation.  239-561-9191

Consultation for PrecisionTx is a medical visit during which you and your condition will be evaluated. The fee for this consultation is $150. Just make your consultation payment and schedule your appointment. 

If you need to cancel or reschedule your consultation, we require 24 business hours’ notice before your scheduled appointment to receive a refund or avoid fees. If you cancel or change your appointment under 24 business hours before your scheduled appointment or miss your scheduled appointment, your $150 consultation fee will be retained and will not be refunded. 

The full $150 consultation fee will be deducted from your PrecisionTxtreatment cost if you elect to have the treatment.

How much does the Precision TX™ treatment cost?


$750 for additional treatment if necessary. Most require only 1 treatment.

We accept credit cards, cash and also CareCredit.