The Whitely Clinic voor laserbehandelingen

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nozomi
Beekje
Beekje
Berichten: 13
Lid geworden op: ma 27 apr 2009, 16:33
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The Whitely Clinic voor laserbehandelingen

Bericht door nozomi »

Vlak na het plaatsen van mijn eerste bericht op dit forum, kreeg ik onderstaand antwoord op mijn mail aan de Whiteley Clinic. Dit antwoord wilde ik de lezers niet onthouden. Misschien klinkt het vreemd, maar als er meer gegadigden zijn voor deze behandeling kunnen we ons verenigen en groepskorting vragen.

Good morning,
Many thanks for your e-mail. Unfortunately we do not know of any other clinics apart from us and one in Argentina at the moment. I have attached a patient information sheet for your perusal. If you go to BBC Health-on-line you can watch a video of Mr Whiteley performing the first LSA operation in the UK. You would need a consultation and sweat test. These cost £218 which is redeemable against the cost of surgery at £3500.

With best wishes

Regards

Juley Yeates
Secretary

The Whiteley Clinic
T: +44 (0) 870 766 1234
A: 1 Stirling House, Stirling Road, Guildford, Surrey, GU2 7RF
E: Juley@thewhiteleyclinic.co.uk
W: http://www.thewhiteleyclinic.co.uk
Thijs
Site Admin
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Berichten: 2770
Lid geworden op: di 26 apr 2005, 22:45
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Re: The Whitely Clinic voor laserbehandelingen

Bericht door Thijs »

Dat is goed nieuws. Ik ben druk bezig om het via mijn verzekeringsmaatschappij vergoed te krijgen. Zie http://overmatigzweten.nl/viewtopic.php?f=1&t=2161

Ik verzoek je om hier verder in te posten voor wat betreft de laser techniek !

groetjes Thijs enne welkom op het forum!
nozomi
Beekje
Beekje
Berichten: 13
Lid geworden op: ma 27 apr 2009, 16:33
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Re: The Whitely Clinic voor laserbehandelingen

Bericht door nozomi »

Hallo Thijs en alle anderen. Hieronder de Patient information Sheet die ik ontving van de Whiteley Clinic per email:

The Whiteley Clinic
Laser Assisted Treatment of Axillary Hyperhidrosis (LATAH)

Mr Mark Whiteley MS FRCS(Gen)

The purpose of this information sheet is to explain the procedure of laser assisted treatment of axillary hyperhidrosis (sweating from the armpits), to explain the benefits and possible risks and to explain the aftercare.

This information sheet is not intended to replace the consultations that you will have with your surgeon, nor will it answer every question that every patient will have. However it will give you some background information, some specific pros and cons that may help you decide whether you wish to proceed with the surgery or not, and also will explain the aftercare and recovery from the procedure.

The problem - axillary hyperhidrosis:

Everybody sweats from the armpits and elsewhere on the body. Most people do not sweat excessively unless there is a very good reason - such as very hot weather in a humid climate, strenuous physical exercise etc.

Abnormal sweating or hyperhidrosis affects a large number of people in the UK. There are no figures to indicate exactly how many people suffer from hyperhidrosis although there have been estimates of between 5 and 10% of the population. Sweating from the armpits can be very socially debilitating. A few years ago a photograph of the Prime Minister at that time, Mr Tony Blair, hit all of the newspapers. In it, he was wearing a blue shirt and was raising his arm during a speech. Unfortunately there was a very large and very obvious wet patch under his arm. This pushed axillary hyperhidrosis into the news and started people talking about it.

At the mild end of hyperhidrosis, some people occasionally get damp patches on their clothes under the arms that can be embarrassing. At the other end of the scale, some people produce so much sweat from the armpits that it constantly affects what they can wear and, even in the clothes they are wearing, the constant sweat makes the material discoloured and can eventually change the texture and even rot the cloth.

Other treatments:

Firstly, a doctor will check there is no underlying cause for your sweating. In axillary hyperhidrosis, there is rarely an underlying cause – however, of course if you do not look for one, you will not find it when it is present.

Many patients will treat themselves using over-the-counter preparations including roll on antiperspirants or sprays. Although many people can manage with these, sprays tend to only help quite mild cases and the roll on antiperspirants using aluminium or similar metals, tend to cause skin irritation in a large number of people over time.

If such methods have failed, medical treatment includes injection of botulinum toxin into the skin, an unlicensed tablet called glycopyrolate, or the older surgical techniques such as endoscopic transthoracic sympathectomy (ETS) or open surgery of the skin of the axilla (arm-pit).


Although botulinum toxin is highly effective in most people, it is expensive and temporary, usually lasting some six to nine months if a large dose is used. The tablet has other effects elsewhere in the body and so is usually reserved for people who have excessive sweating all over their bodies. The older surgical techniques are not now appropriate for just underarm sweating due to the high risks of complications.

Laser assisted treatment of axillary hyperhidrosis (LATAH):

This technique was invented by a plastic surgeon in Buenos Aires, in Argentina, called Dr Blugerman. He has been performing this technique for over seven years and has been modifying and improving the technique and instruments. Mr Mark Whiteley of The Whiteley clinic was trained by Dr Blugerman and performed this technique several times under his direct supervision before being certified as trained.

The technique is performed under local anaesthetic.

Once you have undressed and put on a surgical gown, you are taken to the operating theatre. You will be asked to lie on your back and to raise your arms above your head, exposing your armpits. The procedure begins with iodine (a brown liquid) being wiped onto the skin of the armpit. A white starch powder is then sprinkled onto the iodine. You will be left for several minutes to allow a reaction to take place. The starch powder will turn black in all the places that you are sweating from. This test allows the surgeon to identify exactly which part of your armpit you are sweating most from. This is marked with a surgical pen.

Local anaesthetic is then injected under the skin of the armpit. This initially stings, but quickly settles down as the skin becomes quite numb.

At this point, the surgical markings are reinforced by a temporary tattoo to make sure the surgery is done in exactly the correct place. The tattoo can be present for up to one week after the operation - and is almost always gone by the second week.

At this point, the surgeon scrubs and your skin is disinfected ready for surgery. Sterile towels are placed over your chest. You will still keep your arms above your head exposing your armpits.

Under the local anaesthetic, your surgeon will make a very small incision, usually about 2mm, on your arm, about 2cm away from where the hair grows in your armpit. Very occasionally a second incision is needed on the chest wall just under the other end of the hairy skin of the armpit.

The operation begins with a blunt instrument that separates the skin from the underlying fat. Under the local anaesthetic, you will feel movement and sometimes pressure but should feel no pain whatsoever.

The procedure then continues with the laser. You will have eye protection placed over your eyes as will the surgeon, nurse and anyone else in theatre. The laser is moved under the skin, destroying the sweat glands and in many cases also damaging the hair follicles.

A special suction device invented by Dr Blugerman is then used to suck the tissue that has been lasered off the underside of the skin. Finally a special instrument called a "curette" is used to remove any last tissue that may remain.

The operation finishes with the surgeon making a few very small drainage holes in the skin that usually heal without scars. A skin adhesive is then placed on the skin and a sterile dressing stuck to this. You will then be placed in a compression garment which you must wear day and night for three days.


Post operative course:

Once the anaesthetic wears off, the armpits can be quite tender for one to three days. During this time regular paracetamol can be taken or even stronger painkillers if required. On the fourth day, the compression garment and dressings can be removed. They can be gently soaked away in a shower if they do not come off easily. However, it is better not to get the skin of the armpit any wetter than absolutely necessary for the first two weeks after the operation.

You should be able to drive the day following your surgery, provided you are able to move your arms freely and the pain is not restricting your movement.

You will come back to see your surgeon four weeks after surgery to check everything is healing normally. Of course if in the meantime you have had a problem, you are encouraged to contact the clinic directly for advice or to be seen urgently. You will be given an emergency telephone number phone at the time of your surgery.

Risks and benefits:

The main benefit from this operation is that in approximately 70% of people, sweating from the armpits is reduced to unnoticeable levels. In these people they can therefore completely forget about armpit sweating and can go on to live a normal life without the anxieties that axillary hyperhidrosis brings.

Like all surgery, there are risks. Of course the most obvious is that 30% of people will have some reduction of their sweating but may still have an unacceptable amount for them. In such cases, the iodine and starch test is used to see how extensive the problem still is. The procedure can be repeated if necessary or if very localised, botulinum toxins may be appropriate.

As with all surgery, there is always the risk of infection or bleeding and bruising. As the procedure is performed in an operating theatre under sterile conditions, the risks of infection are very low. One dose of antibiotics at the time of the procedure will be administered to reduce this risk as much as possible. The local anaesthetic administered also includes adrenaline which also reduces bleeding and bruising.

As a laser is used, there can be skin burns, although this is very rare using the instruments that are now used. Hair follicles can be damaged which may reduce the amount of hair in the armpit and this may be patchy. There can be some loss of sensation of the skin although if this occurs, this is usually temporary.

If you have any further questions, please do not hesitate to contact your surgeon before your surgery. Please remember you should never undergo any medical or surgical procedure if you have any doubts as to the benefits that you may get, and the risks associated with the procedure if it does not go according to plan.
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