Laser Axillary Hyperhidrosis Treatment is a safe, effective, and minimally invasive solution for hyperhidrosis. Laser treatments are among the least invasive of all surgical techniques, so scarring and patient immobilization are not a concern.


Target Sweat Glands, Without Collateral Damage

For treating hyperhidrosis, 1064 nm Nd:YAG laser light is used to permanently destroy axillary sweat glands by photoselectively heating sweat gland tissue without damaging the surrounding tissue. The procedure is performed under local anesthetic and is finished in less than an hour. The general steps of the treatment are as follows:

  • Step 1 – Locate: Before the operation, the underarms are coated with iodine and starch is used to identify the precise location of the sweat glands.
  • Step 2 – Irradiate: A 3 mm incision is made through which a cannula with an optical fiber is passed. Through this optical fiber a QCW 1064 nm Nd:YAG laser beam is fired, which destroys the sweat glands.
  • Step 3 – Remove: A grating cannula is used to remove the destroyed glands.


The power used during the laser hyperhidrosis treatment is up to 20 W. In order to ensure maximum selectivity during the treatment, the XP-2 Focus features a special QCW mode where localized spikes reach power levels in the kW range. This enhances the selective effect of the laser when targeting the tissue and ensures greater speed, efficiency and safety during all surgical procedures.

The Treatment of Choice – Simple, Safe, and Effective

A growing number of doctors consider the Nd:YAG laser to be the treatment of choice for hyperhidrosis, especially when the simplicity and speed of the procedure (as well as the minimal risk of complications) are taken into consideration. The whole operation takes about one hour, and patients can return to their normal activities within a few hours of treatment, leading to a full recovery within four to seven days.


Fotona’s Axillary Hyperhidrosis Treatment can be best performed with the following laser systems:


  • Fotona’s XP Line of laser systems offers a variety of ideal choices if you value speed and precision for high-quality surgical and aesthetic treatments without compromising efficacy. Multi-application systems such as the XP Dynamis and XP-2 Focus offer a high performance QCW Nd:YAG surgical laser as well as a built-in, non-ablative, long-pulse Nd:YAG aesthetic laser, which combine to offer an extremely wide treatment range.

Superior Performance

All Fotona Nd:YAG lasers are equipped with VSP (Variable Square Pulse) technology, which provides the widest range of selectable pulses and greater procedural safety. Compared to conventional Nd:YAG technologies, Fotona’s proprietary VSP pulses create virtually instantaneous temperature increases that are limited to the targeted structures only.


Square pulses reach peak powers faster, remain constant and return to zero immediately. This contributes to higher long-term success rates and shorter recovery times. The XP-2 Focus can generate peak powers beyond 5 kW, ensuring greater speed and efficiency in surgical procedures.


Handpieces & Accessories

Fotona’s specially designed, innovative handpiece technology allows safe, precisely controlled and effective delivery of laser pulses to the treatment area. More information about handpieces and other accessories is available on the product pages (see above links).


The course of the visit


to the clinic

The patient accurately describes the problem, explains why he reported to the clinic and what results he expected.



treatment plan

A specialist doctor arranges a special, customized treatment plan and presents it to the patient.




The next step is to prepare for the first treatment and carry it out.




The patient is under the control of a specialist who determines how many treatments must be carried out to achieve the end result.

Price list

We invite you to familiarize yourself with our price list.