sweating

For some, summer weather brings more than swimming and sunbathing. For three percent of Americans, the warm weather months are the peak season for excessive sweating, clinically known as hyperhidrosis. While the condition is present year-round, hotter temperatures are — unsurprisingly — a major trigger. So, what are the best ways to stay dry as the mercury rises? The AEDITION asked the experts.

## **What Is Hyperhidrosis?**
We all sweat. It’s the body’s way of keeping itself cool. But, for a small percentage of the population, excessive sweating (a.k.a. hyperhidrosis) can have a serious impact on a patient’s quality of life. There are two main types of hyperhidrosis: 

1. **Generalized Hyperhidrosis**: Affects the entire body (including the face)
2. **Localized Hyperhidrosis**: Focused to areas like the underarms, palms, and soles

The condition affects men and women equally, and the majority of hyperhidrosis patients (think: 60 to 80 percent) have a family history. Excessive sweating generally presents equally on both sides of the body and subsides during sleeping hours. 

## **Hyperhidrosis Triggers**
Like regular sweating, hyperhidrosis can be brought on by a variety of factors. “Common triggers include hot weather, anxiety, exercise, and spicy foods,” says Tatyana Nektalova, MD, a board certified dermatologist at [Spring Street Dermatology](https://springstderm.com/) in New York City. “It may also be caused by chronic medical conditions such as nerve damage and a hyperactive thyroid.” 

The condition begins during the teenage years, which can make it particularly damaging to self-confidence at a critical age. For many patients, hyperhidrosis is more than just a nuisance. Excessive perspiration can damage everything from clothing to relationships. When the condition affects quality of life, many seek medical intervention.

Fortunately, there are several treatment options for excessive sweating — and some of the more recent innovations offer longer term relief.

## **Traditional Treatments for Hyperhidrosis** 
Tried-and-true treatment options for hyperhidrosis include prescription-strength antiperspirants, electrical currents, and oral and topical anticholinergic medications that our experts say offer suitable relief for many patients. 

### **1. Antiperspirants** 
“The most common treatment for hyperhidrosis is using topical antiperspirants, which use aluminum salts to block the sweat ducts,” says [Samer Jaber, MD](https://aedit.com/provider/samer-jaber-md-3882), a board certified dermatologist and founder of [Washington Square Dermatology](http://www.washingtonsqderm.com/) in New York City. Prescription antiperspirants contain a higher level of aluminum than over-the-counter products, which can sometimes lead to skin irritation, he says. Despite speculation connecting aluminum antiperspirant use to breast cancer, no studies have proven a correlation.

### **2. Electrical Current**
According to Dr. Nektalova, iontophoresis is another treatment option for hyperhidrosis patients. The iontophoresis device uses an electric current to disrupt the connection between the nerves and the sweat glands. While the treatment has been shown to be very effective in many patients, ongoing maintenance sessions are required.

### **3. Oral Medication**
Anticholinergics (i.e. substances that block the action of a neurotransmitter called acetylcholine, inhibiting the nerve impulses responsible for sweating) have long provided relief for excessive sweating. “Oral anticholinergic medications can be very effective, but can have side effects like dry eyes or dry mouth,” Dr. Jaber says. But a new format seeks to solve that.  “A new topical anticholinergic towelette was recently FDA approved and can be really effective for the underarms,” he notes. 

## **Innovations in Hyperhidrosis Treatments**
For those looking for longer term treatment options, professional procedures like Botox® and miraDry® offer promising results for both hyperhidrosis patients and those who simply wish to thwart sweating.

### **4. Botox® Injections**
Botox® injections have been approved by the United States Food and Drug Administration (FDA) for the [treatment of primary axillary hyperhidrosis](https://aedit.com/procedure/botox-for-hyperhidrosis) (a.k.a. excessive armpit sweat) since 2004, and practitioners often use it off-label to treat the palms of the hands and soles of the feet as well. “Neuromodulators work by temporarily blocking the release of the neurotransmitter acetylcholine, which prevents eccrine glands from sweating,” Dr. Jaber explains. He says neuromodulators are a great option for patients who “try and fail” with conventional treatments.

Susanna, a physician assistant in Dr. Jaber's office, has been receiving armpit Botox® treatments for years. “Botox® in my underarms has been life changing,” she shares. Calling it “by far the most effective treatment” she has tried for her localized hyperhidrosis, Susanna says regular Botox® injections have improved her quality of life. “People without this issue don’t realize how much it really gets in the way of daily life,” she says. “It is amazing to not have to worry so much about what I’m wearing or pick out the best stain-proof clothes when shopping. I can reach for something in a cupboard without watching to make sure people aren’t looking — just in case I have stains under my arms.” 

Dr. Sean, a plastic surgery resident, has had a similar experience. “I’ve always been the person to have a sweat stain when I go out,” he shares. “I’d tried prescription-strength antiperspirants and used powder, but the stain was still pretty noticeable.” Getting Botox® injections has been a game changer, though routine maintenance is required. “I get it seasonally — right around Memorial Day — or before a trip or special event,” he says. “It takes about a week to kick in. By the two week mark, I notice it’s pretty dry, and I don’t have to worry about deodorant then.” Despite the benefits, he cautions against using Botox® too often. “There's a risk of developing antibodies to Botox®, so you don’t want to use it too often,” he says. “It could potentially never work again.”

Something else to keep in mind? The price tag. This sweat stopper doesn’t come cheap. Underarm Botox® will set you back about $1,000 for both armpits — though it is sometimes covered by insurance. The effects typically last between three and six months depending on how fast you metabolize botulinum toxin type A (the active ingredient in Botox®). The procedure itself is usually described as mildly painful. “It’s like a bunch of mosquito bites,” Dr. Sean says. According to Susanna, numbing cream can make it more tolerable. Side effects include minor bruising and swelling at the injection site and, rarely, allergic reaction.

It should be noted that Botox® injections under the arms, on the palms, and on the soles of the feet are also favored by patients who might not technically have hyperhidrosis but are tired of sweating through their shirts or putting forth a soggy handshake. Chrissy Teigen is one such fan. Last summer, [she took to social media to share her Botox® experience](https://aedit.com/aedition/armpit-botox-to-treat-excessive-sweating-hyperhidrosis) and rejoiced in her ability to “wear silk again without soaking.”

### **5. miraDry®**
[MiraDry®](https://www.miradry.com/) was approved by the FDA in 2011 to treat excessive underarm sweating. “MiraDry® offers the majority of patients a permanent reduction in sweating after two treatment sessions,” Dr. Nektalova says. “The treatment uses microwave energy to destroy the sweat glands that produce both perspiration and odor.”

Although many patients notice a difference after one treatment (which typically takes about an hour — between numbing and device application), optimal results generally require two sessions. Due to the use of lidocaine, getting miraDry® isn’t painful. Patients may, however, experience mild discomfort for a few weeks afterward. As Dr. Nektalova explains, the most common side effects of miraDry® are bruising, swelling, tenderness, and variable underarm hair reduction. 

The average cost of miraDry® is $2,000 to $3,000 per session, and the procedure is not covered by insurance. Patients who can afford the price tag say it’s well worth the expense. “I tried Botox® several times and miraDry® twice,” says Janine*, a patient of Dr. Nektalova. While the initial cost associated with miraDry® may be higher, it does not come with the same upkeep as Botox® injections. “Botox® used to be great, but it only works for a short while,” Janine says. “MiraDry® has reduced my sweating dramatically.” Oh, and there is another added benefit. “It got rid of my armpit hair,” she shares.

Like Botox® injections, miraDry® is also used by non-hyperhidrosis patients who wish to reduce underarm sweating.

## **The Takeaway**
If excessive sweating is impacting your quality of life, it is time to talk to a dermatologist. With the array of treatment options available, chances are they can help reduce your pesky perspiration.

*Patient’s name has been changed

AEDITION trendsetters-min

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The warm weather months are the peak season for excessive sweating (a.k.a. hyperhidrosis). What are the best ways to stay dry as the mercury rises? The AEDITION asked the experts.

Hyperhidrosis And Excessive Sweating Treatments: Botox, miraDry, And More

Never Let Them See You Sweat: 5 Treatments For Hyperhidrosis

self tanner

From speeding up the aging process to increasing the likelihood of skin cancer, tanning (via the sun or indoor tanning beds) is a no-no. But that doesn’t mean we don’t all yearn for sunkissed skin. Fortunately, there are plenty of ways to achieve a bronzed glow that won’t land you on your dermatologist’s naughty list. Thanks to [innovation in the marketplace](https://aedit.com/aedition/2020-sunscreen-sun-care-innovations), today’s self-tanners allow you to say goodbye to streakiness and stinky smells and hello to a plethora of instant options.   

For a quick and natural-looking tan sans sun, The AEDITION is rounding up the best self-tanning products that give the illusion of hours spent frolicking on the beach.

### **The Self-Tanner/SPF Hybrid**
![Supergoop](//images.ctfassets.net/zw35sfestf1t/6y2RXOH8oQvKuDAcRL2oer/7bc6c106e57167c599f45282cc480f41/Supergoop.png)
Whether you’re hitting the pool or going for a picnic in the park, sunscreen is a non-negotiable. But that doesn’t mean you have to sacrifice glow. Those who want to kill two birds with one stone can look no further than the Supergoop! Healthy Glow Sunless Tan. Suitable for face and body, the spray formula offers physical protection of SPF 40 alongside a self-tanner that develops in a few hours. $38, [supergoop.com](https://supergoop.com/products/healthy-glow-sunless-tan)

### **The Moisturizing Self-Tanner**
![Kora](//images.ctfassets.net/zw35sfestf1t/5JzxO69inmR2eyvk03emYm/f0b6f79f1318c1b1a558644e45ede764/Kora.png)
Because exfoliation prior to self-tanning is necessary for best results, the skin needs more moisture to keep it looking healthy. So, why not use a product that can do both? The Kora Organics Gradual Self-Tanning Lotion utilizes dihydroxyacetone (DHA) — an ingredient naturally derived from sugar — to give a non-toxic, gradual glow without dehydrating the skin. $48, [koraorganics.com](https://us.koraorganics.com/products/gradual-self-tanning-lotion)

### **The Customizeable Self-Tanner**
![ChazDean](//images.ctfassets.net/zw35sfestf1t/35PCZC0kaEnHhy0QPAezjK/1700a6740bceb6c7bfa50ff672343e4a/ChazDean.png)
Can’t decide between subtle radiance and a deeper tan? Chaz Dean’s Bella Spirit Self Tanning Bronzing Drops offer both. The depth of the bronze is a direct reflection of how many drops you add to your lotion (it plays particularly well with the brand’s [Bella Spirit Ultra Nourishing Intensive Body Treatment](https://www.amazon.com/Bella-Spirit-Nourishing-Intensive-Treatment/dp/B07VWLQPV3)). Bonus: it doesn’t transfer to clothing or stain sheets, so feel free to apply the night before an outing to wake up radiant. $48, [chazdean.com](https://chazdean.com/bella-spirit-self-tanning-bronzing-drops.html)

### **The Self-Tanner For The Face** 
![DrGross](//images.ctfassets.net/zw35sfestf1t/609v6x8BdT0kAzzDmCy4ZX/996c991e00a5753af973572b094b3133/DrGross.png)
When it comes to faux glows, it is important to remember that the skin on the face may be more sensitive than the rest of the body. To prevent breakouts and clogged pores, [read the label](https://aedit.com/aedition/category/read-the-label) and seek out products with nourishing and clarifying ingredients. The Dr. Dennis Gross Alpha Beta Glow Pad Self Tanner for Face combines key [AHAs](https://aedit.com/aedition/guide-to-topical-alpha-hydroxy-acids-in-skincare) (lactic and glycolic acids) with panthenol, [vitamin A](https://aedit.com/aedition/guide-to-vitamin-a-retinol-retinoids-in-skincare), [vitamin C](https://aedit.com/aedition/guide-to-topical-vitamin-c-in-skincare), and vitamin E to leave the complexion smooth and sunkissed for days. Oh, and the convenient wipe design doesn’t hurt either. $38, [dermstore.com](https://www.dermstore.com/product_Alpha+Beta+Glow+Pad+Self+Tanner+for+Face++Intense+Glow_54282.htm)

### **The Self-Tanner With a Little Something Extra**
![SouthSeasCare](//images.ctfassets.net/zw35sfestf1t/3I3XwCB0FaTi30B5ubif9c/b5266d13b25d456cd5c9069d0ea63613/SouthSeasCare.png)
Who doesn’t love a multipurpose product? South Seas Skincare’s Tahitian Tan Mist packs a big punch that will leave the skin literally and figuratively glowing. Formulated with exfoliating alpha hydroxy acids, calming aloe vera, hydrating hyaluronic acid, and free radical-fighting antioxidants (think: vitamins A, C, and E), the easy-to-apply spray offers both immediate and long-term benefits. $28, [dermstore.com](https://www.dermstore.com/product_Tahitian+Tan+Mist_23411.htm)

### **The Instant Self-Tanner** 
![ColorScience](//images.ctfassets.net/zw35sfestf1t/475G2rMKscK2tSRsTPR4cr/7b71390de7525625ca974bf90581b519/ColorScience.png)
Looking for a glow, like, yesterday? The Colorescience Sunforgettable Total Protection Body Shield Bronze SPF 50 provides a quick-fix for those rushed moments when time (and tan!) is of the essence. For those keeping score, it also protects against UVA/UVB rays, pollution, blue light, and infrared radiation. $45, [colorescience.com](https://www.colorescience.com/products/sunforgettable-total-protection-body-shield-bronze-spf-50)

### **The Long-Lasting Self-Tanner** 
![VitaLiberarta](//images.ctfassets.net/zw35sfestf1t/31zeliCoG8foh8QQnKd2wC/513fbeff218d016a31bd41d2e980bf3e/VitaLiberarta.png)
If you are looking for a self-tanner with staying power, Vita Liberata is here to help. Enjoy two to three weeks of radiance with the pHenomenal Tan Mousse. Available in three shades (light, medium, and dark), the long-lasting tanner dries down fast without dehydrating the skin or imparting that ‘fake tan’ smell. A true win-win. $54, [vitaliberata.com](https://www.vitaliberata.com/phenomenal-2-3-week-tan-mousse-fair/)

### **The Self-Tanner For Those Hard-To-Reach Spots** 
![Coola](//images.ctfassets.net/zw35sfestf1t/2J8ic9lIcG4CdQcJ63AySp/8c060093f48c81055191f9ffa0a906e4/Coola.png)
Being self-sufficient and independent is enough to make someone *feel* golden. But when it comes to getting those hard-to-reach areas (think: the back), it’s time to call in reinforcements. The Coola Organic Sunless Tan Dry Oil Mist can help you achieve an even glow across the shoulder blades and down the back body — ensuring no spot is left un-bronzed. Powered with DHA and aloe vera, it’s hydrating, fast-absorbing, and transfer-resistant. $46, [coola.com](https://coola.com/collections/sunless-tan-body/products/organic-sunless-tan-dry-oil-mist) 

### **The Self-Tanner For Legs**  
![SallyHansen](//images.ctfassets.net/zw35sfestf1t/7iZ8rpMky3Cdj0CExtsowG/673bcddb66eca36e995d76f67298b530/SallyHansen.png)
There are no two ways about it: applying self-tanner on the legs can be tricky. Knees and ankles often need additional moisture, while properly covering the backs of legs is its own kind of dilemma. In a matter of seconds, the Sally Hansen Airbrush Legs aerosol spray provides effortless reach and even distribution of product. $12, [sallyhansen.com](https://www.sallyhansen.com/en-us/airbrush/airbrush/airbrush-legs)

### **The Self-Tanner Remover**
![TanLuxe](//images.ctfassets.net/zw35sfestf1t/7ozeQrGEvAWlcDBZ5LQBsp/37e1b350a1deb13cb4b153f534f58460/TanLuxe.png)
Made a mistake or just want to start with a fresh base? Worry not, Tan-Luxe is here with its multi-use Glyco Water Exfoliating Tan Remover, Cleanser, and Primer. Exfoliating glycolic acid combines with calming aloe leaf juice and nourishing raspberry seed oil to remove any residual tanner in five minutes or less without drying out the skin. $33, [tan-luxe.com](https://tan-luxe.com/the-store/glyco-water/)

### **The Self-Tanning Tool To Prevent Streaking** 
![CocoEve](//images.ctfassets.net/zw35sfestf1t/Fo9SEAV9pGdqkKg2qcmx6/5ca3b80b1d16d5fb188d5c7072a9990b/CocoEve.png)
A surefire way to signal that your glow is faux is the dreaded streaking that can accompany the application process. As such, Coco & Eve's velvet mit is a self-tanner's best friend. It allows for ease of use when spreading the product all over the body, while keeping the hands clean – just make sure you don’t forget to tan them as well! $15, [ulta.com](https://www.ulta.com/sunny-honey-soft-velvet-self-tan-mitt?productId=pimprod2014571)
  
## **P.S. Here Are Some Application Pro Tips**
While all the products included here are designed to go on easily and evenly, there are a few precautions you can take to ensure a flawless faux glow. First and foremost, make sure your skin is exfoliated and moisturized — there is nothing worse than trying to apply self-tanner to a rough patch. Clean, smooth skin is the best way to avoid streakiness and improve wear.

Now that you’re properly prepped, there are a few body parts that never fail to pose a challenge. For instance, should you apply self-tanner to armpits? What about the hands and feet? Ears and neck? The answers are yes, yes, and yes, if you want to create a continuous tan. Here are some tips for navigating those problem areas:

- **Armpits**: When tanning the armpits, shave 24 hours prior and **do not** put deodorant on before applying the self-tanner — the products don’t play well together. Be sure to apply just a small amount to the underarms, as the shade should only be a little deeper than the natural skin tone.
- **Ears**: A little goes a long way here, too. Make sure to get the tops and the lobes with a small amount of lotion. 
- **Hands & Feet**: To ensure they blend well with the rest of the body, apply the same lotion, spray, or mousse in a downward motion from the wrists or ankles towards the fingers or toes. This helps keep the palms and bottoms of the feet from looking too dark.
- **Neck**: Apply as you would the rest of the upper body, and don’t forget the back of the neck around the hairline. You might also consider using a slightly lighter shade than the rest of the body to avoid lines of demarcation around the jaw. 

Couple one (or more!) of the innovative self-tanners above with these tips and you’ll be well on your way to an enviable, sun-safe glow that will no doubt have your friends wondering if you just returned from a tropical vacation.

AEDITION complexion perfection-min

Beauty Collection | The AEDITION

Beauty

Here at The AEDITION we are all about a faux (read: sunless) glow, and we’re rounding up the best self-tanners to give you head-to-toe radiance in a matter of hours – if not minutes – sans so much as a second in the sun. 

Best Self-Tanners For Face And Body In Summer 2020

11 Best Self-Tanning Products For Face And Body 

shutterstock 1318827851

While breast implants come with a lifetime warranty on the implant device, they are not actually meant to last a lifetime. It is recommended that both [silicone breast implants and saline breast implants](https://aedit.com/procedure/breast-augmentation-with-implants) be replaced every 10 years or so, but that is not the only reason women opt to swap them out. The natural aging process, pregnancy, and weight fluctuations can all affect the size and projection of the breasts, and replacing implants may be able to address these changes in appearance. So, what does a breast implant replacement procedure entail? The AEDITION breaks it down.

## **Why You Need To Replace Breast Implants**
Generally speaking, it is recommended that patients replace their implants every 10 years. That wisdom is largely based on a [2011 report from the Food and Drug Administration (FDA)](https://www.fda.gov/medical-devices/breast-implants/update-safety-silicone-gel-filled-breast-implants-2011-executive-summary) about the safety of silicone breast implants. It found that the longer someone has them, the more likely they are to experience localized complications (think: deflation or rupture). 

In the study, 20 percent of women with silicone gel-filled breast implants required removal or replacement within 10 years of implantation. For patients who do not experience issues with their implants, surgeons may advise that it is not necessary to change them. “The newest implants are the fifth-generation silicone implants,” says [Melissa Doft, MD](https://aedit.com/provider/melissa-doft-md-63), a double board certified plastic and reconstructive surgeon in New York City. “They are much sturdier than earlier generations — meaning the shell does not break down as quickly and they are less likely to leak.”

But that doesn’t mean breast implant replacements aren’t common. “The implants are constantly improving, so the implants today will be inferior to the ones in 20 years,” Dr. Doft explains. “Many patients elect to upgrade.” In addition to receiving a more high-tech implant, the procedure allows patients to revise or refine the results of a previous procedure.

### **The Longevity of Silicone vs. Saline Breast Implants**
Saline implants have a similar longevity (i.e. a decade) to their silicone counterparts, though there is a key distinction. “The biggest difference between the two is how they are monitored,” Dr. Doft says. As she explains it,  when a silicone implant ruptures, it is considered a ‘silent rupture’ because the gel tends to be contained in the scar tissue capsule the body forms around the implant. As a result, the rupture is only detectable via imaging, like an ultrasound or MRI. 

On the contrary, if a saline implant ruptures, the salt water is absorbed by the body and there is an observable loss of fullness in the breast. “The rate of deflation of a saline implant is one percent per year,” she explains. “The rate of rupture for the fifth generation implants by Sientra and Allergan is about nine percent over 10 years.”

For implant patients who are concerned about potential complications, Dr. Doft says size matters. “Using the smallest implant that will achieve your goals is the best precautionary measurement,” she shares. “It is well known that smaller implants have significantly less complications.”

## **Breast Implant Replacement Surgery**
The breast implant replacement procedure is similar to the initial breast implant surgery. “If you have decided to change your implant because you have had them for a long time, you want to switch from saline to silicone, or they are textured and you are [worried about developing ALCL](https://aedit.com/aedition/heres-what-you-need-to-know-about-the-allergan-breast-implant-recall) but you have no visual changes, it is easy to replace them and you should have a very similar result,” Dr. Doft explains. “The goal of the surgery is to have a beautiful soft result and usually this can be achieved.”

It should be noted, however, that there may be challenges that were not present during the original breast augmentation. An abundance of scar tissue, for example, may make the revision surgery more complex. “If you are replacing the implant because of capsular contracture — scarring around the implant which has caused a visual change or made the implants painful — changing them is a longer operation and more tricky,” Dr. Doft says.

### **Choosing New Implants**
When considering a breast implant revision or replacement, patients should first consult with a board certified plastic surgeon to evaluate the current situation. During the consultation, the surgeon will get to know the patient’s aesthetic goals and help determine the best type (silicone gel versus saline), shape, and size of implant for the revision. 

“When patients wish to change their implants, they often consider changing the size of the implant,” Dr. Doft says. She has noticed a change in aesthetic trends over the years, with the preference for larger implants in the 1990s and early 2000s moving toward smaller ones in recent years. “Patients often had larger implants placed when they were younger and, now that they have aged, find that the larger implant feels heavy and can make them look too busty or too bulky,” she says. “These patients also tend to elect to have smaller implants.”

For women who are exchanging their implants after pregnancy due to deflation or ptosis (read: sagging), however, a larger implant may be preferred. “Sometimes, by placing a slightly larger implant, the sagging can be removed,” she says. “In a nutshell, I think older patients often decrease the size or stay the same size, and younger patients and postpartum patients stay the same or increase in volume.”

### **Procedures to Pair with a Breast Implant Replacement**
While a larger breast implant may be able to correct postpartum breast changes in some patients, it is not always enough. “If their breasts have changed from weight loss or pregnancy, often women will have a breast lift at the same time,” Dr. Doft shares. But that’s not all. “Many times, patients will also have a separate procedure — like liposuction, abdominoplasty, or blepharoplasty — to optimize their downtime,” she adds.

### **Recovering From a Breast Implant Replacement**
While recovery depends on the patient and specifics of the procedure, many women find the healing process less painful than their original surgery. “Many American surgeons place the implant under the pectoralis muscle when performing the initial operation,” Dr. Doft explains. “The surgeon creates a new space that had not existed and the implant applies pressure on pectoralis muscle causing postoperative pain.”

In the replacement procedure, that space does not need to be recreated. “The pocket has already been created, so there is significantly less pain after the surgery,” she says. “Most patients return to work in a few days.”

## **The Takeaway**
Whether you’ve had your implants for more than a decade or are looking to reverse the effects of aging, pregnancy, or weight changes, breast implant replacement procedures allow patients to refine the results of previous breast surgeries. In addition to changing the size and shape of the chest, the procedure can be coupled with additional cosmetic surgery procedures (think: breast lift, liposuction, abdominoplasty) to maximize the downtime and results.

AEDITION rejuvenators-min

Medical Aesthetics Collection | The AEDITION

Aesthetics

The FDA recommends replacing breast implants every 10 years, but that’s not the only reason women choose to swap them out. The AEDITION asked an expert to explain what to expect from the replacement procedure. 

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