Excessive Sweating Service at Spire Cambridge Lea Hospital

Are you fed up of annoying, embarrassing, odorous excessive sweating?

Hyperhidrosis causes an average of 400% the normal amount of sweat. The condition directly affects around 3% of the population, yet less than half of all sufferers actually seek advice on how to handle the excess sweating.

The Excessive Sweating Service at Spire Cambridge Lea Hospital treats a number of complaints including:


  • Armpits
  • Hands (palms)
  • Feet
  • Hands (palms) and Facial blushing

The service is brought together by two specialists 
 Mr Patrick Gillespie, Consultant Hand and Wrist and Plastic Surgeon 
 Mr Marco Scarci, Consultant Thoracic Surgeon

At Spire Cambridge Lea Hospital, our expert surgeons carry out both non-surgical and surgical excessive sweating procedures in a clean and safe hospital environment.

For further information please contact us on 01223 266929 or email info@spirecambridge.com

Non-surgical injections for excessive sweating

For armpits, hands and feet sweating

An effective non-surgical temporary solution for excessive sweating (hyperhidrosis) involves the injection of botulinum toxin (often referred to by the brand name ‘Botox®’). This anti-sweating medication is a natural purified protein, and works by preventing the signal to perspire from reaching the sweat glands.

Anti-sweating treatment by injection is administered through a very fine needle into the affected skin. Perspiration normally diminishes substantially within 48 hours and results can last from 6-12 months.

This treatment is carried out by Mr Patrick Gillespie, Consultant Hand and Wrist Surgeon and Plastic surgeon

Surgical treatments for excessive sweating

Many patients suffer from excessive sweating (hyperhidrosis) from the hands and armpits. Although conservative (non-surgical) treatments can be effective, they often need to be repeated and without them the problem reoccurs.

There are two surgical options which include the 'Breach procedure' (removal of sweat glands under armpits)' and 'Thoracic Sympathectomy'

For armpit sweating
One surgical option is to remove the sweat glands from beneath the skin in the armpit, called the 'Breach Procedure' after the British surgeon who described it. This is performed as day case surgery with a general anaesthetic. The sweat glands are removed using either a single short cut in the skin of the armpit, or using minimal access techniques with an endoscopic 'shaver' in order to minimise the visible scars. This procedure is carried out by Mr Patrick Gillespie, Consultant Hand and Wrist Surgeon and Plastic surgeon.

For palm sweating and facial blushing
An option is to have Endoscopic Thoracic Sympathectomy (ETS) procedure. Keyhole surgery has allowed the development of an operation which can help stop excessive sweating using a specially adapted telescope and requires just a tiny (about 1cm) incision under the arm. The operation is known as Endoscopic Thoracic Sympathectomy (ETS). Although a general anaesthetic is required, most patients are well enough to go home the same day and the operation is usually immediately effective. This procedure is carried out by Mr Marco Scarci, Consultant Thoracic Surgeon

About Mr Scarci

About Mr Gillespie

Mr Scarci undertook his specialist training in Italy, Malta, Essex Cardiothoracic Center and Guy's and St Thomas. He spent 6 months between University of Toronto and McMaster University for a fellowship in minimally invasive surgery. Mr Scarci’s practice is in pure thoracic surgery. He works closely with a large team including other surgeons, specialist nurses, radiologists and physicians to provide together with them the best outcome for patients. His key focus is minimally invasive surgery.

Mr Scarci's areas of major interest are resection of locally advanced cancer, malignant mesothelioma, rehabilitation after thoracic surgery and clinical trials. He also has a keen interest in medical education and, after several courses, he is currently doing a master in medical education.
Click here to read more


Mr Patrick Gillespie is a consultant plastic and hand surgeon at Spire Cambridge Lea Hospital and Addenbrookes Hospital. His practice includes hand and wrist surgery, plastic surgery for burns and scars, aesthetic breast and abdominal surgery (male and female), cosmetic surgery after weight loss and cosmetic or reconstructive surgery for skin cancer and benign lumps & bumps. He trained in medicine and surgery at Cambridge and Oxford Universities until 1993, then in Bristol, Cambridge, Oxford and London.

After full UK-based plastic surgery training, his fellowship training involved working with internationally recognised surgeons in the UK and overseas. He was awarded a British Society for Surgery of the Hand (BSSH) overseas Fellowship and then a Hand Surgery Interface Fellowship working with five leading plastics and orthopaedic surgeons for 18 months prior to becoming a consultant. Cick here to read more

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